4&1/2 year old having sleep apnea: Dr. Kadwa

1. Mental State of the patient: Cheerful, but little clingy to mom
2. Physical Ailments: fissure, probable yeast infection in addition to sleep apnea
3. The likely cause for above problems: when looked inside her mouth, tonsils are not big, but (possibly)adenoids are very large. Other problems are (probably)dehydration, skin being always on drier side, and us washing her bottom with soap after BM might have caused even drier skin. That might have also caused yeast to take hold.
4. The modalities like whether the patient feels well or worse in hot weather, cold weather etc., he is relieved by / worsenened by hot applications, cold applications etc. : Dislikes warm or hot, likes cool water for baths, cool fabric on her skin etc
Patient ID: 4and1/2
Sex:F Age:41/2

1. Describe your main suffering? Sleep apnea, dry skin, fissure

2. What other physical sufferings do you have in your body? catching colds, sore throats, pink-eye and sinus infections frequently

3. What mental sufferings / feelings do you have associated with your physical sufferings? Scared of dark, and insects (I might be the cause of fear of insects)

4. What exactly do you feel when you are at your worst?
Cries-like a drama queen, has to go to the bathroom, every time she has bm.

5. When did it all start? Can you connect it to any past event or disease? Her apnea has been very noticeable for past 4months, and I noticed after she had cold and sinus infection. But even before that for past year I had heard her snore loud. Her fissure started after the antibiotic that we used, same with yeast infection.

6. Which time of the day you are worst? Apnea is worst in deep sleep, when she sleeps on sides or on her back. Is much better when she sleeps on her tummy, because her face is squished to keep her mouth open.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Nothing helps her apnea may be sleeping without pillow helps her a little.

Fissures are painful when she misses even one time BM, she has to go at least 2-3 times a day to keep everything soft. I also give her omegas (fish oil, flax oil), yogurt, and keep the bottom very hydrated with virgin coconut oil.

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)?

none

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
She likes cool weather, not a fan of hot weather. But her skin dryness improves in summer.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
Very meticulous, crafty, sweet when need be and can trick you in believing her stories, knows her ways around people, how to sweetly ask for something and get it. very advanced in studies and memory.
- How do you feel before or during a thunderstorm?
no change.
- Do you like being consoled during your tough times? Of course-she is 4 years old, loves to be hugged and carried.
- Are you sensitive to external stimuli like smell, noise, light etc? She used to be more, but not anymore, has learned to focus, she used to ask everyone to be quiet, but then again she is the one screaming around the house loud and noisy-playing!

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Upto 2and 1/2 years of age, used suck her thumb, would not give-up, but then as soon as she got a tummy bug and her tummy hurt, we told her because germs went in your tummy through your thumb, next day-no thumb sucking after that...
- How do you feel about your friends, family, your children and especially your husband / wife? She used to be little fearful trusting us that we will not leave, but not anymore.

11. What are your fears and do you dream of any situation repeatedly?
none that we know of

12. What do you crave for in food items and what are your aversions?
Loves salty, also loves cakes and candy-does not get to have much though. Not a fan of milk. yogurt-some days-love-some days-don't want it, likes pasta, carrots, grapes, papaya, kiwi, beetroot, peas, pomegranate, banana etc. basically anything edible-not a fan of meat though, loves fish

13. How is your thirst: Less, Normal or Excessive? less

14. How if your hunger: Less, Normal or Excessive? normal. Less in the morning, breakfast is a long drawn fight.

15. Is there any kind of food which your body can’t stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Normal, mostly in trunk
17. How is your bowel movement and stool type?
if at home 3times a day, in school-2 times a day, normal color, sometimes formed, sometimes splattered (specially after a lot of veggies).
18. How well do you sleep? Do you have a particular posture of sleeping? as described above-will like to sleep on her side, but when due to stop in breathing, tossing and turning, eventually turns on her tummy, could sleep for sometime.


19. Do you think you are able to satisfy your sexual desires in general?
N/A
20. How do you think you are different from others, if at all?
Very charming

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
Fissure and yeast appeared after antibiotic and antiviral.

22. What major diseases are running in your family?


23. Describe, how do you look like? Describe your overall appearance
Chubby on lower body, but not chubby overall atall, 50th percentile in height and weight. Thick but dry hair.reddish brown
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?
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow?
[message edited by kadwa on Thu, 13 Oct 2011 06:15:23 BST]
[message edited by commit833 on Mon, 23 Feb 2015 17:57:24 GMT]