<s>[INST] hello recently I have developed a rather sharp pain above my naval. I have looked into a bacterial infection and have been cleaning it with alcohol and to no success. the pain has traveled and hurts in a 3 inch diameter above my groin and to the right a tad. I have also looked into an umbilical hernia but I am a bit skeptical, and I am not sure it is appendicitis. [/INST] Hello, Appendicitis is a high probability. The pain in appendicitis begins in the per umbilical region(that is around the naval) and then migrates to an area called as McBirney point that is at the junction of the medial 2/3rd and lateral 1/3rd of a line joining your naval with the anterior superior William spine. This area is roughly the same as you have mentioned. Further evaluation is needed. Blood counts, urine examination and ultrasound scan of the abdomen are required. In appendicitis the blood counts will be high, urine will be normal or show mild hematuria and USG abdomen will show an elongated or enlarged appendix. Treatment is mainly surgical, however in some rare mild cases, medical management with painkillers and antibiotics may be tried. </s>