Anal Fissure

1. Age,sex,weight,country,occupation.
ANS. 39, female,135, USA,stay at home mom

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. Right side of rectum
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS. Some pain during bowel movement
c)What are the factors that causes this trouble according to you.
ANS. Eating too much cheese caused constipation and firm bowel movement that tore rectum
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. Taking fiber pills helps
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. Not taking fiber pills
f)Any other complaint any where in the body.
ANS. No
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. Problem started 13 months ago
h)Treatment method adopted and its result.
ANS. Have tried numerous creams and oils

3. History of diseases in family.
ANS. No

4. Personal History.
a)About childhood.
ANS. Normal
b)Academic performance.
ANS. Average
c)Any major incidents in life and the effect of it on life.
ANS. No
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS. Satisfied

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. Quit smoking 2 years ago, occasionally drinks
b)Masturbation and frequency.
ANS. No

6. How is your Appetite and Thirst.
ANS. Good

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. I avoid fried foods, like spicy foods, coffee and tea
b)Anything else about like and dislike of any activity with you or surrounding.
ANS.
No
8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS. Two times a day and satisfactory and less painful with fiber pills
b)Any discomforts associated with stool.
ANS. Painful sometimes

9. Urine.
a)Frequency, nature, volume.
ANS. Two times a day
b)Any discomfort before, during or after urination/odour
ANS. No

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. No menses. Had hysterectomy 14 years ago
b)Duration of menses.
ANS. N/a
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS. N/a

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.
Sleep is good.
13. Sweat
a)How much, what parts, staining, Odour.
ANS. No

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS. Good

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. Good
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. Lost my husband 9 years ago
c)Memory,ability to concentrate/comprehend.
ANS. Good
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS. Fear of flying, storms, semi trucks, and death
e)Are you anxious about anything: if yes, give details.
ANS. Anxiety about driving on highways during traffic
f)Are you impatient.
ANS. Sometimes
g)Are you doubtful or suspicious.
ANS. No
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. No
i)Does your pride get hurt easily.
ANS. No
j)Are you depressed, if so, reason/circumstances.
ANS. Only child away in college. Sometimes sad but getting better
k)Do you like to share your problems.
ANS. Sometimes
l)Effect of consolation.
ANS. No
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. Good
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS. No
p)Are you easily irritated. What makes you angry, how do you express it.
ANS. Sometimes. Someone not listening to me or disrespectful people
q)Are you destructive.
ANS. No
r)How good are you in making decisions.
ANS. Good
s)Do you like company or like to remain alone.
ANS. Company
t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. Bothers me sometimes. More annoying than anything
u)How does failure appear to you?
ANS. I get over it
v)Are there any matters that you deeply dislike?
ANS. Liars
w)What activities you deeply like? How does it affect your mood?
ANS. Shopping, traveling, spending time with son. Makes me happy
x)Are you affectionate? How does others sorrow affect you?
ANS. Yes Sorrow makes me sad and sometimes needy
y)Any present fears in your life or future.
ANS. No
z)Any present life or future life desires.
ANS. No

16.Describe your face and tongue by doing FACIAL AND TONGUE
ANS.
Normal
17.For medical astrology tell your birth place,location,timing, date(dd/mm/yyyy format)
ANS.