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

### input:
I am a power lifter and about a month ago I went to workout felt fine all day went to bed woke up and I had pain/discomfort i my lower abdmominal/pelvic region, I had felt this eritation before but is went away with rest and time but this time its been about a month and a half,  I have no buldge, but do feel discomfort/pain when coughing, working, going to the rest room 1 and 2.  I guess what I realy want to know is it a hernia or a strain?  Should I seek medical attention?  I am not vomiting and I do not have blood in my urin or in the stool what is it and what should I do?

### output:

Hi. Thanks for your query. Read and understood your problems. You are a powerlifter and has pain in the lower abdomen and pelvis forth last one and half months. There are no associated symptoms of any bowel or bladder symptoms, nor you have vomiting, nausea, ; no bulge. I think you should seek a Direct physical examination by the surgeon as on actual examination he will check you in the upright position and ask you to strain or cough to find out whether there is a hernia or not. He can tell you whether this is a strain of the muscle or not. If the abdominal wall is without any tenderness, you have to undergo few investigations like tests of the blood, urine and stool. An ultrasonography to see for any internal problems like appendicitis, lymph nodes or pelvis inflammation of any sort. If required a CT scan of the abdomen and pelvis will be done to rule out any serious problem.