Conversation: The conversation between human and AI assistant.
[|Human|] i am a 31 y/o female in healthy condition and exercise regularly and eat extremely healthy - no sugar or processed foods. The other day i started to get a pain in my lower left abdomen near the crease of my leg right above my pubic bone. Each day it has gotten worse. I can t even do one sit up. When i cough or sneeze I feel a sharp pain, almost as if something is going to pop. I had a hernia when i was 4 years old, but I can t remember what that felt like. My stomach and abdomen above my pubic bone have been distended for a few days. I thought I was constipated because of a change in my diet, but laxatives and stool softeners have done what they re meant to do and this pain just keeps getting worse. I can t really carry a few bags of groceries now because the strain hurts too much.
[|AI|]  Hi. Thanks for your query. I would like to say that this is an EMERGENCY. The reason being your history. It is very peculiar of the Pitchers Hernia. You have a history of hernia, it does not grow much in females. IN your case a small part of the circumference of the bowel gets obstructed to give this typical presentation you have described. Attend the ER, get investigated fast. You may need exploratory laparotomy to see the damage to the bowel, repair it, and repair of the hernia too.