Conversation: The conversation between human and AI assistant.
[|Human|] 53 year old male recently diagnosed with type 2 diabetes. Good glucose with two oral meds, controlled diet, exercise. Experienced rapid, significant weight loss-40 pounds in about 3 weeks (240 to 210). Low carb diet. Not injecting insulin. Upon executing abdominal exercises (leg lifts, crunches) noticed bulge about 3 wide and 5 long, from upper right side of abs toward pubic bone. Looks scary. Concerned could be AAA? No pain. Lump is soft and movable. Looks like a cucumber or sausage under my skin. Only appears under stress. Plays trumpet as a hobby-requires deep, lower ab distention upon inhaling (breathing from the diaphragm). No pain. Normal digestion. No nausea, etcetera. Most likely a hernia? No clue I m an accountant. Thanks.
[|AI|]  Hello, The issue of lump appearing on straining sound more likely to be hernia only which is more likely to be an inguinal hernia as it is the upper right side of abs extending toward pubic bone; while femoral hernia is below down. Recommended guidelines at present-avoid weight lifting or strenuous exercises-avoid constipation or withholding urine-get an appointment with your consultant surgeon to get prescription of an ultrasound of the soft tissue of inguinal region. Hope I have answered your query. Let me know if I can assist you further.