### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 30year old female and i have had stabbing pains in my lower left abdomen which cause me to double over on and off for a while now they then fade in to an ache. I had an ultra sound to look for ovarian cysts and no were detected. They found my iron was low but b12 and folic acid were normal which could point towards a bowel issue. The last week I have been physical exhaust and had to take time of work. Today I have found a longhard lump in the area that causes me pain which is not present on the right side of my abdomen. Im not sure that its all related but Im worried. Do you have any ideas what this could be? Id be very greatful for any advice.Victoria

### output:

Hello, Thanks for posting on Chat Doctor, There are many possible causes of lower abdominal pain and the doctor examining need to consider the most common and focus on trying to rule them out. In most women I meet in my clinical setting, they usually turn to suffer from either diseases of pelvic origin which could be PID, fibroid/cysts (which you mentioned had already been ruled out), urinary tract diseases (could be cystitis, urethritis, pyelonephritis, stones etc.) and digestive diseases (could be infection, telepathy, inflammatory or irritable bowel, dyspepsia etc.). So your doctor needs to run some tests aiming at trying to identify each of the above conditions (some will only be determined by excluding the others). As for the lump, I am suspected that you might be having hypogastric hernia (which could even explain the lower abdominal pain you could have been having). As strangulated hernia could present with stabbing pains that go on and off. In that case, your doctor will need to confirm this and perform a surgery to repair the hernia. Hope this helps