How pain patients present their condition at the doctor’s office

The first thing to do is to establish your chief complaint, which is the symptom that you are having the most difficulty with and how long it has lasted, for example, low back pain and morning stiffness that has been recurring for 3 months. This will enable the doctor to quickly grasp the main conflict, and to solve the most difficult symptoms for you to speculate on the condition. Then you have to tell the doctor the nature of the pain, such as swelling, stabbing pain, cold pain, burning pain, soreness, colic, hidden pain, wandering pain, to help identify the cause of the pain, and to inform the accompanying factors, after what treatment, the effect of the treatment, to grasp these, the doctor has to begin to make judgments from the clues in the narrative. For example, there are many causes of abdominal pain, the first thing you want to know as a doctor is the nature of the abdominal pain, colic, dull pain, distension? What is the pattern of abdominal pain: does it occur when you are hungry? Occurring after meals? How does the pain relate to bowel movements? Relationship of the pain to mood and stress? Nature of stools? Does it interfere with diet? Any change in weight, etc.? During the communication with you, the doctor keeps doing multiple choice questions, hoping to find the basis for the options. Through examination, including physical diagnosis, such as stethoscopes, your own sight, touch, percussion and hearing, especially looking for different obvious and hidden pressure points, and sometimes auxiliary tests, including various blood tests, X-rays, CTs and other methods, to verify your own judgment, and to give you an idea of the diagnosis of the disease. After that, we will choose the appropriate treatment plan according to the specific state of the patient. Physicians will judge your condition according to the nature of your pain: 1, distension: chronic distension is heavy, pain is relatively light, is the soft tissue scarring adhesion compression of the veins and lymph, caused by the obstruction of the return of blood flow. Acute distension is bleeding ooze gradually increased, filling the tissue space. 2, soreness: chronic injury local blood circulation obstacles, metabolites can not be timely exclusion, stimulation of sensory nerve endings and muscles in the ischemic state due to continued activity. 3, numbness and pain: pain and numbness, is the cause of injury and gas deficiency. 4, itchy pain: pain and itch, is the injury and wind caused by the evil. 5, cut-like pain: transverse fracture of tissue fibers or longitudinal tearing pain characteristics. 6, throbbing pain: hematoma is located near the artery or soft tissue lesions near the artery occurs, mostly in the end of the limb. If there is heat, redness, burning, swelling is mostly stasis and fever, should be treated as inflammation. 7, dull pain: old injury and dampness, there is both heavy and painful sensation. 8.Sleepy pain: pain and suppression, want to move not to be called sleepy pain. It is caused by cold and dampness in old injuries. 9, pressure pain: often coincides with the more superficial fasciitis or deep injury site. Most of the pressure and pain points are accompanied by different degrees and traits of soft tissue abnormalities, and these parts are the main treatment points for the choice of treatment. 10, pulling pain: an organ has a lesion, often in the body surface of a specific part of the pain; crest, scapula and other lesions caused by specific parts of the pain. The purpose of your visit is to let the doctor understand your main condition, which requires a certain time sequence for. So that the doctor has the ability to determine what is the main complaint, in order to more accurately determine the condition, you do not want to go around in circles on the narrative. In order to avoid delay, at the same time there are many unknown areas of medicine, need patience, some diseases due to the theory, technology, experience and conditions of the limitations, it may be difficult to diagnose and deal with your ailments, but also need to get your understanding.