Need help for nervous stomach

Hi

You mention: 'had 15 years ago nervous stomach like when I feel nervous next days I loose appetite, this came back to me after I delivered my baby 2 years ago but worsen, after delivery I am from time to time very nervous and irritable and my stomach I think produce more acid and goes tight and I feel nausea and can't eat for few days. '

Please answer the following:

-How did the problem go away earlier?
-Was the delivery normal or through ceaserian section?
-Describe yourself as a person in general
-How is your family life?

Best wishes

Niel

Please answer the following:

1. Elaborate each symptom as to:
• Cause”
• Character
• Location
• Extension
• Radiation of pain or sensation
• Associated concomitants
• Aggravation & amelioration: regarding
a. Time
b. Temperature & weather
c. Bathing
d. Rest or motion
e. Position
f. External stimuli
g. Eating etc.
h. Before or after
i. Menses
j. Coition
k. Defecation etc.


2. APPEARANCE - Thin, Obese, Tall, Short, Fair, Dark.

TONGUE:(its appearance.if coated,the colour & nature of coating)

THROAT:(appearance,conditions of tonsils & uvula)

SWALLOWING:(liquids,solids or empty)

3. APPETITE- Normal, decreased or increased.
a. Any trouble before or after eating in general eg pain, burning, heaviness, sleepiness, distension etc, from any particular food, article.)
b. LIKING for hot or cold food

4. THIRST- Medium, Increased or decreased.
a. How many glasses per day?
b. Cold / Normal water?


5. DESIRES
a. Taste of food you like? (i.e., Spicy, Sour, Sweet, Salty etc.)
b. Any specific craving for a particular food item?

6. AVERSION - Any food item that you don’t like or the one that aggravates your complaints

7. STOOL-
a. Colour
b. Frequency
c. Constipation / Loose-motions.?


8. URINE:
a. Colour
b. Any burning in urine
c. PAIN if any :- character, before, during or after

9. PERSPIRATION-
a. Increased on any particular part of your body?
b. Offensive?
c. Stains or not?
d. Whether feels weak or no effect?

10. SLEEP:-
a. character
b. posture during sleep{back sides abdomen etc.}
c. whether refreshed or tired after sleep
d. whether aggravation or amelioration during or after


11. DREAMS:-
a. Nature & character :- {confused,pleasnt,horrible,frightful,disgusting,disagreeable,vivid etc.}
b. Pattern, if any
c. Any other associated concomitants, like waking up with a start, profuse perspiration on waking, etc.


12. PAST HISTORY - Have you suffered from any major illness in the past like Malaria Typhoid, Tuberculosis, Hepatitis, Skin problems etc or any Surgery undertaken.?

13. FAMILY HISTORY - Any history of Hypertension, Diabetes, Tuberculosis, Heart problems, Cancer etc. in the family (Parents and Grandparents)?

14. ANY COMPLAINT IN LIMBS & JOINTS

15. ANY SKIN ERUPTIONS

16. TENDENCY, if any:
a. to catch cold{when & how}
b. to suppurate easily
c. to bleed
d. to faint{under what circumstances}
e. to tumours, cysts, polyps, warts, moles or some other diseases

17. GENERAL REACTIONS aggravations or ameliorations as a whole
• warmth, warmth of bed; warm room (hot)
• cold, cold air, cold wind (chilly)
• hot & cold; wet & dry weather changes:
• thunderstorms or storm (before, during & after)
• open air or closed rooms, changes from one to another
• hot sun, wind, fog, snow
• stuffy crowded places, draughts, heat of stove, uncovering
• rest & motions
o slow, rapid, ascending or descending; on first motion; after moving while, while moving, after moving, traveling in car, bus train sea, air etc
• Position:
o standing, sitting, stooping, rising on painful side; back, sides, abdomen, head high or low, leaning head backward, forward, sidewise, upwards
• closing or opening eyes
• any unusual position
• External stimuli:
o touch
o pressure & rubbing
o Constriction (clothing etc.)
o light, noise, music, smell
o jar, riding, stepping
• Eating & drinking(before, during or after)
o fasting
o any particular item of food
• Emotions: anxiety, grief, joy etc
• before important engagements
• Exertions: physical & mental
• Company, crowds, loneliness etc.
• Time, hr, day, night or midnight


18. • Menstrual History :-
a. Menstrual flow for how many days and after how many days?
b. Any associated complaints with menses.?
c. If menopause :- Any complaints before/during and after menopause. ?
• Leucorrhea if present ?
a. Colour, Stains or not, offensive or any peculiar smell.
b. acrid or bland
c. whether feels hot to parts
d. circumstances under which more or less {eg lying,walking,exertion,menses,day,night,mor,night etc.}
• Obstetric History :-
a. No. of children - Normal / Caesarian delivery.?
b. Abortions – if yes specify which month.?
c. Any complaints during / after pregnancy.?
• Sexual sphere:-
a. sexual desire-normal,increased,decreased or suppressed
b. any aversion to sex or coition

Best Wishes

Niel