Hello and welcome, I understand the issue. Drotin is used for opening the cervix during labor so I would not advise to use this drug during pregnancy at 24 weeks. It is important to first determine the reason for the pain. It may be a muscular pain, pain due to gall stone [ very common during pregnancy], pain due to gastritis or peptic ulcer, liver or intestinal trouble. Of these from the description it seems more like muscle pain that occurs due to the skin and muscle getting pushed below the diaphragm due to the enlarged uterus. Please check if the pain increases on bending down while sitting. If yes then it is more likely the muscle pain. The only solution for this is that she must not bend while sitting and sit in a reclined position. Also ask her to take a diet that does not have spices or oil and see how the pain behaves. If it decreases on such a diet then it is gastric or gall stone pain. But it is better to get her evaluated for other causes. An examination by a surgeon and an ultrasound will be very helpful. Then further treatment will depend upon the cause. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist