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

### input:
I have a lump below my rib cage on the left side. it is very tender to touch. Additionally, when I step off a curb or on uneven ground it hurts as a result of jostling.  I have had 5 months of constipation followed by diarrhea, and i mean serious no warning diarrhea.  Also my stomach is sometimes distended, sometimes bloated, sometimes I go to eat and it sounds good, then I look at it and only eat maybe 1/3 of my meal or I do not eat it at all.  I have had a CT SCAN, xrays, swallow the camera, barium exray, colonoscopy, scope through my stomach also.  The CTScan showed a possible inflammation and some graying of the stuff your insides float in.  Meso something.  I have tried All kinds of meds and fibers etc.  Including Amatiza and now bentyl with mirrolax.  I travel for a living and I have come dangerously close (within seconds) of a disaster when I could not stop the sudden diarrhea.  In fact once I was in my home town and had to go back ot the house wash my close, clean my briefcase, and shower myself.  Luckily i got out of the restroom (that I entered TOO LATE) without anyone seeing me and I took a bunch of towels to keep my car from getting messed up.  As you can imagine my life is controlled by fear of this.  My Doctor admits that he does not know what it is, and we are doing a 2nd CT Scan on Tues to compare to the first.  All of my other tests came up clear.  I show one point below low normal for anemia...

### output:

Hi, Dear,Thanks for the query from you to my Chat Doctor Clinic. I have gone through your query and appreciate your concerns of it. After in-depth study on it, In My opinion-the recurring-lump on below left rib cage,-is mostly due to the Bloated inflamed colon and intestine of IBS-with malabsorption Anemia. Treatmen-a-Change in life-style and food habits would be ideal.b-As you travel for living, b- a controlled diet plan under help of Doctor / and nutrition expert would help you a lot.c-Try to avoid medicines -which are of no use in the long run.yogurt / buttermilk with bland non-spicy, light veg diet, with banana shakes 2 times a day, would help you for a long time. Consult the physician and take the treatment on above lines, with folic acid and iron supplement in moderation. Hope this would resolve your worrisome query for now. Wellcome-to my Chat Doctor Clinic for any more query.