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

### input:
I have extream pain under my ribs , when I stand up there a large bulge that comes out from under my rib cage ,looks like a water melon , its hard and hot to touch. feeling it the doctors all say what the hell is this ? you can go under it above the belly button from side to side , doctors say it is been built in side of me . if I bend over the pain feels like I am being cut open or falling on knifes I cant breath go in such pain I black out . also there a strange pattern of one and half long and eight of inch wide space in a pattern up every two inches apart all around the rib cage from the back by my spine all around the ribs and stops under the breast bone . it hurts and feel hot cant take a deep breath it makes the pain worse feels like hot burning and goes in to spasm bigger the my hand cant caught my breath ,people told me my lips turn blue my face turns white then I black out. what makes the pain worse if I try to walk down hill or up hill like over a drive way , walling flat on a side walk is less pain . cat scans and ex ,rays show nothing , but yet this huge hard hot ball sticks out from under my ribs cant take a deep breath cause more pain cant touch it cause me to throw up ,cant wear a bra cause me to throw up , cant touch my hand to rest on my stomach cause me to throw up cant lay down cause me to throw up please help me this been over three years now ! plus the G I test shows my stomach is shaped like figure eight and almost three inches no bigger then a tooth pick cant eat solids makes me throw up ! cant been over or burp or yawn with throwing up ! what am I dealing with ? ?

### output:

Hello, Most probably it is due to inflammatory conditions like Costco Chat Doctor.  Severe acid peptic disease is another possibility. As of now you can use analgesics / anti-inflammatory combination like diclofenac / seratiopeptdase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. 