<s>[INST] Hello, My name is Mark 58 year old in good health I am in good shape 5ft 9in 166 lbs. I woke up with dull pain around my belt line left side, it seems to be getting more tender as the day goes by, hurts if i take my finger and push or if I bend over,feels better after I urinate or have a bowel movement but then starts again. [/INST] Hi, It can be due to musculoskeletal pain or sometimes due to osteoarthritis of the hip. You can consult an orthopaedician and get evaluated. An MRI scan is required to assess the cause of the pain. As of now, you can take analgesics like Tramadol for pain relief. Hope I have answered your query. Let me know if I can assist you further. </s>