<s>[INST] hi,doctor. i attended my g.p. on 23/11/10 with severe pain and swelling in the left side of my groin area, which my g.p. described as "pipe shaped".i am scheduled for an ultra sound scan on 03/12/10. however the pain and swelling has spread to my whole abdomen, and today i noticed almost black coloured bruising at my pelvic area. should i consult my g.p. again or just wait for the scan? [/INST] Hi ! Good evening. I am Chat Doctor answering your query. Although it needs to be physically examined to arrive at a diagnosis, from the history alone, I would advise you to visit the ER of the nearest hospital at the earliest possible to rule out an obstructed inguinal hernia with a possibility of a strangulation resulting in the bruising around that area. It might not be possible to advise you any medications at present for this problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. </s>