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

### input:
24 yr old female been having bad lower abdominal pain and lower back pain. Along with diereha, headaches, nausea and vomiting, sides hurting , fatigue, feels like there s a knot above my belly button, having to pee more then usually, stuff that Normally doesn t bug me does now like smells and stuff I see like blood and that short a things, I m wanting food combos I normally don t eat, I have chills and then I have times where I m hot or I m freezing and outside is the opposite of how I feel and my period has changed and I have had 2 periods in the past 2 months and that s abnormal for me. I ve been to my doc for 3 weeks now she s giving me medicine for Wat she thought it was but that hasn t helpd none n she won t give me nothing else and every test she s done has showd up neg and I had an ultrasound done but she doesn t knw wats wrong and makes me feel as if I don t knw my body and that there s something going on cuz i feel different and my main concern was am I pregnant cuz I ve got majority of the signs n the same thing happened before I found out I was with my daughter but I ve been told my hormones are to lower to show up on test till I m bout 3 months but it s either that or the ovarian cyts is back but in pain and can t figure out wats wrong.can u help

### output:

HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor.GOING BY YOUR CLINICAL HISTORY CERTAIN DIAGNOSTIC POSSIBILITIES ARISE.THEY INCLUDE-PELVIC INFLAMMATORY DISEASE, RUPTURED ECTOPIC PREGNANCY, URINARY TRACT INFECTION WITH CYSTITIS AND PYELONEPHRITIS, RUPTURE OF OVARIAN CYST, POLYCYSTIC OVARIES. I STRONGLY RECOMMEND YOU TO HAVE TRANSVAGINAL SONOGRAPHY-TVS WHICH CAN SUGGEST DIAGNOSIS WITH ACCURACY.URINARY PREGNANCY TEST IS ALSO STRONGLY SUGGESTED.TREATMENT PROTOCOL INCLUDES NSAIDs, ANTIBOITICS, PANTO 40 mg,TAB ONDANSETRON.RUPTURED CYST AND ECTOPIC CAN BE MICROSCOPICALLY MANAGED.MENSTRUAL IRREGULARITIES AN BE MANAGED WITH OCS(ORAL CONTRACEPTIVE PILLS)CONSULT AN EXPERT GYNECOLOGIST FOR YOUR HELP.THANK YOU.TAKE CARE