<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have a constant dull pain on the lower right side of my abdomen . When I lay down and press in firmly I do feel a small hard lump. My bowels often feel like they are strangled, some sort of stricture happens and I am unable to have a BM and my blood pressure goes up. What is going on? I have had four abdomenal surgeries in the past.  <response>: Hi, Lower right qua Chat Doctor. The most common one being appendicitis appendicular mass. Other possibilities are mesenteric lymphadenitis, inguinal hernia, muscular ache and so on. The abdominal pain and lump in right lower abdomen concerns me. Since you been exposed to 4 previous abdominal surgeries, there are chances that what you could have be related to those surgeries. A detailed abdominal examination, ultrasound examination and or CTMRI scans of abdomen is warranted to confirm the diagnosis. I suggest you to report to your gastroenterologist. Hope this helps. Wish you good health. Regards 