<s>[INST] i am a 31 y/o female in healthy condition and exercise regularly and eat extremely healthy - no sugar or processed foods. The other day i started to get a pain in my lower left abdomen near the crease of my leg right above my pubic bone. Each day it has gotten worse. I can t even do one sit up. When i cough or sneeze I feel a sharp pain, almost as if something is going to pop. I had a hernia when i was 4 years old, but I can t remember what that felt like. My stomach and abdomen above my pubic bone have been distended for a few days. I thought I was constipated because of a change in my diet, but laxatives and stool softeners have done what they re meant to do and this pain just keeps getting worse. I can t really carry a few bags of groceries now because the strain hurts too much. [/INST] Hi.Thanks for your query.I would like to say that this is an EMERGENCY. The reason being your history. It is very peculiar of the ''Ritcher's Hernia. You have a history of hernia, it does not grow much in females. IN your case a small part of the circumference of the bowel gets obstructed to give this typical presentation you have described. Attend the ER , get investigated fast. You may need exploratory laparotomy to see the damage to the bowel, repair it , and repair of the hernia too. </s>