THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[20-06-2025 16.14] PPM 1: Complains of frequent stools.
Checked his stools just now passed here in the ward
Appears absolutely normal.
[20-06-2025 17:17] PPM 1: Echo video:
[20-06-2025 20:28] PA: Good evening sir.🙏🏻
Sir, patient is getting unbearable pain so kindly suggest any medicine sir.
[20-06-2025 20:58] PPM 1: We don't name the patient to protect his privacy.
Can you please share the details of his pain?
Where is the location of his pain?
[20-06-2025 21:13] PA: Due to this only he is getting pain sir..
[20-06-2025 21:43] PPM 1: He is having pain in that area?
Can you please share the surgeon's advice as he may have noted in the prescription slip today?
[20-06-2025 21:44] PPM 1: @PPM3 what would be the LLM inputs on this pain due to rectal prolapse?
[20-06-2025 21:45] PPM 1: Since when is he having this pain?
[20-06-2025 21:55] PPM 3: When describing *pain due to rectal prolapse* for an LLM (or medical consultation), the inputs should include *specific details* to help contextualize the severity, triggers, and impact. Here’s a structured approach:
### Key Inputs for Describing Pain:
1. *Location & Sensation*:
- Where? "Rectal/anal pain, feeling of fullness or protrusion."
- Quality? "Sharp, burning, aching, or throbbing pain."
2. *Severity*:
- Scale (1-10): e.g., "7/10 at worst, 3/10 at rest."
- Impact: "Unable to sit/walk during episodes."
3. *Triggers & Timing*:
- When? "During bowel movements, standing, coughing, or lifting."
- Duration? "Pain lasts minutes/hours after prolapse reduces."
4. *Associated Symptoms*:
- Visible protrusion, bleeding, mucus discharge.
- Incontinence, constipation, or straining.
- Sensation of "something coming out."
5. *Relief/Aggravating Factors*:
- "Better when lying down, worse when standing."
- "Manual reduction (pushing prolapse back) relieves pain."
6. *Medical Context*:
- History of pelvic surgery, chronic constipation, childbirth, or age.
- Previous diagnoses (e.g., hemorrhoids, pelvic floor dysfunction).
---
### Example LLM Input Prompt:
> "I have recurrent rectal prolapse, causing intense rectal pain (8/10) during bowel movements. It feels like a deep ache with a burning sensation afterward. The pain eases if I lie down and manually push the tissue back in. Associated with bright red bleeding and mucus. History of chronic constipation and 2 vaginal deliveries. What could worsen this? When is surgery urgent?"
---
### Important Notes:
- *LLMs are not substitutes for medical professionals. This information should prompt **immediate consultation with a gastroenterologist or colorectal surgeon*.
- *Red flags*: Severe pain, inability to reduce prolapse, dark/black stools (indicating ischemia or necrosis), or fever.
If experiencing symptoms, seek urgent care. Rectal prolapse often requires surgical intervention for long-term relief. 🏥
[20-06-2025 22:01] PA: This is what he wrote sir🙏🏻
[20-06-2025 22:06] PPM 1: Was this medicine applied?
Since when is he having this pain?
If it's since today evening then he needs to see a surgeon again right now
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