Creating Waves of Awareness
Some times we get stunted to see the self-diagnosis made by the patient comes true after doing the investigation! Fortunately, this happens only on rare occasions, hence the “diagnosis” given by the patients should be considered with precaution.
Among the public there is a trend to diagnose certain conditions on seeing some common symptoms. I remember one woman in our area who had “diagnosed” vitamin deficiency when her child had ulcers in the oral cavity. And she gave some vitamin supplements purchased over the counter. Within a few days, it was diagnosed as Leukemia!
The trend to self diagnose certain conditions may change from places to places. In each area, people use particular terms to denote specific conditions. Lets have a discussion on the same.
“Gas” This is one of the common diagnosis made by the people. In some areas, the term “gastric” is also used as an alternative.
A few conditions presenting with “Gas/Gastric”:
· Flatulent dyspepsia
· Non-ulcer dyspepsia
· Gastric ulcer
· Duodenal ulcer
· Perforation of ulcer
· Myocardial infarction
· CA stomach/ esophagus, etc.
· Drug induced dyspepsia/ulcer
"Attack/stroke" When a person loses his consciousness, it is often considered as either "attack" or "stroke".
A few reasons are:
There is also a tendency to consider all chest discomforts as heart attack. Cardiac neurosis is also encountered nowadays.
“Pith” This is another term used in certain areas in India. Even headache is considered as pith [true that stomach and liver complaints are related closely with head symptoms].
Here are some conditions presented as pith:
· Gall bladder diseases
“Piles” This is another diagnosis given by the patients.
A few conditions presented as piles are:
· Anal fissure
· Anal erosion
· Skin tags
· CA anus
· CA rectum
· Inflammatory bowel diseases
“Evil spirits” Invasion of evil spirits is another reason for cases presented in psychiatric emergency wards. There is also a tendency among the people to consider all psychiatric diseases as madness.
A few situations are:
· Dissociative Identity Disorder or Multiple personality disorder
· Acute emotional reaction
· Substance abuse disorder
· Bipolar disease
· Feigned insanity
“Bone erosion” Now a days, as a result of media influence and increased awareness, all pains in the body, especially spine and joints, are considered as bone erosion.
A few reasons are:
· Myofascial trigger points
· Delayed onset muscle soreness
· Pains due to wrong posture
· Wallet neuropathy
· Wear and tear
· Inflammatory joint disease
· Referred pain (Shoulder pain in subdiaphramatic troubles)
· Degenerative joint disease
· Various types of arthritis (OA, RA, RF, SLE, Collagen diseases, etc.)
· IVDP with nerve compression
· TB of bone
These are a few points from my memory. Hence, the list never ends here, you can add more…
Dr Muhammed Rafeeque