asthma, wheezing

1. Age,sex,weight,body and face appearance, country, occupation.
ANS. 37years, Female, 75Kg , heavybulit, face is swollen, Kolkata, India, Govt Job/research
I try to do exercise, but still very hard to reduce weight. Face looks swollen and big. face is full of pimple marks, though has a soft skin.


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.
frequent attack of choked breath with wheezing sound and coughing. Chest feels like very tight and uncomfortable. It aggravates with dust, strong smells of perfume, sudden change in temperature or environment.
for e.g., suddenly entering in to AC room or open area with cold wind. also triggered by exursions like mild jogging, climbing hills etc. I used to go for trekking in Himalayas, found better fitness there than in city premises. by increasing altitude, i dont become brethless.
it is under control by Monteleaukast and rare use of inhalers.but as soon as monteleaukast is stopped, it reccurs. This trouble started in year 2000 when i came to Kolkata, but was infrequent. 1 and half year before i shifted to my present home and then it became a regular attack.
also gets cold cough and throat infection very frequently. if slightest cold hits during night, throat itching and pain starts, when i am in kolkata. i am better in other places especially in Himalayas.

b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS.
feel choked and chest very tight as if lungs is squeezed and no room for breathed air

c)What are the factors that causes this trouble according to you.
ANS.

pollution

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.
ANS.

by drinking hot water it improves a bit.

e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS.

cold drinks, cold food, etc

f)Any other complaint any where in the body.
ANS.

had papillary carcinoma and partial thyrodectomy was done. Now I am fit but taking 100mg eltroxin as doctor prescribed as some prevention method. In the leg, there is small patch of size 1 rs coin, is rough and itchy sometime. may be once in six months. But it remains for a week continouos feeling of itching and a mild scratch makes bleeding.

g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS.
breathing problem started in year 2000, once i went to book fair in kolkata. The place was full of dust. choked breathing becomes serious after getting cold and cough with chest congestion.

h)Treatment method adopted and its result.
ANS.
allopathy gave temporary relief but dont want to depend on that. one dr suggested Sulphur and sumbhuks but did not work.

3. History of diseases in family.
ANS.
father has epillepsy. Mother has ultra sensitive skin. and if she gets some infection it does not cure easily. recently she had itching and infection in hand for over usage of a soap and unable to cure that.

4. Personal History.
a)About childhood.
ANS.
normal average childhood. But with lot of grievances and financial troubles. used to get skin diseases when was a child. even in head also lot of infection with puss.

b)Academic performance.
ANS.

was good and intersted in studies. better than average.

c)Any major incidents in life and the effect of it on life.
ANS.
coming to kolkata shook my mind. as i could not make good friends here and before coming here i was very lively and had plenty firends. could not adjust with the conflict between south indian and north indian. it was a shock for me as i never had an idea before.
Failure in a promotion interview was another blow which hurt my ego badly. one incident of denial of love caused serious depression. I am not out of it even after 12 years.

d)How you are satisfied with your sex life, friends, family members, company etc.
ANS.
Not married. very happy with parents and sister. am very homely and love to take care old aged and children. now have a couple pf friends, but share extremely good relation with them.

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS.
NO such habits

6. How is your Appetite and Thirst.
ANS.
dont feel thirsty at all. and too lazy to drink water. takes tea often which i am trying to reduce. very good hunger and eats faster.

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.
likes bread butter. dislike bitter. salt normal. likes sweet, milk. like the taste of egg and fish though i am vegetarian at present. no chalk mud. dont like oily food. fried is ok but if it looks oily, cant eat.
like to eat warm food. Like cold drinks and ice cream but avoid as i catch throat infection quickly. love tea and coffee a lot.

b)Anything else about like and dislike of any activity with you or surrounding.
ANS.
very much intersted in sports and mountaineering though does less. goes for trekking. love nature, trees, birds , rivers and life in villages.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS.
very unsystematic. generally have to eat something for clearing. In a day, go to toilet many times as it does not clear in one shot.

b)Any discomforts associated with stool.
ANS.
constipated sometime. once there was bleeding with fissure which got cured in a 4-5 days.

9. Urine.
a)Frequency, nature, volume.
ANS.
forget to drink water. so dark yellow urine.

b)Any discomfort before, during or after urination/odour
ANS.
no. slight odour of ammonia

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS.

b)Any other trouble in sex.
ANS.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
regular.

b)Duration of menses.
ANS.
5 days

c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.
slightly over flow and need extra protection to avoid staining on dress and bed. dark red color. lower abdomen, vagine and upper portion of legs become very painful. many times take pain killer.

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.
when asthma trouble is there, wakes up at 4 o clock with choked sensation.
otherwise generally sound sleep. even after sleeping for 10 hrs, i feel like sleeping more. after getting up feels very tired and drwosy.
common dreams: fell down while walking in slippery area, forgot to wear dress and became aware only after reaching a middle of the way or bus stop. does not know anything but sitting for exam.

13. Sweat
a)How much, what parts, staining, Odour.
ANS.
sweats very less. sweats sole in winter. no staining or odour generally. odour comes only after long exercises.

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS.
less capacity to withstand extreme cold and heat, humidity. weather changing seasons, generally i am sick. like rain very much and feels very comfortable. closed but properly ventillaed room is ok.

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.
very deep relation with all the near ones. and worries a lot for them. differences in opinions, pranks, dishonesty, insincerity can not be withstood and so generally stay away from crowd. keep a gentle behaviour with colleagues. i was very lively and energetic and still some of it remains in me.

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.
same as 4 C

c)Memory,ability to concentrate/comprehend.
ANS.
Memory is not bad. Very poor concentration.

d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS. fearful of what others say. and in mind always think, majority of the people are criticising/ not liking me etc.
get panicked at sudden noise. fear to stay alone in night. fear of deep pool and diving though no good swimming. sometimes get afraid to get in to escalator. fear increases and a sort of inhibition is generated if someone is watching.

e)Are you anxious about anything: if yes, give details.
ANS. future, work about parents health.

f)Are you impatient.
ANS. yes. impatient to get things done.

g)Are you doubtful or suspicious.
ANS. doubtful that others may not be liking me.

h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. very easily. and generally do not react. it creates hatredness and cant forget easily though do not take any step for revenge.

i)Does your pride get hurt easily.
ANS. yes. very much

j)Are you depressed, if so, reason/circumstances.
ANS. feels bad that do not have a partner and have no child, yet. always feel depressed about this.

k)Do you like to share your problems.
ANS. yes, love to have a good listener

l)Effect of consolation.
ANS. feel happy if someone shows sympathy and affection.

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. not very bad memory. but forgets roads and ways easily.

o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS. yes. feels better after weeping

p)Are you easily irritated. What makes you angry, how do you express it.
ANS. gets irriated easily. others behaviours wich i do not like. cruelty to animals and humans.talk to them directly and makes clear that i am unhappy with it.
q)Are you destructive.
ANS. no

r)How good are you in making decisions.
ANS. Ultra confused. always ask others even to juniors and children for making a decision.

s)Do you like company or like to remain alone.
ANS. like company very much.

t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. likes cleanliness. cant withstand untidy environment. can not use unclean toilets.

u)How does failure appear to you?
ANS. gets fully shattered. easily gives up and gets dissapointed.

v)Are there any matters that you deeply dislike?
ANS. cruelty to animals.dirty, smelling places.

w)What activities you deeply like? How does it affect your mood?
ANS. trekking. feels extremely happy and feels life fulfilled. company of close ones and children.

x)Are you affectionate? How does others sorrow affect you?
ANS. very much affectionate. cant withstand others pain. cant see even a thief beaten by police or animals getting beatings.

I have taken sulphur which did not help

Thanks a lot for the reply. I shall try this.