<s>[INST] I have been having pain in my lower abdomen and groin area. The pain is more severe at night. My whole right side of my lower abdomen and right side of pelvic area is swollen. I can t lay down at all, but siting up helps to elevate some pain. I have had total hysterectomy years ago. I have been diagnosed with IC, but it is not the same kind of pain. The pain is around a 8 or 9 thorough out the day. I am active, but right now it hurts to walk, drive, and be touched. The pain is mainly constant but at times go away briefly. [/INST] H. With the history of hysterectomy and swelling of the lower abdomen I can think of an obstructed Incisional Hernia as the most probable cause. I would advise you :Stop taking anything orally. Consult a General Surgeon to get a physical examination and Standing x-ray of the abdomen to see for signs of obstruction. Ultrasonography of the abdominal wall and of the abdomen. You may need an urgent surgery if this is obstructed Incisional Hernia. IF not a conservative treatment and further investigations will give an insight about the problem. </s>