Hi,
Welcome to health care magic,
This kind of persistent lower
abdominal pain could be due genito urinary infection like acute urinary infection or bilateral renal stone but should be investigated further by various tests.
without complete examination and investigation,it is very difficult to predict some differential diagnosis.
Here, we will need to evaluate it further by doing routine blood works, urinalysis and ultrasound whole abdomen with KUB region even if it has been done earlier.
She may require antibiotics (quinolones-
levofloxacin or
nitrofurantoin) with analgesic,anti-inflammatory and searriopeptidase to reduce pain.
Syrup creamffin plus 3TSF at bed time for constipation.
She may continue her ongoing treatment for GERD,peptic ulcer and
hypertension.
As some of the medications are prescription based then she will need to some local doctor or
urologist for complete history and examination.
Regards,