long time trigeminal neuralgia

Patient ID: Gloria Sex: Female Age: 60

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?
Unbearable pain on the right side of her head. The most striking pain is in the right temple and the right cheek, including the right side of her lips. She feels pain sometimes on the frontal right side of the head. The pain feels like a sort of stabbing. She also feels exahusted after doing physical activity (for example walking) for more than half an hour.


2. What other physical sufferings do you have in your body?


3. What mental sufferings / feelings do you have associated with your physical sufferings?
Since the pain became stronger, she feels more nervous about everything and more concerned about problems.

4. What exactly do you feel when you are at your worst?
She feels like someone is stabbing her right side of the face several times.


5. When did it all start? Can you connect it to any past event or disease?
The pain started exactly 14 years ago, and the medical doctor diagnosed trigeminal neuralgia as part of a multiple sclerosis.

At the beginning, she felt the pain very seldom, once in a while. As the time went on, the frequency and intensity of the pain attacks on her right cheek have incresead. Right now the pains have extended to the right temple and the right side of her forehead.


6. Which time of the day you are worst?
During the morning, up until noon.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Surprise situations, feel frightened by someone or something (noise, suddenly showing up).


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
She have reached menopause a year and a half ago. But the before menopause, her period did not have any effect on the pain.


9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Warmer is better.


10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

Quiet in general, but since a fallling two years ago she feels more nervous in general, afraid of feeling more pain, afraid of falling down and in general more afraid. She thinks the pain has increase her nervous side.

- How do you feel before or during a thunderstorm?

- Do you like being consoled during your tough times? Not really.

- Are you sensitive to external stimuli like smell, noise, light etc? More sensitive to noise due to the pain.

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Due to the pain, I decided to hold my head with both hands, pushing a little bit in order to feel some relief.

- How do you feel about your friends, family, your children and especially your husband / wife?
She is very glad of having her boys and her husband has been a great support during her life.


11. What are your fears and do you dream of any situation repeatedly?
She does not remember most of her dreams.

12. What do you crave for in food items and what are your aversions?
No aversions.

13. How is your thirst: Less, Normal or Excessive?
Excessive thirst.

14. How if your hunger: Less, Normal or Excessive?
Between less and normal.

15. Is there any kind of food which your body can’t stand?
Spicy food.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Less sweat. Sweat more on the trunk.

17. How is your bowel movement and stool type?
Her bowel movement is regular due to the daily consumption of pitaya and papaya. Otherwise she has a tendency to be constipated.

18. How well do you sleep? Do you have a particular posture of sleeping?
Diffuculty on falling asleep because of the pain after 2a.m. She sleeps on her left side due to a


19. Do you think you are able to satisfy your sexual desires in general?
Yes.

20. How do you think you are different from others, if at all?
She thinks is not a healthy person in difference to others.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?


22. What major diseases are running in your family?
Her father had Dermatomyositis and Lupus. Her mother had allergic rhinits and sinusitis.

23. Describe, how do you look like? Describe your overall appearance
She is 1.6m tall, black hair, brunnette, a bit chubby.

Hello kadwa,
We just started the treatment that you suggested, from last thursday 21st of January. During day one (arsenic alb) she felt some pain relief. Now we are going through the rest and we will report in about two weeks.

Hi kadwa,
we just followed the indications and my mom has felt a bit better. Basically, the pain decreased a tiny bit, but that tiny bit is very good at this point. About her energy levels, she feels with a bit more energy , so she wants to do more things , because before she just wanted to lay on bed all day.

I'm glad about this improvement and I would like to know what is the next step.

Cheers,