You have few signs pointing to Disc prolapse / lumbar canal stenosis.
Your initial history suggests - Pelvic inflammatory disease which might lead to low back ache and lower abdominal pain
But now you complain of - Loq back ache radiating to Lower limb + pain increasing on cough + Normal abdominal scan rwport - probability of Prolapsed inter vertebral disc at lumbar level
- Also history of Frequent gynae problems + cough + night fevers and sweats - need to rule out TB (also need to rule out Spinal TB-potts spine)
Next Steps
Need radiological investigations
Health Tips
Contact me via practo for further evaluation & management