<human>: I am a 33 year old male and am having dull periodically pulsating pain in my lower abdomen (to the right and below my navel).  It was doing this 2 days ago, and started again this afternoon.  The pain is not too bad but is preventing me from falling asleep tonight.  Any ideas of what I might be dealing with?
<bot>: Hi. Thanks for your query and an elucidated history. The most probable cause can be :Appendicitis;Lymph node mass;Diverticulitis, I would advise you to have the tests of blood, urine, stool, ultrasonography and a physical examination done by a Gastroenterologist or preferably a Surgeon. Get a course of an antibiotic, metronidazole, probiotic and symptomatic and supportive medicines. IF needed and if diagnosed as a surgical cause, get operated.