52 yrs old female w/c/o recurrent ulcers, pain on rt knee and hip
PATIENT HISTORY: Pt is a 52 yrs old female, working as a school teacher. BIOLOGICAL COMPONENT: Since childhood, the patient suffers from constipation (2-3days later incomplete defecation, hard stool) At the age of 19, she c/o heavy bleeding while passing stool followed by splinter hemorrhagic pain 1-2 hrs after defecation of hard stool which made it impossible to sit also. The doctor prescribed medications that stopped the bleeding. Now, no more bleeding, only when suffering from constipation c/o pain while defecating. In 1999, she started c/o a continuous whole right side pain (from head to toe) which would intensify on working and at night while going to sleep(the pain would be so severe that she could not fall asleep also sometimes). After suffering for a few months and taking medicines from a local Doctor slight relief. She went to Vellore to seek further advice where Doctor said the pain was due to some minor neuropathic problem. Medications were prescribed taking which would