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Hi, My wife is suffering from a peculiar problem since 15-18 months. We have consulted 2-3 gynaecology doctors including the one who delivered the first child. We couldn't find any solution. Please help to identify the problem and investigation needed. Patient details: , Age -32/33 Birth date :1st Nov 1984 Marriage date: 4th Feb 2012 First child born on: 7th Feb 2014 - Normal delivery She is getting periods on regular basis without any issues. She was having copper and we got it removed suspecting as it could be the reason for this pain. However, it did not resulted any difference. We have just started planning for second child. She is not a diabetic. She is vitamin deficient and we have taken tabs and injection for it. Problem: After a few days of menstrual period,(on an average. A week after period completion) she is getting pain (on a regular basis, almost daily) in lower abdomen (only right side) and it travels through right lap and whole leg. It increases over the time and comes down automatically. On an avg. This severe pain stays for 15-20 minutes before it reduces in its own and eventually vanishes in another 10-15 minutes. So this whole problem starts, peaks, reduces and vanishes over 40 minute duration. It usually/mostly occurs in the morning times (on an average any time between 3 am to 7 am, right after she passes urine/stool. However, there are a few occasions where it starts anytime in the day suddenly (with or without passing urine/stool). This whole process starts a week (on an avg.) after her period completion and occurs regularly until a week before starting of next menstrual period. It does not occur not more than once in a day. She is not taking any medicines during the pain, rather it reduces automatically. Treatment done so far: We have visited Four of the well known gynaecology doctors over the last 12-15 months and common answer is ? There is no issue?. We have done the CT scan and everything is normal (around a year ago). Couple of time urine culture resulted some infection and she took medicines. One doctor prescribed apcod sachets on a daily basis according to the insulin resistance test results. We are using it currently. Apart of Apcod, she is not using any medicines. One doctor attributed to gastro related as we eat outside regularly. We have paused eating outside for few days, however it did not give any results. I have attached her medical tests, recent urine culture, CT scan report.
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As abdomen scanning is normal and hence we have to think about nerve root involvement from the lumbar vertebrae and referred pain from the hip joint and plan treatment accordingly.
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