Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am 32 weeks pregnant and have had significant pubic pain for the last couple of weeks that I attributed to pubic symphysis diastasis.  In the past 2 days the pain has gotten significantly worse and is now excruciatingly tender to palpation on the left side.  Tonight I noticed a hard lump on the left side of my mons pubis that is incredibly painful.  I have not had any other systemic symptoms, vomiting, fever etc.  Any ideas?
[|AI|]  Hi. Thanks for your query. The pain in this area with a swelling on one side can be due to an abscess or symphysis diastase as you rightly thought about. The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI (MRI is safe in pregnancy). The treatment will depend upon the diagnosis. IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines. If dialysis- anti-inflammatory may be sufficient. Gynecologists opinion about an early Caesarion section can also be sought if the problem is severe.