Menopause - bladder incontinence

Hi: thanks for the response.

She was short-tempered when i was young; however, over the past 9 years since i am married, she has changed a lot, she is quite patient now and enjoys being with kids, she pushes herself for the sake of her grand children and tries to stay positive. She does yoga and breathing exercises. She lately is little stressed with some financial and health issues.

She feels okay travelling by any mode. She is not used to going out much alone. so, that makes her little tense if she is visiting a new place alone. She prefers not to travel alone. Situation does not aggravate.

Oh..ok, fine, thanks, will keep yuo posted in the interim if something needs to be notified. thanks so much!

I must also menntion that she has gastric problem. Would you advise any food restrictions when we wait to see if Calc Carb does the job? kindly advise

ok, thank you so much..

Hi Dr. Rishimba:

Just to update u that it has been 10 days since her last dose of Calc carb 1M. She stil has very bad back pain, feels stiff and really painful in the morning, later gets better. She has been having brown discharge over the last 3 days and now has a lighter period today, the discharge is not thick bleeding, little lighter (2 pads per day kind of). Urine leak while coughing, sneezing, improved and is normal now.

Kindly advise if anything needs to be done or just wait.

Another issue tht i would like to report is she faces difficulty swallowing her food. She had her molars removed due to cavities long time back and some broke after RC was done and was not successful. She cannot swallow really well but does take time to swallow them to the best; however, the food or sometimes water does not go down smoothly and she will induce herself to vomit the food or water when this happens. When showed up to a physician, he said after some tests, that this is due to gas that is pushing up and stopping food from going inside, Kindly suggest remedy. TIA

Hello doctor:

Request you to kindly take up her case. Will surely get the questionnaire filled in.

Patient ID: Sex: Female Age:52 Nature of work: Homemaker Habits:


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

1. Describe your main suffering? State the correct location of pain or suffering.
Anemia, heavy periods for many years(right from my puberty) and headache.

2. What other physical sufferings do you have in your body?
Severe back pain, neck pain, difficulty swallowing (I think this is because of gastric issue, the food or water gets chocked in the throat, have to induce vomitting to get out of that discomfort), eyes will pain if I remove my spectacles (I would feel like closing my eyes, as if I cant keep my eyes open, always have to wear them except for when I sleep. I cant read or see anything clearly without spectacles, dry skin (I summer, my back gets really itchy with some hard patches on my skin), headache, body feels hot and feverish most of the times

3. What mental sufferings / feelings do you have associated with your physical sufferings?
Does not effect my mental peace much

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.
Feel like taking rest, does not feel like doing some physical chores, when having severe headache, I feel as if something is banging on my head

5. When did it all start? Can you connect it to any past event or disease? What was happening in your life just before these symptoms were noticed?
It all started sudden and feel that the back pain and neck pain are due to my menopause. Otherwise, cannot correlate to any particular incident.

6. What time of the day do you suffer the most? What time of the day /night do you feel most energetic and happy?
First thing in the morning, it is worst. I feel okay throughout the day. Cannot stay up during nights even till 9 pm, would prefer going to bed as early as possible.

7. What are the things that aggravate your suffering and those that ameliorate the same? Example: time, hot or cold application, pressure, rubbing, washing, eating, tight clothing, sweating, walking, climbing, stool etc.
Hot compress relieves it temporarily, does not prefer massaging or rubbing over it. If I do any physical chores for long time, it seems to aggrevate.


8. Do you think your sufferings have direct relation to any particular external factor or are it something to do with your own biological changes?
I think my pains are due to menopause. The difficulty swallowing as told my couple of physicians earlier is due to gastric issues, however, it has not responded so for or gotten better with any medication
9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Dry weather feels good
10. Describe your general mental set up? Please pick out the adjectives which best describe your personality; (at least 10)
Nervous, Anxious, Shy, Worrying, Paranoid, Proud, Unsocial, Guilty, Depressed, Hypochondriac, Untidy, Weepy, Emotional, Impractical, Confused, Suspicious, Jealous, Timid, Aggressive, Headstrong, Forgetful, Follower, Insecure, Immature, Impulsive, Rigid, Restless, Feminine, Empathetic, Introverted.
Generally would like to keep calm, being active feels good, have guilty, don’t feel comfortable being alone, going out alone, but can travel alone if it is required, does not cry much, not depressed, try to think positive, sometimes gets hyper, stage fear, like to speak among my known group of people, empathetic, feels restless
- How do you feel before or during a thunderstorm?
Does not effect
- How do you respond to consolation during your tough times?
I get more emotional and cry
- Are you sensitive to external stimuli like smell, noise, light etc.?
Yes, does not like dim light, loud noise
- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc? None
- How do you get along with your friends, family, your children and especially your husband / wife? Most of the times, happy and comfortable
-What is your profession? Do you love your profession? What is your dream job? Homemaker, now a days, I am not much interested in home chores
-Did you have any bereavement in life? How has it affected you? Yes, I lost my son when he was 1.5 years old due to an accident. I still makes me cry and sad and I miss him so much in my life.
-Do you have any issues regarding your parenting by guardians? Satisfied
-Can you remember any unfortunate incident in life that you want to forget? Yes, I do want to forget about my son’s incident
-How do you respond to music? Do you feel better or worse mentally listening to music? Music makes my mood better, light music, not really loud one
- What upsets you most in yourself and in others?
If someone degrades me, it upsets me. I am upset with my incapability in making my own career, or not being able to use the oppurtunities
11. What are your fears and do you dream of any situation repeatedly?
Going out all alone to a new place scares me so much.
12. What do you crave in food items and what are your aversions?
Don’t Crave, but love sweet things, does not like sour things
13. How is your thirst: Less, Normal or Excessive?
Excessive I feel, I feel my throat is dry always
14. How is your hunger: Less, Normal or Excessive?
Normal
15. Is there any kind of food which your body can’t stand?
No
16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
does not sweat much, more around neck and thighs
17. How is your bowel movement and stool type? Do you have any abnormal smell in the urine?
Normal, regular , no abnormal smell in urine
18. How well do you sleep? Do you have a particular posture of sleeping?
I sleep well. More towards my side
19. Do you think you are able to address your libido in general? Would you say your drive is low, normal or high?
yes, normal drive
20. Do you have any strange, peculiar or unusual sensation, thoughts or feelings? How are you different from others? No, I think im normal. When people around me think negative, I feel im different from them as I try to think as positive as I can

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication? I have tried ayurveda for my menopause, bladder incontinence issues, and ovarian cyst for almost 2 months

22. What major diseases have run in the family in the last two generations both sides?
Mother has heavy periods, spinal issues, headache, blood pressure, father Diabetes and blood pressure
Husband and mother in law – diabetic , mother in law, Blood pressure, father in law expired with kidney failure
23. Describe your overall appearance with respect to your BMI, skin type, muscular or flabby etc.
Short, medium built, my arms are fast, skin is dry. I do surya namaskaras and breathing min of thrice a week
24. What major diseases have you had in your life and when. Please write them in a chronological manner. None in major, had breast lump, biopsy was normal
(For Females)
25. If your menstrual cycles are not normal, please describe all irregularities, like pains, moods, flow type, clots etc. as below: Periods are hevy with some clots, had been regular till last year, mood will be irritated and feels weak at that time
- Are your periods generally regular, early or delayed? What is the usual cycle duration? 30 days, regular
- Describe the sensations and locations of pain before, during and after the flow. No pain, except for back pain
- How do you generally deal with your sufferings during periods? Do you have any non-medical way of relieving your suffering? I try to keep myself hydrated and rest
- What is the duration of flow? Is it heavy, medium or light? heavy
- Do you observe clots? Yes, I had clots recently, maybe over the past one year
- Do you have mid-cycle spotting? What are the days you have spotting? no
- Describe changes in your mental condition or any other peculiar symptom that surfaces before, during or after the flow. Irritable, body feels hot
- Do your sufferings increase or decrease as soon as the flow begins? Feels weak and sometimes dizzy
- Did you ever take birth control pills on a regular basis? no
- Have you ever been treated earlier or recently for any gynecological irregularity? Please describe.
Long back, have taken some allopathic medications, but this was quite long back.

1. You said you sleep well. Despite sleeping well you get up with a splitting headache. Am I right?
No, I have good night sleep and generally try to avoid day time naps, I think that also helps get good night sleep. If someone wakes me up like my grandchildren after I get to sleep at night, it makes difficult to fall asleep again. At tht time, I experience headaches, but not always it is like banging
2. You said the headache is like 'banging'. How does the headache react to hard pressure on the affected area?
Hard pressure seems to aggrevate it.
3. What time does the headache peak and what time does it subside generally?
Headache actually comes when I get emotional, stressed, when I cry, when I go out in hot sun, when my eyes are strained, I get headache and also pain in upper eye lids or around the eyes which makes me to keep my eyes closed and laydown
4. When do you have the back and neck pains? What are the non-medical ways of relieving these pains?
They are severe and stiff first thing in the morning. They get better towards afternoon. They get worse if I keep myself away late in the night
5. What do you want to do if you don't want to manage the house as a home-maker?
I want to start business; however, my husband is not very positive about this. I feel if I venture into something, I will feel refreshed and get out of monatony
6. What are the factors that aggravate your headache?
Most of the cases, I think the stress or getting angry or upset makes it worse and also straining my eyes
7. Did the headaches start just after your menopause?
No, I had headaches right from when I was young.

Ok doctor ... Thanks so much!! I have couple of doubts.

1. Should I wait till I finish 20 days since I have taken calc carb 1M
2. Would this address issues with menopause or eye issues

I will go ahead and get this tomorrow and will do as advised

Ok Sir.. Will wait till 20 days and report to you as advised. Many Thanks to you! :)