My wife problem of hypothyroidism, physical and mental tiredness

Patient ID: Sex: female Age: 39 year, Housewife living in joint family.

1. Describe your main suffering?
I had a hypothyroidism from last 4 years and test anti-thyroid peroxidase antibodies came out be positive with value 120.80 and I am taking Thyroxine Sodium tablet 50 mcg daily since then. My gall badder was removed in year 2011 due to gall stone .I had also a problem of kidney stones in year 2010.Last year I also suffered from scalp psoriasis.My weight is increasing since 2008 my height is 5.2” and weight is 76 kg at present.


2. What other physical sufferings do you have in your body?
I feel tired after doing a little work. Banch of my hairs fall daily. Shortness of Breath while going upstairs. Numpness in left leg & hand while sleeping. Itching in Ears like something is moving in the ears. Heavyness in head when rises in the morning. Pain in forehead while travelling and in hot weather. Sleepiness in the day time around 11.00 AM. Immediate pain in stomach whenever I eat Ice cream, cake, Cheese, pizza, bread . It seems water struck in food pipe when I drink water but no problem with food.



3. What mental sufferings / feelings do you have associated with your physical sufferings?
- Weak Memory, sudden mood change, normal to angry and sometime ( in two months) a liquid or CSF leaks from left nostril when I feel angry.

4. What exactly do you feel when you are at your worst?
I want to scream or to cry.

5. When did it all start? Can you connect it to any past event or disease?
Since 2002 with differences between me and my mother-in-law.

6. Which time of the day you are worst?
Whenever I sit idle and alone in the afternoon.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Whenever my Mother –in- law complaint about me or about my work my sufferings increases and ameliorate after some time.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
Yes increases at the time of menses.



9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Cold weather and rainy season

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
I am Moody, Nervous, Quiet.
- How do you feel before or during a thunderstorm?
I feel better before thunderstorm or during a thunderstorm

- Do you like being consoled during your tough times?
NO
- Are you sensitive to external stimuli like smell, noise, light etc?
Sensitive to smell.

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Nothing like that

- How do you feel about your friends, family, your children and especially your husband / wife?
I am housewife I have no friends. I have two children and very much concerned about childrens future. I feel best with my husband. I have always differences with my mother-in-law

11. What are your fears and do you dream of any situation repeatedly?
I dream repeatedly about the situations that I am running and dacoits are running behind me

12. What do you crave for in food items and what are your aversions?
I crave for spicy food some time sweets and aversion to Non veg food

13. How is your thirst: Less, Normal or Excessive?
Normal
14. How if your hunger: Less, Normal or Excessive?
Excessive
15. Is there any kind of food which your body can’t stand?
Nothing
16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Normal but more on Head
17. How is your bowel movement and stool type?
Normal

18. How well do you sleep? Do you have a particular posture of sleeping?
Deep sleep and on the right side, left leg crossed and right hand under the head.

19. Do you think you are able to satisfy your sexual desires in general?
Normal
20. How do you think you are different from others, if at all?
Nothing


21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
Daily Thyroxine Sodium tablet 50 mcg whenever I mis a tablet I feel very heaviness.


22. What major diseases are running in your family?
High B.P, High Blood Sugar to Mother

23. Describe, how do you look like? Describe your overall appearance
Fair colour , Black hairand eyes, height 5.2” Wt 76 Kg and fatty body, heavy buttocks.
24. (ONLY FOR FEMALES)
Please answer the following questions:
(Please give details of your past menstruation if you have attained menopause.)
- Are the periods early, regular or late in general? How long do they last?
Regular for four days
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
Remain intension
- Is the flow scanty, normal or excessive?

- Is the blood thick bright red or pale watery?
Thick bright red
- Do you notice any clots in the flow?
Yes many clots on second and third day