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¶ … 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...
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.
She often has had severe sharp pain around the CV-10 area. Whenever she experiences pain on the abdomen, she takes famotidine, which she reports does help soothe the abdominal pain. She has a history of a duodenal ulcer and has taken the medication since 2009.The patient states that if she skips a bowel movement for a day or two, she strains to move her bowels just as she might in childbirth. The patient stated that sometimes there is fresh red blood with her bowel movement. She can also feel the external hemorrhoid tissue become swollen, painful, and burn, all of which, makes it difficult…
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.
She often has had severe sharp pain around the CV-10 area. Whenever she experiences pain on the abdomen, she takes famotidine, which she reports does help soothe the abdominal pain. She has a history of a duodenal ulcer and has taken the medication since 2009.The patient states that if she skips a bowel movement for a day or two, she strains to move her bowels just as she might in childbirth. The patient stated that sometimes there is fresh red blood with her bowel movement. She can also feel the external hemorrhoid tissue become swollen, painful, and burn, all of which, makes it difficult for her to sit correctly. When she has to stand or sit for a long time, the patient reported that the hemorrhoid tissue becomes more irritated
Nursing 201 Nursing Process PaperClient ProfileThe patient is a white 80year old whose religion is unknown and was admitted on February 2, 2022, for a UTI infection. Care for the patient began on the day of admission. He is a father of three and a grandfather of five, living with his spouse. The social-economic status of the patient is low to middle class had a career as a factory worker.