Brief Answer:
You may have to go for more investigations.
Detailed Answer:
Hi XXXX! Good morning. Thanks for all the information I needed.
There is only one issue in your history which I feel is significant, that is the increased frequency of urination, which could be due to a unsuspected UTI(
Urinary tract infection) because of no history of fever or burning of urine. This could give rise to a pain of the nature you have described. You did not mention of any urine test in your history till now.
If I were your doctor, I would go for a routine blood check up like CBC,ESR,Blood sugar, Blood Urea,
Serum creatinine, and a urine routine/microscopic test followed by a urine culture/sensitivity test. Also I would suggest a vaginal/cervical swab for culture and sensitivity.
A routine stool test for ova and cyst will be an essential part of the routine investigation in your case to exclude any intestinal worm/parasite infection.
If any of the suspects as above come out to be positive, appropriate treatment should relieve your problem.
If all of the above are normal, one can think of the possibility of your intestine's sensitivity to any component of your food like a
gluten sensitivity, which you have to investigate yourself by excluding food containing gluten on consultation with a dietitian in your area. The symptoms are cured once you start selecting your food you eat without any gluten.
Many times ultrasound abdomen is not able to detect minor inflammations of the intestines like a recurrently inflamed appendix of low grade intensity which is known as grumbling
appendicitis. I would suggest to go for a CT/MRI scan of abdomen with special reference to the right iliac fossa followed by a consultation and physical examination by a
general surgeon to rule out this possibility. Removing the appendix surprisingly cures long term
chronic abdominal pain in this quadrant. But this has to be decided by your treating surgeon. A diagnostic laparoscopy followed by laparoscopic appendicectomy/otherwise would be more appropriate.
Regarding the pills you take for the
irregular periods, I think you can talk to your gynecologist to wean them off once you decide to have a baby.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem.
Thanks and wishing you an early recovery. Dr Shareef