instruction: hi doctor I am 13 years old I get horrible stomach pains and my doctor thinks I have acid reflex my mom thinks because I have a hormonal imbalance that I am getting bad stomach cramps she thinks it is the hormones that are doing it but I do not think so I think it has to do with that it is so bad that sometimes I am breathing fast and it hurts really bad like I am getting stabbed I have joint pain in my hip and my knee and like every joint in my body crack sometimes and almost every day one of my knees feels like it needs to pop and it bothers me and I have to pop it and it feels better one day it felt like one of my tentacles blood vessels or something got tangled and my nervous system like overreacting or something and I was walking and it started hurting really bad and then it shot right down my leg and it was my nervous system I fell down because it hurts so bad that I could not walk on it so I laid down and it still hurt really bad it did not go away and so I crawled a little bit to a chair and it still hurts and then it just disappeared last night I crack my neck but it was like one that does not sound right I had neck pain and today and it is sharp neck pain in my cord for a second then it left if I am laying down and keep my butt and shoulder down my lower spine feels like grinding or cracking I know I have a lot of problems I had add hormonal imbalance
output: hello well you have multiple problems I want to ask you a few things since how much time you are suffering from pain in the stomach what is the exact location of the pain above umbilicus or around the umbilicus or below that is there any association of meals with pain does pain associate with vomiting or loose stools is this pain occur during your periods menses or all the time what is your body weight I suggest taking capsule omeprazole 20 my empty stomach once daily in the morning tablet dicyclomine and paracetamol sos when required during pain if you do not get relieved then get an endoscopy and ultrasonography of abdomen done for the pain in hip and knee get an ray done first only then we can reach to any conclusion take some calcium preparation available in your country along with some multivitamin for pain in the neck get an ray cervical spine done ap anteroposterior and lateral view get following hormonal test done fish follicle stimulating hormone oh luteinizing hormone prolactin advice do morning walk and meditation take plenty of vegetables and fruits avoid spicy and junk foods