Reactive Arthritis Auto-Immune Sero-negative

Patient ID: Sex: Age: On behalf of Purna/F/40 yrs

1. Describe your main suffering?
Arthritic pain and swelling of all big and small joints. Right elbow had swelling many years earlier and joint is already fixed. Swelling and sinovitis of right knee treated by steroids in June 2014. Pain spreading to all other joints. Presently pain in neck, both shoulders, both elbows, both knees, wrists, all fingers, toes, arms, and low back. Tingling and numbness in limbs. Left elbow swollen and not opening fully. All joints getting stiff early morning. Diagnosed as Reactive Arthritis by allopathic doctor.
2. What other physical sufferings do you have in your body?
Headache on the right side time to time.
Sporadic pain inside the throat, right side like a small bone stuck.
Flattulence, burping and loose motion at times – motion not regular.
Pain in groin on both sides.
Lack of sound and adequate sleep, cannot sleep well due to pain.
Feels feverish and weak.
Glucoma suspected (not confirmed yet )
3. What mental sufferings / feelings do you have associated with your physical sufferings?
Feel low and demoralised especially when pain increase. Irritation and helpless follows.
4. What exactly do you feel when you are at your worst?
Do not feel like getting up from the bed.
Feel very dejected and irritated.
Do not feel like doing any work.

5. When did it all start? Can you connect it to any past event or disease?
The arthritic pain started almost 20 years back. It started with a pain in the right elbow joint. Took time diagnosing the problem. Took medication but the elbow got fixed. The pain started spreading to left elbow and eventually diagnosed as Reactive Poly Arthritis, sero-negative (RA factor never showed positive).
Spondylosis pain is recent, having aggravated in the last few months.
Difficult to establish the problem to any particular events.


6. Which time of the day you are worst?
Morning time is worst since most of the joints are stiff and somewhat numb early morning.
Sleeptime/late night is also difficult due to persisting pain and it is difficult to find a correct position to sleep.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Aggravation. -- Weather, Intense activity, Stress/tension, lack of sleep, negative thoughts appear to aggravate the problem.
Ameriolation --- Relief in pain due to medicine or otherwise.
8. Do your 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)?
Change in place at times causes stress related to new environment/adhoc arrangements, sfifting house/movement etc.
Changes in weather at times aggravates pain

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
The medical problem persists regardless the season.
I feel better when health is okay.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
I am relatively moody, changeable, lazy and easily offended.
At times feel nervous, irritable, suspicious.
I am not too arrogant and lazy.
- How do you feel before or during a thunderstorm?
Thunderstorms scare me in case it is severe.
- Do you like being consoled during your tough times?
Yes.
- Are you sensitive to external stimuli like smell, noise, light etc?
Yes.

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Once in a while I talk to myself, mostly to remind myself to remembers pending tasks and complete certain chores.

- How do you feel about your friends, family, your children and especially your husband / wife?
Happy with my family and child.
Do not have very good experiences with friendship.

11. What are your fears and do you dream of any situation repeatedly?
Fear -- Deadly diseases, getting cheated by friends or in decision taken and death.
Dream – One particular dream gets repeated about appearing for exam without adequate prep.

12. What do you crave for in food items and what are your aversions?
Crave - Non veg food, Chinese, Chaat/Gol gappe, Mangoes.
Aversion -- nothing.

13. How is your thirst: Less, Normal or Excessive?
Nothing in particular , it depends on weather. Otherwise normal.

14. How if your hunger: Less, Normal or Excessive?
Normal.

15. Is there any kind of food which your body can’t stand?

Indigestible food.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

Normal sweating but more in the armpits.


17. How is your bowel movement and stool type?
Bowel movement has become irregular lately. Motion often loose.

18. How well do you sleep? Do you have a particular posture of sleeping?
Do not get sound and adequate sleep due to pain. Cannot sleep continuously for more than one hour at a time.
At times take sleeping pills but even these are not effective always.
Posture – Mostly sleep to the left side, at times to the right side.

19. Do you think you are able to satisfy your sexual desires in general?

At times yes and at times no.

20. How do you think you are different from others, if at all?

Yes. I feel I am unique in my own ways.
21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

Medication. -- Tried all types of treatment – Allopathy, Homeopathy, Naturopathy and Magneto thearapy.
Allopathy-- Taken steroid( Dopemedrol 80 ml Injection), Suphasalazine, pain killers of different types and vitamin supplements.
Homeopathy – Argentinum Metallicum 6c in wet doses for 7 days
Arnica 30 in wet doses for 7 days
No particular symptoms after medication.

22. What major diseases are running in your family?

Father - Diabetics, High BP
Mother and sister – Osteo Arthritis, Piles.
23. Describe, how do you look like? Describe your overall appearance

I am tall ( 5.4 inch), fair complexioned and presentable.

24. (ONLY FOR FEMALES)

- Are the periods early, regular or late in general? How long do they last?

At times early, at times on schedule, mostly early. Lasts for 2 days but has been less than 2 days last month and this month.
Generally scanty.
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?

Physical discomfort – Low backache, pain in both legs and cramps.
Mental -- None
- Is the flow scanty, normal or excessive?
Scanty.
- Is the blood thick bright red or pale watery?

At times thick with clots. Very rarely it is pale. No clots for past two months.
- Do you notice any clots in the flow?
Yes.