walk problem ,Hidradenitis Supprativa , Indigestion

Dear Doctors,

I would be grateful if someone could advise me.

Patient ID: Sex: Age: Male, 40 years old.

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

1. Describe your main suffering?
Ans: I got two time’s severe attack of Facial palsy on both left and right side within 3 years duration.
I am feeling severe pain starting from left calf to thighs till bottom since two years and couldn’t be able to even walk. Especially when I sit at somewhere and try to stand up, could not be able to movement at least 5 to 7 minutes.
Nowadays I am feeling severe pain in full right leg too since one and half month. Now it’s too hard to even walk for me.
When I try to sleep, I feel much pain whether folding my legs or keeping legs straight.
After the 5 to 7 minute walk, 60% recovered.
I am also feeling disturbance in knees (Bumping) when to walk.
My blood pressure often is at high from previous 3 years.
60 percent left side facial palsy and 90 percent right side has been recovered.
I also have Hidradenitis Supprativa (in arm and legs Joints) disease but I got it since 4 years. (Produced much smell + too much watery matter + explode within 5 to 10 days)
I do too much smoking. (25 to 30 cigrates daily)
I also have an Indigestion problem, Alopecia Areata, Bald Patches (7 to 8 years ago) but had been recovered within 2 years.

2. What other physical sufferings do you have in your body?

Ans : Heavy black circles around eyes since childhood.
3. What mental sufferings / feelings do you have associated with your physical sufferings?
Ans: I often sleep late at night, too much annoyed and sometimes depressed.
4. What exactly do you feel when you are at your worst?
Ans: I do smoking for the change in feeling.

5. When did it all start? Can you connect it to any past event or disease?
Ans: Almost 3 years ago after the first attack of facial palsy and I had to take steroid medicines for the recovery.

6. Which time of the day you are worst?
Ans: Whenever I stand up after sitting at somewhere.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Ans: Nothing

8. Do you think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

Ans: No.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Ans: Feel better from hot weather.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable,
Ans:
Agreeable Changeable (give advices to others)
Sometimes unpredictable.

11 - How do you feel before or during a thunderstorm?
Ans: Normal feeling.

12- Do you like being consoled during your tough times?
Ans: Yes

13- Are you sensitive to external stimuli like smell, noise, light etc?
Ans: No.
14- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Ans:

No, I usually talk to others.

15 - How do you feel about your friends, family, your children and especially your husband / wife?
Ans: I want that everyone would accept my saying because I am doing well for them.

11. What are your fears and do you dream of any situation repeatedly?
Ans: No fear at all.

12. What do you crave for in food items and what are your aversions?
Ans:
cravings : Mutton, chicken , beef
Aversion: Nothing.

13. How is your thirst: Less, Normal or Excessive?
Ans: Less thirt.

14. How if your hunger: Less, Normal or Excessive?
Ans: Less.

15. Is there any kind of food which your body can’t stand?
Ans: Nothing.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Ans: Less in all body started from face.

17. How is your bowel movement and stool type?
Ans: Don’t know.

18. How well do you sleep? Do you have a particular posture of sleeping?
Ans: Sleep one side by keeping arm under head.


19. Do you think you are able to satisfy your sexual desires in general?

Ans: Sometimes less and sometimes normal. Often feel weakness these days.

20. How do you think you are different from others, if at all?
Ans: I think by living, speaking, knowledge and behavior.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
Ans:
Old medicine which I have been taken:
Methycobal, relarim, deltacortil, rabetec
Sofvasc 5 mg, xika rapid 8mg, movax 2mg, esso 20 mg, poly fax eye omitment, beridvx, zeco, natural eye drop,
Current Medicine which I am taking:
Sofvasc 5mg, Movax 2mg, laprazole 30mg, rotec, theragran H

By taking blood pressure medicines, feel a bit relieved from Hidradenitis Supprativa disease.

22. What major diseases are running in your family?
Ans:
Father: Blood pressure, heart patient (Died), sugar.
Mother: 3 time facial palsy and was mentally sick (was feeling fear from everything but now she is fully recovered 4 to 5 years ago).

23. Describe, how do you look like? Describe your overall appearance
Ans:
6ft tall, weigh 80Kg, normal physic, heavy black circles around eyes.

24. (ONLY FOR FEMALES)

Please answer the following questions:
(Please give details of your past menstruation if you have attained menopause.)
- Are the periods early, regular or late in general? How long do they last?
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow?