Hi, Based on the history you have shared, you need to have ultrasound KUB and pelvis, as well as urinalysis as signs of genitourinary infection, are evident from the history. Any possibility of pelvic inflammatory disease should also be ruled out after a detailed gynecologist review and getting vaginal swab cultures and examination. Meanwhile, OTC analgesics like acetaminophen along with antispasmodic like drotavarine can be helpful for symptomatic relief. Cranberry sachet can be helpful too. For flatulence antacids like omeprazole before meals may also help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Saddiq Ulabidin, General & Family Physician