Physical Examination Notes of Patient With Symptoms of Hemorrhoids

¶ … Physical Examination of Patient with Hemorrhoids

History of Present Illness: The patient states that she has been suffering from hemorrhoids for more than 10 years. But recently she had more severe pain and bleeding than usual after a bowel movement.

Medical History:

The patient stated that she experienced discomfort from the hemorrhoid on and off for years, roughly 10 years ago, the symptoms became more severe after the birth of her child birth. Since the patient experiences constipation, she suffers pain every time she has a bowel movement. She has been using a hemorrhoid ointment and a topical wipe pad for her hemorrhoid.

Cold-dampness stagnation due to spleen qi deficiency

The patent stated that she experiences difficulty digesting greasy, fried foods. In addition, she continuously craves fried food and sweets such as chocolate and candy bars. Eating in response to these cravings caused the patient to gain 40 pounds over the course of one year during her puberty. These eating habits decreased the circulation in her digestive system and developed a deficiency of spleen function.

The patient stated that she suffered from hemorrhoids since she was 22 years old. When she first began having symptoms, the hemorrhoid would come out after a bowel movement. Over time, however, the hemorrhoid would come out again, causing symptoms of stinging pain and swelling. These symptoms occur most frequently when the patient has to stand for a long period in a cold environment or when she feels tired. The patent stated that since she was little, she used to delay the urge to empty her bowels when she was outside of her home. In addition, she tends to sit and read for a prolonged time on the toilet. These habits seem to have made the symptoms worse.

2. The blood stasis due to spleen qi deficiency.