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DIAGNOSIS CHECKLIST
for Pain
Questions Your Doctor May Ask - and Why!
During a consultation, your doctor will use various techniques in his assesment of the symptom: Pain. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.
Some of the questions your doctor may ask are listed below:
- Where exactly is the pain, and can you point with one finger where the pain is the worse?
Why: to determine the site of the pain.
- When did the pain start?
- Did the pain start gradually or suddenly?
- Can you give the pain a severity rating from 1-10, with 1 being very mild and 10 being the worst pain you could imagine?
- How would you describe the nature of your pain?
Why: e.g. aching, stabbing, burning, throbbing, constricting, gripping and cramp-like.
- Does the pain radiate to any other site?
Why: e.g. a person with a peptic ulcer will have a persistent pain under the ribs in the midline but sometime the pain will radiate through the abdomen to the back; a person with angina or a heart attack will have a central crushing chest pain but sometimes the pain will radiate to the left side of the neck, jaw and left arm.
- What is the progression of the pain?
Why: e.g. begins at it's maximal intensity and remains at this level until it goes; increases gradually until it reaches a peak; begins at its peak and gradually declines; severity of the pain may fluctuate.
- How did the pain end?
Why: e.g. gradually or suddenly.
- How long did the pain last?
- Have you found anything that makes the pain better?
Why: e.g. a certain position, movement, hot water bottle, food, medication.
- Does anything make the pain worse?
Why: e.g. certain gut pains may be made worse by eating certain foods; muscle or joint pain may be made worse by joint movement, muscle exercise or posture.
- Past medical history?
Why: e.g. tuberculosis, diabetes, rheumatic fever, asthma, bleeding tendencies, tropical diseases, heart attack, stroke, sexually transmitted diseases.
- Past surgical history?
Why: e.g. previous abdominal or pelvic surgery increases the risk of pelvic adhesions which may cause painful periods, pelvic pain, infertility and intestinal pain.
- Medications?
- Ciagarette smoking?
- Alcohol history?
- Family history?
Why: e.g. asthma, heart attacks, stokes, diabetes, endometriosis, high cholesterol.
- Occupational history?
- Travel history?
Questions your doctor may ask about related symptoms:
Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:
- Nausea or vomiting?
Why: If yes, nature and volume of the vomit and if it contains any blood?
- Change in appetite?
- Weight change?
- Difficulty in swallowing (dysphagia)?
- Diarrhea?
- Constipation?
- Bloody stool?
- Jaundice (yellowing of the skin and sclera of the eyes)?
- Cough?
- Sputum?
Why: If yes, the amount, color, smell and presence of blood?
- Shortness of breath?
- Palpitations?
- Dizziness?
- Ankle swelling?
- Frequency of urine?
- Blood in the urine?
- Visual disturbance?
- Menstrual irregularities?
- Seizures?
- Facial weakness?
- Weakness of the arms or legs?
- Joint swelling?
- Limitation of the movement of the joints?
» Next page: Types of Pain
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- Types of Pain
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