Hi ! Good evening. I am Dr Shareef answering your query. I am not aware if your daughter eats food from outside frequently specially the fast food and fried, spicy items. If so , please advise her to avoid these , as intestinal infections could creep in and also some components of the food might be creating inflammation of the intestinal mucosa, like gluten used in fast food frequently. If I were your doctor, I would also advise for a routine stool test for ova and cyst, and a routine/microscopic/culture sensitivity test of urine to rule out a urinary tract infection. Till these are ruled out, she could continue with anti spasmodics and proton pump inhibitor drugs. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.