Joints Pain

Hi,
It's been 2 Days since Nux Vomica taken. Situation is same. What Next?

I have taken these as per the Symptoms like Knee Stiffness & Small Joints Pain. Could you Please elaborate homicide??
I'll be cautious in future.

Hi,
Now Pain in Right Shoulder Started from Yesterday. It was mild beforehand from the last 15 Odd Days, that is why I Ignored.
Now sometimes it feels like it dislocated esp. while lifting something but sometimes feels normal pain.
It is Only in Shoulder, neither goes to neck nor arm.

Patient’s General Information

Name: Zeeshan

AGE:38

Sex: Male

MARITAL STATUS:
Single /Married /Divorced
Married

COUNTRY: India

Nationality: Indian


Occupation / Nature of Work: Clerical Work


PRESENTING COMPLAINTS (Main Problems)


What Is The Problem?
1) Joints Pain
2) Depression
3) Premature Ejaculation
4) Discharge from Left Ear (sometimes Greenish & Sometimes Brownish)
5) Forgetfulness
6) Weakness
7) Laziness
8) Out of Breath Easily
9) Too much Urination
10) Tired Easily

Explain - Causation / Onset Or Origin Of Each Complaint. (If Known)
Site of The Problem?

When & How It Started? Joints Pain Started After Fever Last Month.
Depression Started When I was Jobless around 15 Years Back
& PE Since Day 1 after Marriage in 2013.

How Has It Progressed? Slowly

Any Sensations?

Any Extension of Pains? All Over the Body.

Modalities: (How Your Problem Gets Affected or Altered?)


When & How Is It Worse or Better?
(Time/Condition/Position/Season/Food Item, etc.)


PAST HISTORY (Previous Diseases & Their Treatment)
Any significant disease like :
(Typhoid/Malaria/Jaundice/Measles/Tuberculosis// etc.)
NO

Hospitalization if any: (e.g. Accident/Disease /Any Surgical operation?)
NO

Any problem of / / / Asthma etc.
My Father & One of My Uncle Suffering from Asthma. I also can't run due to breathing problem. But No Asthma.

Any treatment taken earlier, its duration and its outcome.

Allopathic treatment of Depression around 10 years back. Got Very Positive results. Treatment run around 6 Months.

FAMILY HISTORY


Any history of same suffering among Blood-related family members i.e. Parents Grandparents, Siblings, Aunts, Uncles and Cousins etc. from maternal or paternal side. Specify your relation with the person.

Any Family History of Diseases like :
(Diabetes Mellitus , Thyroid / , Kidney Failure, Stones)
NO

Arthritis like : (/ Osteo Arthritis / Rheumatoid Arthritis)
My Grand Mother & My Father has Gout Problem.

Tuberculosis : 2 of My Cousins had TB.

Hypertension : (Heart Problem / Angina / Coronary Artery Disease)
My Father has heart Blockage Problem & has Mild Heart Attack Few Years Back.
I also have Hypertension Sometimes.

Skin Disease : (i.e / / / Urticarea)
Suffered a lot from Urticaria in Teen Age.

Asthma/ Allergic / / NO

Anxiety Neurosis/ / Psychiatric & Mental Disorders / Schizophrenia , / Paralysis/ Stroke
Anxiety Some times When things goes wrong & I get Irritated easily.

Gonorrhoea /Syphillis or STD/ AIDS, Any Genetic problem, or any other Sickness not mentioned.
Can't Say.


PERSONAL HISTORY & GENRALITIES

( Kindly elaborate and mention habits, addictions like Alcohol, Smoking, etc.)
Allergies : (If any (Known or Unknown Allergens specially Any Drug / Food )

Tendencies : ( like Cold, Viral, Infections, Boils etc.) or any other


Smoking : (If Yes - How many and since when ?)

Drinking Alcohol : (If Yes - quantity, duration and frequency) ?
NO

Any Other Addictions ?
(Tobacco/ Paan Masala/ Drugs etc ?)
Pornography Only

Temperature : ( Normal/Subnormal/ Raised) ?
NO

Blood Pressure?
Systolic Around 130-140 & Diastolic from 90 to 98

SLEEP: Whether restless/ disturbed/ sound/ position during sleep ?
Cant's Awake Late Night, But When Woke Up in the Morning Feels Heaviness in Body.

DREAMS: (Whether regular / occasional. Type of Dreams – Pleasant/ Unpleasant/ Frightful/ Day to day affairs/ Animals/ Snakes/ Water / Journey/ Accidents / Death / Dead people/ Sexual – Wet dreams/ Past Events/ Loss or missing something Heights/ Failure / Night Mares etc
Too Many Dreams that are Irrelevant & Can't Remember.

Do you wake up because of dream / Are you able to sleep again easily afterwards / Do you have to make efforts to go to sleep again / Does the same dream continues again?
NO

Do you normally remember / forget the dream?
What is the effect of Dreams on you the following
Day?
Don't Remember

APETITE: Whether hunger is proper or not, any food substance allergic to or it suits or does not suit?
Appetite Normal. Sometimes get Diarrhea when Continuously take heavy foods, Like Wedding.


THIRST: How is your Thirst? Please mention the grade of thirst? If you are very thirsty, you may mention grades +, ++ or +++ (Quantity, frequency, liking for cold or normal, or thirstlessness ) ?
Thirst less, But Inspite of this Too much Urination.


DESIRE or CRAVINGS: (Mention grades of preference +, ++ or +++ For example if you like sweets, mention + or ++ or +++) Sweets, Salty, Sour, Fried, Spicy, Cold or Hot /, Tea, Coffee, Milk, Fruits, Eggs, Meat, Fish, Alcohol etc.)
Sweets++
Salt+
Fried++
Hot++
Cold+
Tea++
Meat++
Milk++

I Do Not Consume Alcohal.

Anything else Unusual like Mud, Chalk, Pencils etc, Does it cause any problem?
NO

AVERSION or DISLIKE to any like Sweets, Salty,
Sour, Fried, Cold or Hot, Bread, etc. or any thing in particular like Meat/ fish/ egg/ milk/ vegetables/ chocolates etc. Or anything else
Does Not Like much Cold Drink & Ice cream Etc.
Always Wants Sweet After Food.
3-4 Tea in a Day
Coffee not like much
Tandoori Naan+++
Milk++






URINE (frequency, character, color , pain /burning, involuntary urination, incontinence, any complaints before/during or after urination - Any Blood, Sediments etc ?
Urine Clear & Copious Have to go at least Twice at night.
4-5 times in a Day as well




STOOL: (frequency, Bowel movements, constipation, loose/hard, any complaints before/during or after stools. Any Mucus or Blood in stool. Any pain /burning while passing stool ?
Stool Daily & Normal on a fixed time When I am at Home But When I go Somewhere Else it unbalanced.
It takes at least 10-15 minutes for me to get fresh.



SWEATING - (More /Less / Normal. Summers/Winters .Any particular part. Where you sweat more , Odour or Smell of sweat does it stain the clothes )
Swaet Normal & yes it stains the Clothes.


Does your trouble tend to occur or become worse, periodically (e.g daily or alternate days, Weekly, Monthly, and Yearly, during New or Full Moon etc?)
Never Noticed


THERMAL REACTION: (Feel Heat / Cold more, Sensitivity/tolerance, any coldness of the Hands/Feet.)
Very Sensitive to Cold. In Winter I have to wear 2 Socks.


MENTAL STATE (The Mind)

(It’s very important to give as much details as possible in this section especially in chronic diseases ).
Do you like to be Alone or in Company ?

Any Fears or Phobias (of being alone/darkness/heights/death/ water/ falling/ghosts/ thunderstorms/ animals /thieves / robbers / sudden noises or any other things .) Specify

Fear Of Heights, Stage & failure.
Aversion to Strangers & Crowd
Lack of Confidence
Palpitation when Angry or Scared
Does not like Company
Aversion to Noises
Aversion to Physical Work




How is your temperament ? (Irritable/ Weep easily/ Sensitive/ get Angry soon / Depressed./Moderate/ Accommodating / Cool.)
I get Irritated/Angry very easily
& Get Depressed Also when things go Wrong.


If angry : (What brings the anger, and what do you do – Shout / Abuse / Violent / Don’t show and Suppress or something else - Specify )

Trifles to get Angry. I am a Fastidious Person I Don't like messy things, Gets irritated when I failed to do something & have to Explain something to someone 2-3 times.
No violent but some harsh speaking.
Some times have to suppress the Anger as well

Do you weep easily ? Yes /No
(Do you weep when alone or in front of others ?
How do you feel after weeping?)
NO



What is the effect of consolation on you ?
Can't Say

Do you share your feelings with others or keep inside you ?
I don't Share easily

How about taking Decisions – Indecisive / Take quick decisions and stick on them or Wavering ?
I take too much time to take any Decision. Doesn't satisfy easily

Jealous/ Suspicious/ Religious/ Superstitious, if yes, then of what and to what extent?
Sometime Feel Jealous, No Superstition.


How about keeping things Neat and Tidy /clean ? Any Fault finding in others ?
I am Fastidious


Do you worry a lot ? Yes / No
(Even for small things / or take things lightly )
Yes


Do you Brood over things ? Yes / No
(How does it affects you ?)
NO

Anxiety if any about (What / when/ what happens when you have anxiety/ does it associate with any physical problems.(Sweating/Trembling/Palpitation/ Breathlessness, Sinking etc. Pls.specify).

Trembling & Palpitation Occur


Do you get startled easily by sudden noises , telephone bells, banging of doors etc ?
Not Much

Are you very caring by nature or indifferent ? (Towards family members and friends etc.) ?
Indifferent

How do you feel when Contradicted ?
Get Angry/Irritated

Any Guilt or Regrets in life?
Only Guilt of Masturbation, Which I was Practicing from very early Age of 10-12 Years. It ruins me Mentally & Physically.

Do you Apologies or Not?
Yes

Any Negative or Suicidal thoughts? (Explain and if Yes , any such Attempt made.
SAo many Negative thought But Never for Suicide.

How Ambitious are you?
Not Much. I don't do much hard work. lazy.

Any Non fulfillment of ambition in life ?
NO

Do you like your work ? or don’t want to do it.
LAZY

What do you think about your disease?
Only, When not able to do anything due to that one.

Do you forgive easily? Keep the bad things done to you in mind and plan to give it back when time comes Revengeful/ Coward/ Brood.
I don't forget easily, keep in mind also but hardly took revenge.
Coward also, Do not have courage to do anything new or go against the crowd

Any Complex about yourself ?
NO, But have lack of Confidence.

Do you hurry for everything and become Impatient?
YES++++

Do you Postpone the things or become worried with Anticipation ?
Worried with Anticipation

How do you rate yourself ? ( Self Esteem, Haughty, Shy, Rational, Egoistic, Sympathetic, Conscientious, Emotional, Strong Headed, Calculative, Impulsive etc.)
Self Esteem+++
Haughty+++
Shy++
Rational- NO
Egoistic++
Sympathetic+++
Conscientious+++
Emotional++
Strong Headed+++
Calculative+
Impulsive++


What according to you others think of you ?

Unsocial, Honest


What makes you feel Happy ?
Listening to Songs, Seeing Children happy & Gossiping with Family & Freinds

What makes you feel Sad ?

Get Depressed when thing goes wrong at home or Office.

Please mention any Incidence, Mishap , Loss, Betrayal , Death, Disappointment , Love, Insult, Failure, Depression etc. which has any impact or relation to your present problem either has affected you deeply or otherwise also.
NO


SEXUAL HISTORY

Any history of Venereal Diseases (e.g – Gonorrhoea , Syphllis, , AIDS.)

Few Years back i had Plastic like wrapping on my Penis Area. I don't know what was that?

Sexual Behaviour : (Single / Multiple Partners; Bi Sexual ; Homosexual ; Gays; Indulgence ; frequency ; Masturbation etc.)
Started Masturbation from Very Early Age. Around 10 years done Frequently & got the health Damaged. Later Not so frequently but could not Stopped.
Even After Marriage I do sometimes.


Any Problem like: (Impotency; Pains; Erectile Dysfunctions ; Premature Ejeculations Partial or Complete loss of interest in sexual activities Specify if any other problem ?)

Premature Ejaculation, lasts only 1-2 minutes
erection not so Good, but Average
Interest lost sometimes due to Body feels tired & don't want to move even for Sex.



Desire / Dislike/ Hate to Inter Course / How does Sexual activities affect you ?

Do it around twice in a week. Scared of PE.


Any persitent sexual thaughts / dreams / fanatsises.
I do watch Porn even Now. It's Irresistible Desire, Can't Control Myself. Though do not masturbate.


Gynecological History for Women
Any Sexual disturbance?
N/A

Menses
Menarche (At what Age did the 1st Menses appear)?
N/A

: Age when menses stopped. Any complaints/symptoms associated with it.
N/A

Date of Last Menstrual Period?
N/A

Menses : (Regular / Irregular /Early /Late /Painful Non
Painful?)
N/A

Duration of cycle: (After how many days you get your periods.)
N/A

Duration of flow: (For how many days the Bleeding remains).
N/A

Character of flow :
(Thin/Fresh/Clotted/ Intermittent/ Dark/ Bright Red/ Black/ Stringy / Irritating )

Amount of flow : Scanty/Less / More /Profuse

Odour : Offensive/ Strong Smelly/ Normal

If Painful Menses: (location and character, Is it Continuous or Spasmodic?) Breast pain or hardness of the breast.

When does it start, any relation of pain with flow of blood. How does the pain Increases or Decreases?

Any other symptom associated (e.g. Headache, Backache, Vomiting, Vertigo, and Faintness etc.
Vaginal Itching).

/ Watery Discharge: (Thin / Thick/ Stringy; Scanty / Moderate / Profuse; Irritating / Burning /Bland; Color – White/ Transparent / Milky/ Yellow/ Bloody etc. Smell – Offensive / Non Offensive; Staining / Non Staining.

Intermenstrual Bleeding : (Yes / No)

Any PMT: (Pre Menstrual tension)? Do you have any complaints associated with, before, or after menses? e.g. Moods Swing , Headache, irritability Anger Weeping Depression Diarrhea or Constipation

Any change in your skin around menses?

Contraceptive History: - Oral Pills/ IUCDs/ Tubectomy & the effects thereafter


OBSTETRICAL HISTORY: (Mothers - Pregnancy, Deliveries & Child bearing)
How many times have you been pregnant?

How many Children do you have and their age?

Year of Ist and Last Delivery & state whether Normal, Forceps or Ceasarian?

Labor Pains : Normal/ Induced/ Short/ Prolonged

Any ailment during pregnancy: (e.g. Blood Pressure, Vomiting, Fever, Diabetes etc. & Treatment taken during Pregnancy).

Any Complaint After Delivery: - Fever, Thyroids, Convulsions etc. Lactation ( Milk Feeding)

Abortion if any (specify the cause) - MTP/ Threatened/ Miscarriage. In which month of pregnancy?

Effects after abortion: Irregular Periods/excessive Bleeding/Menses Stopped/Pains etc.


CHILDHOOD HISTORY( Must for a CHILD patient )
Type of Delivery: (Normal / Forceps / Ceasarian/ Congenital Abnormality /Any other Complication.)

Mother’s Antenatal History
Physical Health

Emotional Aspect


Immediate Post Natal Period: (Cry / Jaundice / Convulsions / Any Resuscitation measure)

Breast Feeding up to the age

Artificial /Bottle Feeding upto the age


Mile stones of Development ( mention the age of starting )
Teething

Speech

Walking

Immunisation / Vaccinations History : (Complete /Partial /No vaccination at all. Any reaction or effect after the Vaccination).

, DPT, MMR, Chicken Pox, Hepatitis, Meningitis , Typhoid , Boosters, Any Other

Any history of eating of Mud / Chalk/ Pencils / Paper / Clothes etc.

Any history of Worms ?

History of : Thumb Sucking, Nail Biting

History of Temper : Tantrums , Any Behavioral problems



GENERAL PHYSICAL APPEARANCE
Built (Strong, Thin, Stout, , Average).
Average but fat in Stomach & Hands & Legs Thin

Nutrition: (Well nourished, Undernourished or over nourished)
May be Under

Height and Weight:
5'4" & 68 Kg

Swelling or Growth/ Tumor – If any ?
Having So many Small Fatty Lumps all over the body

Skin: (Dry/Rough/Smooth/Oily/Greasy/Pigmentation)
Normal

Hair: (Texture etc.)
Thin, Premature Grey in early age & Now receding

Nails: Normal

Teeth: Normal

Fever: (If have fever, when, any periodicity, particular time, duration of fever, if feel chilly/ hot/ sweat/ duration of each phase; any time modality, thirst, tongue, headaches, nausea, vomiting, thirst, appetite, body aches, restlessness if any.)
Not Remember

Yes, I have taken Nux Vomica 4-5 Days Back. Joints Pain Relief to the certain extent. Rest Things are same, means no effect at all.
I have Problem in Right Leg hollow of Knee.
When I Walk brisk or more than 1/2 K.M. it starts Pain Right Side in Hollow of Right Knee in Approx 10-12 C.M. Area. Like some veins getting shrink. It Disappear after 10-15 minutes of Rest.
I got the Test done of Uric Acid & RA Factor. Both are Normal. (Within Limit)

yes, Of course. How to take?

Hi Doctor,
Lyco 30 taken 10 days back, No changes found so far.

Sorry to forgot to mentioned that My Joints Pain Already cured before the medicine taken. Only Right Knee is effected When Walk too Long.
I want medicine for the following Conditions.

1- Premature Ejucaltion
2- Forgetfulness
3- Palpitation
4- Lack of Confidence
5- Cannot Run due to Short of Breath
6- Hairfall
7- Eye Sight Getting Weaker Every Year
(I have been Using Spects from the past 20 Odd Years & till
2017 Eyesight did not changed bur from the last 5-6 years
getting Weaker)
8- Discharge from Left year (Since 15 Years)

All the above Conditions are Chronic

Hi Doctor,
How long Acid Phos to be taken?
Also I have started Urticaria since yesterday Evening. Its been my Problem since teen Age.
Now Not much, 1 on right Eyelid & few on Buttocks & Thighs with slight Itching.
2nd Dose of Lyco Taken yesterday Morning.

Hi Doctor,
I have got stiffness in may both calves Now. It feels hard while sitting on knees. Feels Pain also in middle of calf when pressing by thumb.
Rest NO Change.

Sir,
No Change Felt So Far.

Hi Doctor,
Still the condition is Same.