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Acne; Pollen allergy

Dear Doctor,
I am 25 years old, male.
I have: Acne since 2008, Decreased Iron level in January and September, 2019, Pollen allergy since 2004, Mild subclinical hypothyroidism since January 2019.

I would like you to help me.

Thank you very much!

I am sending you my history.


_A. K/C/O : [Duration is important. e.g. HTN since 2 yrs. etc.] Acne since 2008, Decreased Iron level since 2019, Pollen allergy since 2004, mild subclinical hypothyroidism since 2019
B. Investigations :
Date : ,6.01. 2019 Haemogram / Blood Report/ Urine Report/ CT scan/ MRI/USG Abdomen & Pelvis/ Thyroid Function Test, etc;,; Complete blood count – normal; Fe – 9.66 /11-36/ Thyroid-stimulating hormone 5.00; TAT, MAT – normal; D – normal, 63.06 /50-120/,
Date : ,17.09. 2019 Haemogram / Blood Report/ Urine Report/ CT scan/ MRI/USG Abdomen & Pelvis/ Thyroid Function Test, etc;,; Complete blood count – normal; Fe – 7.60 /11-36/ Thyroid-stimulating hormone 4.430; FT4 – normal;
Date : ,19.12.2019 Thyroid Function Test, etc;,; Complete blood count – normal; Fe – 15.64 /11-36/ Hgb – 166 /135-180/
C. Chief C/O: Write the complaints with sides & duration.
Give them separate nos. [e.g. 1] Abdominal pain(Rt. side)Since 8 days. Etc.
1. Acne since 2008, currently on my neck and on the temples of face
2. Pollen allergy since 2004 – in May and June, from blooming trees, in a mild form
3. Decreased Iron level since 2019
4. Mild subclinical hypothyroidism since 2019

Please start with History of C/C : How complaints started?
H/o C/C : Write every complaint individually with-
1. Onset, decline, causation
• Side. Left and right
• Location & Extension – neck and on the temples
• Character of Pain. none
• Duration of Pain. none
• Sensation. none
• Modalities : Movements/ Positions/ Thermals/ Food Habits/ Seasonal/
Time

2. • Onset, decline, causation.
• Side –
• Location & Extension – eyes - tearing, nose – running nose
• Character of Pain.
Sensation. irritation

3. Duration of Pain.
• Sensation. Character of Pain. none
• Duration of Pain. none
• Sensation. None
4. • Sensation. Character of Pain. none
• Duration of Pain. none
• Sensation. None
• Modalities : Movements/ Positions/ Thermals/ Food Habits/ Seasonal/
Time
¾ Concomitant.

D. Ask for any recurrent complaint. Ex. Fever, Cold, Coryza.
runny nose,
red pimples and scars

E. Past H/o : Any major illness (along with side if present) e.g. H/o Typhoid/ Malaria /
None
And H/o Vaccination – Hepatitis B / Dog bite Vaccination, etc.
Blood Group O+

F. Family H/o
G. Physical Generals :
• Habit : Alcohol / Drugs/ Smoking/ Tobacco, etc. (Since how many tears?) No
• Diet : Veg./ Mixed.
Mixed
• Appetite : Any alteration? No

Whether patient can tolerate hunger? No
• Desire : With reference to taste and not any particular food item. e.g. Sweet, Pungent, Spicy,
Sour, Fatty(Oily, ghee), Non- veg, milk, milk products, tea, coffee, Vegetables, Fruits, Ice Cream, Cold Drinks etc. is important. Also ask for any desire for indigestible food items.
Sweet, milk products, Fruits, meats, bread
• Aversion : Main taste e.g. Sweet, Sour, Fatty, Non-veg etc. is also important.
• Food :sour
• Head :
• Eyes : lower eyelid formation
• Ears :
• Nose : running nose
• Mouth : any odour , No
• Tongue : Dry/Moist/ Coating/ Cracked/ Fissured/ Imprints of teeth
• Thirst : Thirsty/ S.Q.S.I./L.Q.S.I./
• Teeth :
• Gums :.
• Taste :
• Throat :
• Chest :
• Stomach/ Abdomen
• Bowel : Character of stool is important. Dry/ Hard/ Soft/ Loose. Color, Smell, Straining or not - sometimes? Etc.
• Bladder:
• Skin : scars on the face
• Chest & Back : scars and pimpls
• Extremities:
o Upper Extremities:
o Lower Extremities :
• Perspiration : normal
o Scanty/ Profuse. On which part of the body? normal
o Stain /Odour. none
o Hot/ Cold sweating. none
• Sleep : normal
o Time : Daytime any sleeping habit / Night time sleep hrs. –8 hours
o Sound/ Natural normal
o Refreshing/ Unrefreshing normal
o Startles/ Snoring – I used to have snoring
o Position : Whether lies on back / sides-which side ? sides
o Covering – normal
o Bed+ Pillow normal
o Talking/ Walking sleep during? none
o Eyes open / closed sleep during.
• Dreams :
• 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 : higher education
• Occupation : (Working / Retired) Studying
• Childhood at which place? City/ Town - City
• Marital Status : Married / Unmarried - Unmarried

Childhood :
o Family : Joint / Separate - Separate
o Financial Condition : Sound/ Poor/ Rich etc. . Normal
o About Study: excellent
o Nature : Obstinate/ Mild/ Pampered/ Short Tempered/ Irritable. - Irritable
o Desires Company or Not? Not
o Close to? mother
o Fear of the dark/ Stage courage – Yes/No
o Playful/ Studious. - Playful/ Studious
o Any impactful/ disturbing incidence in childhood. - No
o Angry when? How is it expressed ? Angry when irritated
o Timid / Daring. - Timid
o Ambition. – Yes

After Marriage. Unmarried
(Suppression injustice and relation with inlaws, Adjustment)
• NOW :
o Specially ask about main feelings : Anger, Sadness, Hypocrisy, Jealousy, etc. (Please, write in Rubric form)
o Family: Joint / Separate
o Financial Condition : Sound / Poor/ Rich etc.
o Mild/ Short Tempered
o Angry when ? How is it expressed?
o Talkative/ Less talkative.
o Jolly- Jesting/ Submissive
o Affectionate / Reserved/ Censorious.
o Reaction to Jesting
o Reaction to Criticism.
o Reaction to Reprimand
o Reaction to Mortification
o Any major conflicts - No
o Sympathy about ? - No
o Helping nature? - No
o Desires Company? - No
o About Cleanliness. - I keep the cleanliness and hygien
• About Time Punctuality. – Yes, very punctual
• o About Religiousness. - No
o Reaction to Lie & Injustice. -
o Fears ? (Being alone, Dark, Water, Height, Quarrel, Exam, Robbers, Animals, Downward Motion) - Dark
o Sensitive (Physically & Emotionally) – no
o Happy When? When I am at home
o Sad when?
o Weeps when? When I am sad
• o Consolation.
o Hobbies? Video Games
• o About Social Activities. No
• o Lazy/ Workaholic. Normal
o Industrious ? No
o Duty Bound? No
o Relation with others :
¾ Husband/ Wife -
• ¾ Son / Daughter.
¾ In-laws.
¾ Friends. No
¾ Colleagues, etc. No
• A/F :
o Anxiety about what ?
Loan, Court case, Money, Future, Health, Disease, Death, Job, Settlement, Children. - Yes
o Any Anticipatory Anxiety
o Death of Relatives : Yes,
Reaction : Grief, Sad, Forsaken, Helpless, Weeping.- Grief
o Any Insecurity - No
o Perfectionism. good workability and time management - good workability and good planning
o Fall/ Accident/ Injury/ Fracture/ Sprain/ Loss of fluid. - No
o Overexertion. No
• o Brooding. No
o Suppression of anger.- Yes
o Any major setback in life. - No

Your Observation(Physical Appearance/Dressing).
Thermals :
Summer Winter
Bathing Hot / Cold / Luke Warm Luke warm Hot / Cold / Luke Warm - Hot
Fanning requires or not? Yes requires or not? No
Covering Thick / Thin? (1 or 2,etc) Thin Thick / Thin? (1 or 2,etc) Thick

• Open air : desires or not Yes
• Require Sweater in Winter ? no
• Chills begin from which part? Hands
 
  Vascaris on 2020-03-19
This is just a forum. Assume posts are not from medical professionals.
Hello vishnu4
Please give suggestion. I think you may help better.
 
freehomeoforall 4 months ago
Hello vishnu!
where are you?
You didn't give any reply yet.
 
freehomeoforall 4 months ago
Vascaris: Pls decide your priority. One thing at a time. Pls state what you see, feel, locations, physical appearances etc. As briefly as possible.
 
vishnu4 4 months ago
Hello vishnu4,
thank you for your reply. The highest priority goes to the Hypothyroidism. I think its the most serious issue.
I see normally, no visible symptoms. However, in December/January this year I had conjunctivitis + stye.They have been healed since then.
I feel fine, no issues there.
Locations - Í dont have any pains in my body, the only body part affected is my face that still has acne.
I dont have headaches or tiredness. But I experienced mental exhaustion due to a lot of work and studying.

Thank you very much for your help
 
Vascaris 4 months ago
Vscaris: Pls start with Iodium30 four times a day for three days. Tell me how you feel then.
[Edited by vishnu4 on 2020-03-31 04:10:12]
 
vishnu4 4 months ago
MONITORING.
 
anuj srivastava 4 months ago
Vaccaris
I want to have some answers. Could you please give me?

1. Do you feel any hair is around the root of tongue?
2. Is there any palpitation of chest? And is it increased at bed time?
3. Inflammation in chest or acidity after meal?
4. Do you like salty foods?
5. Hands and foot becomes cold?
6. Headache on forehead and on the middle of head?
7. Sometimes headache starts after awaking from bed?
8. Blurry vision when you suffer from headache?
9. Do you feel dryness from mouth to whole abdomen?
10. Do you lose smelling sensation when suffer from runny nose?
 
freehomeoforall 4 months ago
This person like expert anuj wants to be seen everywhere. Both have no work. He is back again. Vascaris can make his choice.
[Edited by vishnu4 on 2020-03-31 13:51:56]
 
vishnu4 4 months ago
vishnu
I don't want to suggest. I want to have these answers for myself. To learn.
 
freehomeoforall 4 months ago
If i wanted to suggest, I would do at first time. This case if for you.
According to your description, I suggest huge medicines without proper investigation. I hope his all problems will be fine by only one remedy suggested by you.
Best of luck.
[Edited by freehomeoforall on 2020-03-31 14:10:07]
 
freehomeoforall 4 months ago
freeHomeo:
Help yourself: pls make a summary of last 10 cases done by you comprising total time, number of meds you gave, number of specific questions that you asked, and final result. Then read it aloud.
[Edited by vishnu4 on 2020-04-15 11:59:39]
 
vishnu4 3 months ago

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