difficulty swallowing

Patient ID: Sex: male Age: 61
i have difficulty swallowing due to radiotherapy because i have canswer in my nasalpharynx area.

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?
My main suffering is the side effects of the radiotherapy. Now I can’t eat or drink, I have difficulty swallowing and if I eat more than three spoon of very soft things, I vomit. And my immunity is very low


2. What other physical sufferings do you have in your body?
Nothing. Except for the CANSER IN MY NASAL PHARYNX

3. What mental sufferings / feelings do you have associated with your physical sufferings?
Nothing. I have total acceptance.


4. What exactly do you feel when you are at your worst?
I feel only pain in my throat

5. When did it all start? Can you connect it to any past event or disease?
It started all with the radiotherapy

6. Which time of the day you are worst?
Early morning when I wake up and at night when I am asleep because I have difficulty swallowing

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Eating will hurt me and not eating will make me suffer because of hunger

8. Do you 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)?
Only the radiotherapy

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
not very cold or hot.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
quiet, mild agreeable
- How do you feel before or during a thunderstorm?
I feel blessed because this is one of God’s miracles on Earth
- Do you like being consoled during your tough times?
no
- Are you sensitive to external stimuli like smell, noise, light etc?
Only food smell.

- Do you have any typical habit or gesture like nail biting, causeless weeping, talking to one self etc?
no
- How do you feel about your friends, family, your children and especially your husband / wife?
great love
11. What are your fears and do you dream of any situation repeatedly?
nothing

12. What do you crave for in food items and what are your aversions?
sea food

13. How is your thirst: Less, Normal or Excessive?
excessive
14. How if your hunger: Less, Normal or Excessive?
excessive
15. Is there any kind of food which your body can’t stand?
Fatty food, and tough food these days because of my condition

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
less because of less liquid consumed
17. How is your bowel movement and stool type?
constipated
18. How well do you sleep? Do you have a particular posture of sleeping?
good sleep. Sleep on my right side.. always

19. Do you think you are able to satisfy your sexual desires in general?
very much
20. How do you think you are different from others, if at all?
yes. I am more tolerant, more accepting and less complaining

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
nothing

22. What major diseases are running in your family?
diabetes, arthritis, cancer, and bp

23. Describe, how do you look like? Describe your overall appearance
tall. Well built
24. (ONLY FOR FEMALES)

If you are not having normal menstrual cycles, please answer the following questions:

- 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?