35yrs old woman with bachache and chest pain since 1yrs

35yrs old waman suffering from bachache and chest pain since 1yrs.
Severe back pain since1yr.......muscle spasm
Mild swelling on chest...
Chest pain and swelling since 1yr..
Anxiety
Leucorrhoea since 2month
Past/history ___
30yr back after marriage vertigo....(1yr)

1times LTT operation fail. 9yr back..
1 normal delivery done after LTT operation failure..

Before 2month swelling of whole body after taking medicine..

Menstrual /history ___
Regular   3day/30 day cycle/ normal flow

Obs/history ___
P5 L5 3male child 2female child / normal delivery
Last child birth__ 6yrs