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

### input:
Hi I am healthy 56 year old female I have started to get pain in my groin after walking or being on my feet for a while when the pain is really bad I can hardly lift my leg but I also get like the feeling that I ve got diarreah and need the toilet badly but I only get that when the pain in my groin is unbearably bad . By the I ve been to my gp he says it groin strain .

### output:

Ok here are the factors specifically tailored to your case1) 56y/o2) groin pain when walking or standing3) only one side (one groin not both)many groin pains for your age group is mistakened for a muscular strain etc. but in fact they are actually one of the most consistent symptoms of often arthritis. Based on the 3 factors above, it's a classic textbook definition of symptoms of hip osteoarthritis best course of action to do is to have the X-rays taken first(pelvis app X-rays, frog leg X-rays) I have specified there the best X-ray views to diagnose your problem. You can write it on a piece of paper and show your doctor next time. Treatment for this problem once confirmed:1)wt loss -better than pain meds, it unloads your hip joint as a consequence of you being lighter, so that when you walk or stand till hurt less2) physical therapy - to promote joint fluid circulation, stronger hip muscles decreases the stress that has to be borne by the bony hip joint.3) viscoelastic injections - if the symptoms are that bad but the X-rays aren't so bad you can try these4) total hip replacement - when all else fails, but this isn't recommended for you as of now merry Christmas :)