Conversation: The conversation between human and AI assistant.
[|Human|] Hi.  When I put pressure on my upper stomach, for instance bend down or kneel down.  I get a knot above my stomach and feels like the outer layer of my stomach muscle is tightening up. It is very painful, I have to unbutton my pants and relax to relax my stomach.  It takes several minutes for the pain to go away.  I was admitted to Flagstaff Medical Center last week and they really couldnt find anything wrong with me.  they said I did not have a hernia and possibly an ulcer.  what else could cause this pain?  My outter skin (about 2 inches above my belly button) is very tender to touch and I am afraid to put any pressure on the area. I may have another attack, which I call it. Help.
[|AI|]  Hi and welcome to Chat Doctor. Well it sounds like abdominal wall issue, not intra-abdominal especially if this is sensitive to touch. You should do ultrasound of this area to see is there any abscess formation, lipoma or muscle rupture. There can be intra-abdominal mass which presses abdominal wall, but this is rare and more serious. If this is related to your digestion or more painful after meal than gastritis or HERD should be considered and endoscopy should be done. I suggest doing tests i ve mentioned if symptoms persist. Wish you good health.