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I have really no idea what it could be. That she is refusing to go to a doctor suggests she is shying away from accepting the problem, and she is just pretending there is no real problem. I suggest if she still refuses to go to the doctor go for her (without her) and ask him to write her a note. Even if the doctor can't guess what it is from your description, the doctor may be able to reassure her to have confidence that the problem can be fixed if she confronts it (which will make it easier for her to do so).
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