chronic constipation

Thanks Doctor for your response;
Yes, he does include fibrous food as all of us do at home; takes enough water and liquids like juices etc.: we in the family take the same food in quality and quantity but he is the only who gets constipation.
Perhaps, it is there for more than a year or so.
With regards,
Davendra

1.Name : SATVIK GUPTA
2.Age / Sex : 11 years; MALE
3.Married/Unmarried/divorcee : N/A
4.Weight and height : 50 pond; 4Ft; ;6 Inch
5.Describe your main and associated complaints in details. What things aggravate your complaints and things that ameliorate them? CONSTIPATION-Chronic; Bleeding from fron of the nose at times
6.Describe the events before the complaints started. The events can be related to mental or emotional state or it can be any physical event. : N/A;
7.How exactly it started? NOT SURE
8.How do u feel about it? How does this complaint concerns you? And what comes to your mind when you think about it? HE IS A GROWING CHILD; SHOULD NOT HAVE THIS KIND OF PROBLEM
9.Have you taken any treatment or medication for it? List them. ; NO MEDICATION SO FAR
10.Describe your family background, your educational qualification, HE IS GOING TO BE IN ^th. Grade
11. Do you have any family history of similar complaints. List them. : NO; all other family members have no such problem
12.Describe any life event that has made major impact on you. What are the issues in your life that's bothering you. Kindly describe the mental or emotional state in detail. ; HE IS QUITE EMOTIONAL; ready to help others; passionate;
13.Describe you behavior, your mental state with your family members, and outside the family. (anger, irritability, anxiety, fears etc) Explain how do you react to these behaviors. If possible provide some examples to get clear idea of your mental state. : gets irritated soon with wrong doing by others; wants things should be in order;
14) How do you react when you get angry? ; GETS EMOTIONAL
15) Does empathy or sympathy affects you? How? YES; He appreciates and thanks people
16) How do you overcome your mental stress? HE does not get stress;
17)Describe your desires or craving for food, and aversion to food. : HE LIKES EATING ANY KIND OF FOOD; We are vegetarians; HE HAS CRAVING FOR FOOD;
18)How is your thirst? How frequently you drink water? NORMAL; not thirsty
19) Describe your sleep, dreams, appetite and general energy level. SLEEPS soundly; dreams about sports; ENERGY LEVEL is good; HE LIKES to play; lot of other physical activities

Dear Sir,
Under separate response, I have sent you the required questionnaire.
KINDLY LOOK INTO the PROBLEM of his NOSE BLEEDING;
Thanks
with kindest regards,

Davendra

Resp. Doctor,,
I really appreciate your concern, interest and time spending for studying and analyzing his case.
I am replying to your questions as required for your kind consideration.
Thanking you,
with kindest regards,
Davendra
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1) could you please explain the symptoms of chronic constipation? How long he has been suffering from constipation? does not go toilet every day and regularly; ;About 18 months or so

2) How frequently he passes the stool in a day and week? ; once two in days , sometimes three days

3) What does he do when he is severely constipated? How does he get rid of this problem? HE DOES NOT COMPLAIN ABOUT IT; But the toilet gets stuck because of hard, thick and dry stool; we tried soda bicarb a few times but t did not work;

4) How long he has been suffering from nose bleeding? How much blood flow? is it active bleeding?
ABOUT A YEAR; He gets it once in a while with no specific time or reason from the front of the nose;
Bleeding is nor profuse and not very active; looks like it comes from nose membrane

5) What would you do if he gets nose bleeding? JUST PUT WET CLOTH FOR SOME TIME and it gets settled by itself; no pain but it looks odd and worrisome

6) Please explain in detail about his emotional nature. What do you mean by emotional nature? If possible explain with some examples.
does not like stories ending with tragedy;
once I said to him to keep my watch securely after I die; with a little pause, he said, BABA let us talk something better instead;
does not like injustice, crime ( stealing, robbing or killing) while watching the movies or even otherwise;
likes to help his friends ; would like to share things with them; He got Community championship award for his social and volunteer services ( helping younger children to cross road, helping them on steps ) etc.

7) You said he 'want things to be in order' does it mean that he is very perfect and organised what he does? What would he do if things are not in order?
Yes, he tries to be perfect and organized and wants others to be like him
does not leave anything in his plate; close the running water tap; switch off light here and there; does not like to waste the resources;
a thing should be kept where it should be and in order; not one shoe here and another in another place;
will tell his parents not to speed the car beyond the speed limits;
If things are not according to his liking, he gets angry and will shout , if we do not listen to him , will cry or otherwise in protest, isolate himself quietly in another room.

Resp. Doctor,
Thanks for your response.
Yes, He cries, sometime shouts and then as mentioned before, if no one listens to him, he isolates quietly for some time.
With due regards,

Davendra

Resp. Doctor,
Thank you for your kind advic.
I shall report you back after the medication and its results.
with regards,
Davendra

Dear Doctor,
I gave Nux Vom 200 for three days; seems to be no effect; same hard, dry and one piece thick piece of stool;
Pl. let us some other alternative.
with kindest regards,
Davendra

THANK you Doctor for your very prompt reply.
He has no problem and shows no concern about it. Since, it has been a kind of normal thing for him, he does not feel about it, It does not effect him in his activities or otherwise. It is only we feel about him and especially when the toilet is stuck.
Nose bleeding is once in a while, it is not there now for quite some time. But he does feel panicky about it because of the blood which is quite normal for any one.
with kindest regards.

Resp. Doctor,
No, He is a very style boy; not a careless person;
Nothing special happened during two three years which is worth mentioning for emotional cause;;
Perhaps, it looks like a PHYSICAL problem rather than an emotional one.
with Greetings

THANKS Doctor; I will report you back with changes if any.
With kindest regards,
Davendra