### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
thanks for ur service to humanity. i am 26yrs old, a female, weight 70kg and ve bn suffering pains in my lower abdomen(pelvic). although i used to have discharge too but its gone after using doxycycline, flagyl and augumentine as prescribed by the doctor. i went for pelvic scan and d result stated that there is tissue reaction on both adnexae and pouch of douglas and no free fluid in d pouch of douglas. The pain is unbearable to the extent that i pass urine within short intervals and painful and uncomfortable if i didnt pass the urine out on time. my urine text UTI showed negative. please i want you to precribe the medcine in can use cos the pain is unbearable. thanks

### output:

H. Thanks for your query and an elucidated history. I can understand the pains you might have, read and re-read the history which tells about your medicines taken, ultrasonography report a, urine report Since you have already taken Roxy and Augmenting the urine report can be negative in spite of you still being suffering from such symptoms. I would suggest you the following. -Urine culture and sensitivity reports. -CBC and blood culture and sensitivity reports as well as urea and creatinine. -Get an opinion of a Urologist, get cystoscopy done and a course of another antibiotic like Ofloxacin for 1 to 3 weeks. At the same time start taking urinary alkalinize, plenty of oral fluids. The ultrasonography reports of tissue reaction on adnexa and pouch of Douglas is indicative of chronic inflammation, and we have to rule out the tuberculosis. If required- a diagnostic Laparoscopy can help a lot in diagnosis and treatment too.