excessive constipation

Dear Doc,
I am 25 yrs old male, suffering from chronic constipation. Its been around 5-6 yrs that I am suffering from it.Intinally i used to take some aurvedic laxative .But now it is of no help...The symptoms I face are:

either No urge/Little urge for passing stools or no satisfaction despite urge
mucus in stools sometimes blood too on straining
No motion without any laxative.
excessive flatulence,
.
Age: 25
Marital status: Single
Children:
Occupation: student
Habits (no smoking/ alcohol/ tobacco, partying etc..prefer eating lite food):

1) Family Medical History:

Father/Mother:

Grandparents (Maternal and paternal):

Brothers and sisters:

Spouse and children:
Father suffering from constipation and piles

2) Patient's Medical History: (Include vaccination history and the reactions to them if any)

Major illnesses (Chronologically): jaundice

Operations (if any chronologically): none

Present medication: nux v-200,sulphur-30,SBL’s liv-t

Previous medication: Aurvedic laxitive

3) a) Present your complaints in order of priority (Give as much information as you can in your own words without much reference to medical and technical terms):

Constipation –stool with mucus and at times its just mucus and no stool
excessive Flatulence
debility…I have turned lean
acne-especially around nose—infact nose seems swollen .thread like pus comes out when the nose is pressed
b) Can you connect these complaints to any other events? What was going on in your life personally, physically, emotionally, socially, environmentally when the complaints came on?
I have had occasional constipation problem for over 8-9 years.
Left home to pursue my academics-7yrs back.was quite healthy when at home,infact plump.lost weight and turned lean in the initial years
was afflicted by jaundice 2yrs back
since than constipation,mucus is a everyday thing
the food seems to be undigested and appears as such(undigested) in the stool
there is a continuous urge but nothing comes out in the motion.
Headache,laziness,debility when constipated

c) What are the things, which aggravate your suffering and which are those, which make you feel better? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing, movement, climate, music, consolation, thunderstorm, exam or other important events, smell, noise, light etc. Are you worse on any particular side of the body?
the condition(constipation with mucus) is aggravated in case of any mental tension viz-exams near by.used to take aurvedic laxative.But now it does not work. Excess intake of laxative leads to watery stools.

4) Physical Profile:
weight 60 kg's
Colour of hair:Black
Colour of eyes: Black
Complexion:wheatish to dark
Build:Normal
Posture:straight
Height:5.6
Nails:white
5) Mental Profile: normal.At times I feel tensed because of pressure due to my academics.

a) Describe yourself in your own words: introvert for unacquantances

and very frndly and extrovert for family and frnds.
Very ambitious
Easily worried by even a small issue

b) Any grief, broken relationship, any anger/resentment against anybody, any fears, any phobias?
think a lot about my future…keep making plans about my future prospects..keep evaluating my possibilities
quite ambitious.was a bright student till when I was at home..but have lost steam since than.,but still feel the desire to pursue my long cherished dream

c) Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?
quite good at analyzing..be it others or my own self
slow at making frnds with any one…but u can b sure of a long term relationship

8) What do you crave for in food items and in general and what are your aversions in food items and in general?
Milk and milk based pproduct.
Sweets


9) Describe your thirst and hunger? (Examples: Average or Excessive or thirst less or loss of appetite or any other associated details)?
Average ..take 3 chapatis (2 times) daily.
Drink 5-6 ltrs of water daily

10) Describe your sleep? Do you have a particular posture of sleeping?
Are there any Recurring or significant dreams?


Posture-up side down(generally).
May or may not have dreams but they are not recurrent.
talk when in very intense sleep

11) Describe about discharges (colour / odour / consistency)? [Nasal, from ear or sweat (where do you sweat more? Head / trunk / limbs etc), stool and urine.]
Drink lots of water and so urinate a lot(high frequency)

12) What is your preference — in climate, weather? (Examples: sun / shade / cold / dry/cold damp /hot humid / not extreme / well ventilated)
like a moderate weather…prefer cold

13) Other details you want to say or if there are any peculiar things going on in your physical or emotional plane.

I am dying to grab my dream job..though no signigicant pressure frm family but I do want to have it as quick as possible.


1. How do you look like?

2. Describe your general mental set up in your own words?
I am very opnen minded person. Like to enjoy with friends . full of fun and frolic ..easily disturbed..

3. What mental sufferings / feelings do you have associated with your physical sufferings?
Academic pressure
Pressure due to expectations wid my own self

4. Do you have any typical habit or gesture like nail biting, causeless weeping, talking to one self etc? Do you have any habit of causeless weeping when you share your personal matter with relatives or doctors? Do you have this habit when are all alone in your home or outdoors.

yes.if its sum 1 is vry close.
[message edited by yeeshu on Sat, 18 Jun 2011 04:21:37 BST]