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I have this problem for about 4 months

Hello drs
I have this problem for about 4 months I here my heart beat in my left ear and feel heavy ness in my left side of the neck some time both side. This happen most of the time after I take nape in the after noon I feel a lot this time morning not as much today I felt bad all day I went to a dr he check my blood pressure and check my ear he did not find any thing wrong just told me not to eat much salt .please healp me .1. Age,sex,weight,body and face appearance, country, occupation.
ANS. 51/1-2 weight 117lab normal country usa occupation retailer

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
ANS. its hard to explain what i feel dont feel good, kind of tense and at the same time blood pressure high dr give no medison
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc. ke working in my store.
ANS. no pain, when i wake up i feel dug dug like hart beat very fast behind my left ear,i dont feel li
c)What are the factors that causes this trouble acc. to you.
ANS.i dont know what is mean acc.
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,
walking,rest etc.Answer. after walking on treadmill for half an hour.
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. just walking ,after nap or good sleep i feel dug dug dug back of my ear.
f)Any other complaint any where in the body.
ANS. i have hip raplacement because of enclosing spondolistast its been while ifee king of pain in my left shoulder most of the time
when i in sleep and turn on left side and all of sudden shoulder feelts like came of the socut.
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. i have hip replaced long time ago my right hip is bad too but no pain some time i do get a pain.back boon is completley freezed.
h)Treatment method adopted and its result.
ANS. for this conditon dr did no give me any medioson because i dont have blood presure history and my blood pressure some time below normal.

3. History of diseases in family.
ANS. nothing realy

4. Personal History.
a)About childhood.
ANS. i am origlanly form pakistan i do get astma attack when i go there but nver in us.i do get angry quick.
b)Academic performance.
ANS. not too great but never fail.
c)Any major incidents in life and the effect of it on life.
ANS. no
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS. sex life is good.good relation with friends and family some time i get made .

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. none of these.
b)Masturbation and frequency.
ANS. some time because my wife in pakistan

6. How is your Appetite and Thirst.
ANS.good no complain

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. i dont like too much sweet some things i like certin sweets.not big of fain of salt soda eggs,meat,fried food,milk,but like sour and spicy a lot.
b)Anything else about like and dislike of any activity with you or surrounding.
ANS. loud music when some one else playing which i dont like.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS. i on the fast side some time two to tree time in the morning but if i drink some milk at night then its dont happen
b)Any discomforts associated with stool.
ANS.no

9. Urine.
a)Frequency, nature, volume.
ANS. if i drink water high volume not at night if i drink liquid afer 6 or 7 pm then i could wake at night too.
b)Any discomfort before, during or after urination/odour
ANS. no if i hold it for too long its like stored inside.

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS. as my age good erection but ejaculation could be in 30 second
b)Any other trouble in sex.
ANS. no

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS. dreams onse in blue moon i sleep godd.snore some time.

13. Sweat
a)How much, what parts, staining, Odour.
ANS.not much ,when i wanl on treadmill i sweet from the head most.

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS.i have tolerance form all weathers but in a cold weather when i go in the heat or walk in the heat my back feel like niddle pinching skin gets dry.

15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
ANS. good relation with love one so far,and family friend,good i think
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
ANS. all happen but did not affect on me.
c)Memory,ability to concentrate/comprehend.
ANS. memory is not to good and concentration ok
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS. yes thunder lightining
e)Are you anxious about anything: if yes, give details.
ANS. no
f)Are you impatient.
ANS. not about every thing.
g)Are you doubtful or suspicious.
ANS. no
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. no
i)Does your pride get hurt easily.
ANS. no
j)Are you depressed, if so, reason/circumstances.
ANS. no
k)Do you like to share your problems.
ANS. i do
l)Effect of consolation.
ANS. depend
m)Do you ever become suicidal when? How.
ANS. no
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
ANS. very poor what i read or any thing try to remember
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS. no
p)Are you easily irritated. What makes you angry, how do you express it.
ANS.depend on setuation
q)Are you destructive.
ANS. if reading
r)How good are you in making decisions.
ANS. good
s)Do you like company or like to remain alone.
ANs i do like company and like to remain alone
t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. i am messy
u)How does failure appear to you?
ANS.for time beaing feel bad for few days
v)Are there any matters that you deeply dislike?
ANS.some time people not faith full
w)What activities you deeply like? How does it affect your mood?
ANS. when some when dont listen to me
x)Are you affectionate? How does others sorrow affect you?
ANS. for few days
y)Any present fears in your life or future.
ANS. not realy
z)Any present life or future life desires.
ANS. my and sons ot get us visa

THANKS......
 
  imran655 on 2015-03-02
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