Hi! Good afternoon. I am Dr Shareef answering your query.
All the precautions including birth control pills are not 100% fool proof in protection against a
pregnancy if you are sexually active. If I were your doctor, I would go for a serum
HCG determination to rule this out as urine PT test might not be always positive. An
ultrasound of the pelvic organs might aid in the diagnosis. This would also rule out any other intra-abdominal pathology. In addition, I would also advise you for a urine routine/microscopic/culture sensitivity test to rule out a silent UTI, and a gynecology assessment to rule out a PID (
pelvic inflammatory disease). Till then, I would advise you for an anti spasmodic drug with a
proton pump inhibitor drug for a symptomatic relief.
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 health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.