Himaja

  38 years old female housewife resident of coochbihar Complains of both leg pain since one year Born in Meghalaya in 1983 by normal delivery. Milestones achieved normal. Education - 10th standard Patient was apparently asymptomatic until 20 years ago She complains of headache at parietal region throbbing pain insidious onset radiating to neck and hands accompanied with tingling sensation. Photophobia and phonophobia present along with lacrimation of eyes. Anger outburst at that time. No complains of nausea or vomitings, headache during sleep, diplopia . Aggreviated in summers relives on taking medication saradon. 18 years ago she had closure of ear piercings and pain on forcefully wearing ear rings. Complains of pain in right calf since 15 years after strenuous exercise relives automatically. Did not affect her daily routine activities. Pain aggreviates in cold condition and relives after applying Ayurvedic oil locally  Complains of elbow joint pains, shoulder joint, knee joint, heel

  NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.  DIAGNOSIS : ACUTE GASTRITIS WITH LOWER ESOPHAGEAL SPHINCTER  49 year old female born by natural delivery on 05-06-1973. Born and bought up in coochbihar North Bengal. Milestones achieved normal. Childhood was pleasant. Went to school by walk 1.5kms near to home. Comes back home and played games like coco, jumping,running, finishes homework and goes to bed. She lives with her family - 9 siblings,parents and grandparents all live together  At age 11 she lost her father due to heart stroke secondary to hypertension. She is very close to her younger brother during her childhood but the same relationship w