How to describe the pain clearly?

Describe the pain clearly to the doctor? First, six key words to describe pain before seeing a doctor, where the pain is the location of the pain, 2. Where is the pain most obvious? 3. Is it accompanied by pain in other parts? Some pain is implicated, how pain is the nature of pain. The degree of pain is how painful it is. When the pain is the attack rule of the pain. 1. Is it persistent pain, paroxysmal pain or intermittent pain? Pain during fasting / pain after meal, 1. When did you first experience this kind of pain? two。 How long did the pain attack last? That is, the accompanying symptoms of pain. "when the pain breaks out. Whether it is accompanied by numbness, local swelling, fever, weakness and other discomfort, when you feel pain, 2. Taking painkillers for pain that has been identified as the cause. The first echelon painkillers are for most mild pain. Such as headache, joint pain, toothache, dysmenorrhea and so on can be effectively relieved, if the symptoms can not be alleviated or even aggravated, including cold compress, hot compress is convenient and easy to operate.

When people are sick, pain is the most direct and real feeling. The incidence of chronic pain in China is as high as 35% to 40%. When pain comes to the door, it is one of the most effective ways to ask a doctor for help.

But there are thousands of kinds of pain in the human body, some like knife cutting, some like acupuncture; some have regular attacks, and some have no trace. How to describe the pain clearly to the doctor in a short interview time?

I. six key words to describe pain

Having a certain understanding of your pain before seeing a doctor can help you communicate better with your doctor.

Key word one: where does it hurt?

That is, the location of pain, there are several problems that need to be clarified:

1. Where do you feel pain?

two。 Where is the pain most obvious?

3. Is it accompanied by pain in other parts?

4. Is the pain site wavering?

For example, if you have a stomachache, you should make it clear where the stomach hurts, or point it directly to the doctor. It should be noted that some pain is implicated, such as myocardial infarction attack, in addition to chest pain, armpit, left shoulder and neck also often appear discomfort.

Key word 2: how does it hurt?

The nature of the pain. It can be described by analogy, such as needling, knife cutting, electric shock, burning, contraction, sore feeling, jumping pain, stuffy pain and so on.

Key word number three: how much pain

That is, the degree of pain. Pain is classified as 0-10 by numerical scoring, which is generally distinguished by whether it affects sleep or not.

Mild (level 0,3): although there is pain, it is bearable, can live a normal life, and sleep is not disturbed.

Moderate (grade 4-6): obvious pain, unbearable, shallow sleep, easy to wake up, need to take painkillers.

Severe (7-10): severe pain, unbearable, sleep is seriously disturbed, may be accompanied by insomnia.

Key word 4: when does it hurt?

That is, the pattern of pain attacks. The answers to the following questions can be described:

1. Is it persistent pain, paroxysmal pain or intermittent pain?

two。 If it is intermittent pain, how often does it occur?

3. When do you feel the most pain in a day?

For example, daytime pain / night pain, fasting pain / post-meal pain, activity pain / rest pain, like pressing / refusing to press, cold / heat, etc., all these can help doctors to judge the condition.

Key word 5: how long is the pain?

That is, the duration of pain. There are two time points that need to be identified:

1. When did you first experience this kind of pain?

two。 How long did the pain attack last?

According to the duration, pain can be divided into acute pain and chronic pain.

Key word 6: "additional pain"

The concomitant symptoms of pain. Pain attack, whether accompanied by numbness, local swelling, fever, weakness and other discomfort. For example, pain combined with numbness often suggests the possibility of nerve compression.

Second, the pain relief advice that the doctor wants to give you

1. Find out the cause of the pain

Whenever you feel pain, determining the cause should be the first step. Should promptly turn to the pain department, rehabilitation department or other relevant departments, rather than blindly taking painkillers, so as not to cover up the original disease.

two。 Take painkillers

For pain that has a clear cause, painkillers can be used appropriately.

First-tier painkillers can effectively relieve most mild pain, such as headache, joint pain, toothache, dysmenorrhea and so on. Among them, children can choose painkillers containing ibuprofen and acetaminophen and avoid using other categories as far as possible.

It should be noted that after using painkillers for 3 to 5 days, if the symptoms cannot be relieved or even aggravated, they should see a doctor in time. Children had better take medicine under the guidance of a doctor, and prescription painkillers should be used in strict accordance with the doctor's advice.

3. Physical analgesia

Including cold compress, hot compress, electrotherapy, massage and so on, among which cold compress and hot compress are convenient and easy to operate, and ordinary people can do it at home.

4. Avoid strain

Among all kinds of pain, pain due to joint injury is the most common, and these people can pay attention to the following details:

(1) for people with knee joint and shoulder pain, pay attention to lighten the burden, use shopping carts instead of shopping bags when shopping, avoid lifting heavy items, etc.

(2) pay attention to keep the joints warm, reduce the hair dryer, do not sit in front of the air conditioner tuyere, put on a shawl in winter, etc.

(3) maintain good posture, such as avoiding shrugging when operating the computer, so that the angle between the calf and the thigh is not less than 90 degrees.

(4) patients with low back pain should avoid sitting for a long time and get up and exercise every 30 to 40 minutes, even if they can get a glass of water.

5. Rehabilitation training

A lot of pain is caused by bad habits and needs to be combined with various exercises and muscle stretching. By balancing muscle strength, to relieve the corresponding joint pressure. For people with poor knee joints, doctors often recommend strengthening the quadriceps femoris.

6. Emotional management

For patients with chronic pain, it is a good choice to find an emotional outlet in time, such as listening to music, reading books, doing yoga and so on.

(experts interviewed in this article: Yue Jianning, Deputy Chief physician, Department of pain, Xuanwu Hospital, Capital Medical University; Wang Hailian, Deputy Director, Department of Pharmacy, Xuanwu Hospital, Capital Medical University; Liang Ning, Deputy Chief physician, Department of Orthopaedics, first affiliated Hospital of Tsinghua University)

Source: life Times