Conversation: The conversation between human and AI assistant.
[|Human|] 56, WF, Since yesterday afternoon .... severe abdominal cramping, strikes like labor pains, about every 15 mins. Normal BM this morning, cramping did not stop. Unable to pass gas in spite of abdominal swelling and much rumbling in stomach. Pain is mostly near ab hernia below umbilical area.
[|AI|]  Hi. Thanks for clear-cut history, which is suggestive of an obstructed Hernia with a classical history of Distention, Borborygmi (rumbling), and severe pain in abdomen. Get an X-ray of the abdomen in standing position to get a diagnosis clear and if necessary an ultrasonography of the abdomen and abdominal wall to get a confirmed diagnosis. If present get admitted and get investigated to be cured by a surgery, which may be undertaken urgently. Stop taking anything orally.