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

### input:
hi i have got a lump in my stomache and sometimes it swells up and it feels like someone is just squeezing it and i also have bleeding in my back passage which i have nearly everyday for the last few years ,i also have sharp pains in the back of my ribs to the lower part of my back and its like it everyday is there anyway you could help me by giving me an idea of what it could be as i went to my gp and he didnt really pay any attention thankyou susan

### output:

Hi, Susan. Dear, Good Afternoon. I am Chat Doctor. -I studied your query in-depth and Understood your health concerns.-To Start with-I would advise you NOT to worry about what you are suffering from. For every problem there is a solution with Me.-Cause of swollen -painful lump in STOMACH-a-In my opinion-you are suffering from -Constipation with Bloated Abdomen with -painless bleeding from your back-passage -the anus -which indicates -you have hemorrhoids as the basic cause of all this and is an old story since few last years -as noted by you.b-Pains in back of your ribs to lower back-are due to the bloated colon with clicks due to the Constipation from hemorrhoids/piles you have.b-Basically You suffer from Colonic Obstruction with bloated colon in STOMACH area and needs thorough check up by an ER-Surgeon. AS it's not the CAKE of your GP.c-Proctoscopy/ Colonoscopy SOS, to rule out the Cause of the-anal bleeding and hemorrhoids -?rectal or ?rect-sigmoidal cancer-growth needs to be ruled -as the symptoms are for last few yrs as told by you.DuPont worry if you act fast with your Surgeon, who do all that is needed as above, and you would be alright soon.d-AS you are still worried I would adviser ABD/ MRI-to remove the fear and anxiety you have for your lump-which is wrongly sensed by you.e-A Surgeon would be right doctor to guide you as above.-Hope this advice and reply would help to plan Surgeons Treatment meeting and would help you for early recovery of this lump-event with you.-Hope this elaborate advise on your most complex issue would help you to recover fast. Wish you recovery ASAP. Wellcome and ThanksWith Best of Regards 