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

### input:
docter please help i have a lump under my right rib just right most side of belly .it is tender and when i lay down on bed it dissappears it is only visible when i am standing or sitting.i am severly underweight and i have slow development!i am 16 yr and my weight is 30kg !i appear like 12 yr old but i am 16yr old!i have been going to doc. over 4 yrs about my underweight and growth problem!i have done many blood test like anemia profile1 ,vidaletc all neg.and urine test,chest xray,ultrasound also all normal!i am an active boy but from 4 mnths my lump is bothering me!if i press on it i feel pain after sometime!my height is 53 inch!please help !i think my lump is growing!but my ultrasound is ok!my life is totaly ruined due to it!help!

### output:

HI, Dear,thanks for the query to Chat Doctor. Dear don't get your life ruined. Today is the Doctors day.! And Chat Doctor clinic is there to Help you. I studied your query in FULL details given by you.-Regarding Cause of GROWING Lump below rt rib well below the right side of the belly.-In my opinion its -Indirect Inguinal Hernia as it disappears when you lie down and pains when you are standing.-Treatment-I would advise you to consult Surgeon who would plan the following treatment -a-After due investigations Mesh Repair of the Indirect Inguinal hernia-only after ruling out the diabetes as the cause of your low weight.b-Weight building treatment under care of the Surgeon would resolve all the worry you have. Your life will flourish hereafter. Hope this would help you to plan your treatment with your treating doctor. Wish you fast recovery. Wellcome to Chat Doctor for any further query in this regard. Good Night from INDIA. Chat Doctor. 