<human>: My wife is suffering from lower abdomen with back pain last 4 months. She has been seizure 18 months ago. I have consulted his Gynecological doctor. He advise for USG and some Blood test. The result of USG and blood test is ok. After seeing the report he advise Gynazole 200 (at night 1 cap), i-flag( daily 1 cap), Normaton. But there is no improvement and again consult him after 2 months and he advise Gynazole 200(at night) and Tryptomer 25(at noon and at night) and normatone(2 tea spoon at noon and at night). Is these medicine right for my wife? what is the cause of pain ?
<bot>: HI. Thanks for your query. Read the history and understood your wives problem. The reason of lower abdominal pain with back pain for 4 months can be the following :Pelvic inflammatory disease - Endometriosis. Diseases of the ovaries and / tubesEnteritisColitisMyometritis. As the Caesarion section was 18 months ago, this may not be related to the present problems. The medicines given by Her Gynecologists are based on the reports, which you say OK. Gynecologist must have done an internal examination and thought of PID or Endometriosis as a major cause hence gave the medicines. Also, must have thought about anxiety or stress hence added few more medicines like trypromer and so. I think these are good medicines but if they are not helping, we have to think about other causes. In such a case I would advise the following:CT scan of the abdomenDiagnostic Laparoscopy has a major role to play and this is a common practice now. It allows the direct visualization of the whole abdomen, its contests, particularly, uterus, tubes and ovaries in this case. Hence, the diagnosis m biopsy and treatment can be undertaken in many patient. Please discuss this with your Gynecologist or take a second opinion of a General Surgeon practicing Laparoscopic surgeries, Or a Castro Surgeon.