FEBRUARY 09, 2023
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
The previous link of the below case report. 👆
49 yrs old female w/c/o whole abdomen burning sensation.
PATIENT HISTORY: Patient is a 49 yrs old female, homemaker.
Since childhood patient c/o constipation (passing normal stool after 2-3 days). With Ayurvedic syrup there was relief.
In the year 2003, patient c/o of her whole body edematous, pitting edema noted, acute insomnia, malaise. Doctor found her TSH level high and diagnosed her with Hypothyroidism. Took medication and follow-up reports showed TSH normal. At that time, weight was 75 kgs (now 62 kgs).
In 2008, she c/o insomnia, a burning sensation in the sole of her feet, along with gastric problems (whole abdomen burning sensation, bloated abdomen, incomplete defecation), and itchiness in the vagina. Her PP was 300 and Doctor made a diagnosis of DM. On medication for the same.
In 2015, when in Hyderabad for her husband's checkup, she was diagnosed with fatty liver.
In 2017, during routine checkup, her cholesterol lvl was high. Under control with medication.
For the past few months the burning sensation in whole abdomen has increased in frequency. It happens more when she is hungry, or when she eats spicy foods. 6-7 hrs later, after defecation she feels relieved. She reported the stool is mucus laden.
For the past 2-3 yrs, she is taking medication for gastric issues.
1-1.5 yrs ago, she c/o severe headache in the temple region almost all day (?migraine), intensifying with notice, bright light, movement. Relieved with rest. After taking medication for 6 months, her symptoms reduced a lot.
For the past few months, she c/o localized pain in left side of lower abdomen, which lasts for few mins and goes away on its own.
Pt is diabetic since 2012, under control with medication.
ADDICTION: Eats paan 1-2/day, started 6 months ago (peer pressure)
