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

### input:
I have a very hard lump on my right side just under my ribs and into the center of my abdomen about 2 inches. i also have just above the lump on my rib cage is an indention that i do not have on my left side. The lump is not painful unless you press very hard. but the area surrounding it is very painful. is this something i should be concerned about. I had it about 2 months ago and it last about 2 weeks then disappeared. It has been back now for about a week.

### output:

Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from-a hard painful lump under right ribs, which pains on pressure, with surrounding tissue-very painful. This indicates Spiegelman Hernia-which is in the weakness in the Para-rectal fascia. The impacted / herniated pre-peritoneal fat, or momentum /mesentery is the cause of the severe pain around the lump. Remedy-Surgeons opinion/and USG of the part would fix the cause. Tab Voltaren with broken to reduce the entrapped tissue. If not reduced manually under local anesthesia, Surgical planned repair is the only treatment for non-reducible Right Spiegelman Hernia.Thus, this lump should be concerned by you and need to take care as suggested urgently. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant