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Allergic bronchitis problem

Age: 44 years, Male
I am trying to present my chronic problem in the form of a questionnaire that I found while browsing through this forum. I hope it would suffice. If required I can answer more questions.

1. What is the main reason you need treatment?
ans. To get rid of allergic bronchitis and watering problem in eyes
I need to take Inhaler (Asthalin) at least once in a day.

2. Describe your complaints giving the following details:

Complaint 1 :
A. Location (Part of body affected) - chest
B. Sensation (Type of Pain) – breathing problem
C. Time (When does it happen, Variations during the day/night)
ans. Any time in day, but mostly after dinner around 9pm
D. What makes you feel better or worse.
Ans. Variation in weather- rainy season worse, cold season bad, summer season less problem
E. Accompanying complaints. Digestion problem – having fast eating habit.

Complaint 2 :
A. Location (Part of body affected) : Eye
B. Sensation (Type of Pain) : Watering in Eye
C. Time (When does it happen, Variations during the day/night)
Ans. Any time , mostly when I am out side, it is more. seems to be allergy from cold wind
hitting eyes.
D. What makes you feel better or worse.
more when outside, less in side home.
E. Accompanying complaints.

3. Past Illness history?
Cold and Bronchitis problem I am having since childhood (almost 30 years)
I used to have cold and bronchitis whole year.
For past 3-4 years cold problem is reduced to changing season. But
Bronchitis problem is there for whole year.

4. Ailments in the family? (BP, Diabetes, TB, Cancer etc )
My father, both brothers, sister have asthma problem.

5. What medication are you taking currently (or taken in the past)?
I take asthalin inhaler and also
Homeopathy medicine. Doctor does not give name to medicine, he says
He, is creating stamina.

6. What foods do you crave? List from the strongest craving to the weakest.
Maize items, potato, Parantha, I like all vegetables normally, poori (fried chapatti) I like less.

7. What foods do you have an aversion to?
poori (fried chapatti)

8. What foods aggravate you? (including allergies)

9. Level of thirst? Normal water intake during a day?
7-10 glass of water

10. Digestive functions (Appetite, bowel , acidity, bloating , gases etc.)
Appetite-good, bowel -ok, acidity-yes, bloating-yes , gases-yes etc.

11. Energy level throughout the day? Rate it from 1-10 (10 being excellent).

12. Perspiration: How much do you perspire? Where? Smell/ stain of the sweat?
Perspiration – normal (during night from skull more), smell – yes from hand joints, stain-no

13. How is your sleep? What position do you prefer to sleep in? Is there any position you cannot sleep in? Do you walk/talk/grind your teeth when you are asleep?
good sleep-get sleep as soon as I go to bed, left position good for sleep, right position
not much comfortable. No walk/talk/grind teeth when asleep

14. Describe your dreams in detail? Do you had any recurring dreams or images/ pictures/ themes?
No recurring dreams.

15. Gynecological History

( I am male)

a. Describe your menses (periods): Pain or associated complaints during menses? Colour / amount / odor ? Clots? Stains easily washable?
b. Leucorrhoea? When? Stains ? Of what colour ? Easily washable?

16. Obstetric History:
pregnancies / abortions / deliveries ( normal/ caesarian/ forceps) etc . Any complaints during pregnancy?

17. Which season do you like the most? Why? Do you need fan ? How much covering do you take? Woolen clothes? What temp of water do you prefer for taking bath?
moderate hot season, I need less fan, I use more woolen cloths. I like to take bath
In normal water temperature, I like hot water bath.

18. Is there anything else in the environment you are sensitive to? ( car sickness etc…)
Height sickness-I can’t see from height.

19. What is the worst thing that has ever happened to you? Describe in detail.
I had typhoid when I was of age 12 years it went for one and half months.

20. What part of your life do you have the most difficulty coping with? Why is that?

21. What was your childhood like? Describe your parents and your relationship with them. Describe your relationship with your siblings and other extended family members. Did anything in your childhood have a profound effect on you? Describe your school and college life.
I am no 2 among 3 brothers. I have my own thinking. Father and mother both were in
service. I stayed away from my parents after college. I have less friends.

23. What is your occupation? What differentiates you from the other people in your place of employment? What difficulties do you have at work?
ans. I am Software developer. I enjoy doing my work. I try to do many things at a time.

24. What is your self-confidence level ?
mostly good.

25. What fears do you have? Do you have any phobias?
Height phobias. I don’t like traveling. While traveling in train or bus I fear that there
may be accident of train/bus.

26. What parts of yourself or your life would you change if it were at all possible?

27. What do you do to relax?
sit comfortable or lie down-close eyes.

28. Describe all other aspects of your nature in detail.
I feel like helping others. I can’t see others in sadness.
  sunilkgarg on 2005-02-23
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