Conversation: The conversation between human and AI assistant.
[|Human|] Since July 2011 I have been experiencing severe cramping symptoms in the lower right abdomen. These attacks come at least once a month, most recently 10 days apart and can last three hours in duration. Sometimes I can see a bulge in my lower right groin. Taking a 5 mg valium and 5mg oxycodone can help stop the attack.  I am 60 years old and have had a gynocological ultrasound but nothing was found.  What;s going on?Sharon
[|AI|]  HI Sharon ! From the history of a bulge in your lower right groin, the first diagnosis one can think of is a possibility of Right Inguinal Hernia in its initial stages which gives rise to pain. This will occur whenever you go for a heavy activity which increases the intro abdominal pressure. Apart from this there could be a separate intro abdominal pathology altogether. If it is a grumbling appendix, then the ultrasound may not show anything positive. A urinary tract infection or an infection of the pelvic organs can also give rise to such symptoms and your doctor may advise you for a routine urine test and a clinical pelvic examination to exclude the same. Do you frequently eat outside specially junk foods ? In that case one has to exclude intestinal infection specially amoebas. I am not sure to which region you belong to. One has to exclude chronic granulators infection of the intestines in people who live in endemic areas where such infections are common. Your family physician can investigate you to exclude this kind of infection. Wish you an early recovery.