Conversation: The conversation between human and AI assistant.
[|Human|] i am a twenty year old female and i have been suffering with lower middle pain in my belly for 3 years since i had my first daughter but it is progressing to get worse i have had stis tests and all come back clear i have this pain 2 weeks before i am due on and it gets worse when im on my periods are havey and the pain is makeing day to day jobs hard please could you let me know your oppinion thanks
[|AI|]  Hi dear, It may be mittelshmerz (ovulation pain). One fifth females are having this. There are many factors that may cause this condition. At the time of ovulation follicular inflammation may be there causing this or ovarian wall rupture (which is a part of ovulation), or fallopian tube contraction may cause this. If your pain is from these causes you need not take any special treatment, if pain is severe you can have an analgesic from your doctor. This type of pain will worsen at the time of periods only and will subside with in maximum 3 days. If your nature of pain doesn't match with this you may have to do an abdominal ultrasound scan to find out what it is. For mittelshmerz you can have the following medicine,1. Tab malware. 1 tab @ morning only during menstrual period.2. Spy mastering 10ml with 100ml of water two times daily (only non- menstruation days)3.lakshmanarishtam + ashokarishtam (mix with 50% each). 30ml twice daily after food(only non- menstruation days).4. If possible do a light duration with 5 to 10 ml of castor oil one week before periods. This combination can manage the condition of chronic mittelshmerz. (the above are Nazi medicines)With thanks