Conversation: The conversation between human and AI assistant.
[|Human|] I have a painless soft lump on the outer side of both kneecaps. What could cause this. I also have a visible protrusion in the upper right abdomen. It is about 4 inches wide and about 2 .5 inches in size. Not very painful except sometimes if I cough hard, it s very painful like it s being pulled apart.
[|AI|]  HI, Welcome with your query to Chat Doctor. Based on the facts of your query, you seem to suffer from-PrePatellar Bursitis/ or it could be due to Synovial granulation-painless accompanied by synovitis.Remedy-for painless lumps on knee would suggest treating them after having Second Opinion from Orthopedic Surgeon. Treatment -Could be by Anti-inflammatory Chat Doctor. Hot Fomentation. Surgical Excision-By Endoscopic Laser Ablation of SynovitisWelcome for any further query in this regard.-About the second query about-protrusion in upper right abdomen. Based on the facts of your query, you seem to have Epigastric Ventral hernia/ with variation of recto or / with right Spiegelman hernia, as it is painful with coughing. This ambiguity needs to be fixed by USG study. Repair of the hernial Weakness in the ant. Abdominal wall. I would suggest getting Second Opinion from Surgeon, who would assess the defect and would take the needful decisions to treat this hernial protrusion. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!