epididymis inflammation of spermatic cord-Left sided

Hi Jitesh,

Please send me your questions so that I can provide you history.

Plz find info and suggest medicine


Age : 32 Date of Birth : 1/2/1985 Sex :Male Wt.:140kg
Address : (in detail)

Blood Group: B+ Ph: E-mail :
__________________________________________________________________________________A. K/C/O : [Duration is important. e.g. HTN since 2 yrs. etc.] 2years
B. Investigations :
Date : Haemogram / Blood Report/ Urine Report/ CT scan/ MRI/USG Abdomen & Pelvis/ Thyroid Function Test, etc.

C. Chief C/O: Write the complaints with sides & duration.

1 left testicle inflammation from past 4 months
2 back pain and abdominal pain

3 thyroid hypo from past 3 yrs
Give them separate nos. [e.g. 1] Abdominal pain(Rt. side)Since 8 days. Etc.

Please start with History of C/C : How complaints started?
H/o C/C : Write every complaint individually with-
· Onset, decline, causation.
· Side. Left
· Location & Extension below ribs
· Character of Pain. Moderate
· Duration of Pain. Half day
· Sensation.
· Modalities : Movements/ Positions/ Thermals/ Food Habits/ Seasonal/ sitting on chair for 4 hrs IT job
Time
¾ Concomitant.
Complain 1


2
MentuMent above already


3


D. Ask for any recurrent complaint. Ex. Fever, , Coryza. Fever sometimes but inner feelings not high temp
E. Past H/o : Any major illness (along with side if present) e.g. H/o Typhoid/ Malaria / Jaundice/ seviour jaudice history in childhood when just 6 months old
Fracture/ Fall/ Injury/ Accident. Bike accident fall on left side but no fracture
And H/o Vaccination – Hepatitis B / Dog bite Vaccination, etc. All ok
Blood Group : b+
F. Family H/o
G. Physical Generals :
· Habit : Alcohol / Drugs/ Smoking/ no
, etc. (Since how many tears?)
· Diet : Veg./ Mixed. Mixed
· Appetite : Any alteration?

Whether patient can tolerate hunger? On Dixit diet
· Desire : With reference to taste and not any particular food item. e.g. Sweet, Pungent, Spicy, no specific stuff

Sour, Fatty(Oily, ghee), Non- veg, milk, milk products, tea, coffee, Vegetables, Fruits, Ice Cream, Cold Drinks etc. is important No
. Also ask for any desire for indigestible food items no
· Aversion : Main taste e.g. Sweet, Sour, Fatty, Non-veg etc. is also important.
· Food : non veg
· Head : stitches on left side
· Eyes : brown small no -.75
· Ears : left ear nurve Pain
· Nose : ok
· Mouth : any odour
· Tongue : Dry/Moist/ Coating/ Cracked/ Fissured/ Imprints of teeth
· Thirst : Thirsty/ S.Q.S.I./L.Q.S.I./Thirstless yed
· Teeth : Carries of teeth.
· Gums : Bleeding Gums. No
· Taste : Any particular taste in mouth no
· Throat : sour left tonsils iching tendacy
· Chest :
· Stomach/ Abdomen :
· Bowel : Character of stool is important. Dry/ Hard/ Soft/ Loose. Loose Color, Smell, Straining or not? Bad smell Etc.
· Bladder:
· Skin : dey
· Chest & Back :
· Extremities:
o Upper Extremities:
o Lower Extremities :
· Perspiration :
o Scanty/ Profuse. On which part of the body?
o Stain /Odour.
o Hot/ Cold sweating.
· Sleep : 6 hrs
o Time : Daytime any sleeping habit / no Night time sleep hrs. 6 hrs
o Sound/ Natural restless
o Refreshing/ Unrefreshing unrefreshing
o Startles/ Snoring snoring
o Position : Whether lies on back / sides-which side ? Left side most
o Covering
o Bed+ Pillow 2 big pillows
o Talking/ Walking sleep during? No
o Eyes open / closed sleep during. Closed
· Dreams : no
· Female:
o Menstrual History
i. Menarche
ii. Duration of cycle
iii. Color of discharge/ Any clots, etc.
iv. Smell
v. Any pain Before / During etc.
· In General Discharges : Color/ Smell/ Quantity –scanty/ profuse etc. (very important)
H. Mind :
· Education :
· Occupation : (Working / Retired)
· Childhood at which place? –City/ Town
· Marital Status : Married

· Childhood :
o Family : Joint / Separate joint
o Financial Condition : Sound
o About Study:
o Nature : irritable.
o Desires Company or Not? Yes
o Close to?
o Fear of/ Stage courage fear of failure
o Playful/ Studious.
o Any impactful/ disturbing incidence in childhood.
o Angry when? How is it expressed ? Stupidity by abusing
o Timid / Daring. Daring
o Ambition. Forensic officer

· After Marriage.
(Suppression injustice and relation with inlaws, Adjustment) no
· NOW :
o Specially ask about main feelings : Anger, Sadness, Hypocrisy, Jealousy, etc. (Please, write in Rubric form)
o Family: Joint l
o Financial Condition : Sound
o Mild/ Short Tempereed mild
o Angry when ? How is it expressed?
o Talkative/ Less talkative. Talketive
o Jolly- Jesting/ Submissive jolly
o Censorious.
o Reaction to Jesting
o Reaction to Criticism. Angry
o Reaction to Reprimand
o Reaction to Mortification
o Any major conflicts
o Sympathy about ?
o Helping nature? Yes
o Desires Company? Yes
o About Cleanliness.
o About Time Punctuality. Very punctual
o About Religiousness. No
o Reaction to Lie & Injustice. Don't like
o Fears ? (Being alone
o Sensitive (Physically & Emotionally) yes very (empathy)
o Happy When? All da time
o Sad when? Fear, failure
o Weeps when?
o Consolation.
o Hobbies? Singing
o About Social Activities. No
o Lazy/ Workaholic. Both depending on situation
o Industrious ?
o Duty Bound? Yed
o Relation with others : ok
¾ Husband/ Wife
¾ Son / Daughter. Son 3.5 yrs old
¾ In-laws.
¾ Friends. Few
¾ Colleagues, etc.
· A/F :
o Anxiety about what ?
Future, Health,Job
o Any Anticipatory Anxiety: failure
o Death of Relatives :
Reaction : Sad, Forsaken, Helpless, Weeping.
o Any Insecurity unknown
o Perfectionism. Much needed all time
o Fall/ Accident/ Injury/ Fracture/ Sprain/ Loss of fluid. No
o Overexertion. Many times
o Brooding.
o Suppression of anger.
o Any major setback in life.
Your Observation(Physical Appearance/Dressing).
Thermals :
Summer Winter
Bathing Hot all time requires or not?
Covering Thick / Thin? (1 or 2,etc) Thick / Thin? (1 or 2,etc)

· Open air : desires or not not sure
· Require Sweater in Winter ? No
· Chills begin from which part?

what can you tolerate more hot more or more and what you can't ??

i can tolerate cold more than hot, i cannot tolerate hot.

tell me about your thirst ??

i feel thirsty so much during bed time and the thirst starts from 2nd half of the day. quantity and time: large quantity short interval


sleep position: i generally sleep mostly on left side and sometimes on right side. i cannot sleep on back i feel restless.

thank you and let me know if you need any more information.

Hello Jitesh,

due to my diet i avoid sugar, i will be fine with liquid...

can you suggest then can you suggest the quantity of liquid i should take ( how many drops)?

thank you
[Edited by vshindgi on 2018-11-08 10:27:57]

Ok, thank you, i will do the needful and will let you know.

have a nice and wonderful day.

Hello Jitesh,

thank you for providing dosage, i took the medicine for 5 days and pain gone. but it has reoccurred again. what to do?

for 5 more days?

ok, thank you jitesh. but will it fix the re-occurrence?

have a nice and wonderful day.

thank you.