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1.The symptoms and location suggest the possible cause could be inguinal
hernia with variation in the size and pain less lump in the lower abdominal region.
2.In this case after examination one will ask for an
ultrasound scan which is investigation of choice.
3.The ultrasound will help in assessing the lump, its source, extension and nature of the lump, if hernia the defect measurement.
4.In case of henna with
cough reflex, the herniating contents, its vascularity, presence of strangulation is assessed.
5.The treatment include operative with placement of a mesh and followed by a course of antibiotics. Good luck.
Hope i have answered your query,
any thing to ask do not hesitate to ask.
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