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So, you say that you are having problems with bleeding or bruising.
Yes, I am.
Can you tell me what you mean by that? Do you bleed or bruise easily?
Yes, every time I scrape myself or bump into something I get bruised.
Have you always had this problem, or is it just a recent development?
I noticed that the problems started about the time I started shaving.
Do your gums bleed when you brush your teeth?
Yes, quite a lot.
Do you have any trouble stopping the bleeding?
Oh, yes, even from the most minor cuts.
How long does it take to stop the bleeding?
At least ten or 15 minutes.
Are there any other members of your family with bleeding tendencies?
No, not that I know of.
Have you ever needed a blood transfusion, or have you given blood recently?
I don't like needles, so I don't give blood, but I needed a transfusion after a car accident a fewyears ago; when I was 15.
Do you remember how many units of blood you received?
No. I don't remember, sorry.
Do you know what your blood type is?
I think it's AB negative, but I'm not sure.
Do you have regular bowel movements?
No, sometimes I get constipated and sometimes I have diarrhea.
When you say you have diarrhea, do you mean the stool is very loose, or that you have to go tothe toilet more frequently?
I have to go four or five times a day.
When you have to go, do you have to go quickly?
Yes, I have real problems holding it.
Could you describe your stool?
The last time it was loose and watery, but very dark.
Do you have any problems flushing it down at all?
No, I haven't noticed anything like that.
Has there been any blood or mucus in the stool?
Yes, I have noticed some blood, but no mucus.
Is it mixed in with the stool or is it just there on the paper when you wipe yourself?
It seems to be mixed in with the stool, Doctor.
I see. And when you are constipated, do you take laxatives, or do you give yourself an enema?
If I can't go for three days, only the laxative helps.
Do you feel bloated when you are constipated?
Yes, occasionally, but the laxative helps with that too.
Do you have any problems with excessive wind or belching?
No, not particularly.
a.Is it actually painful to have a bowel movement?
Does it hurt when you open your bowels?
b.Have you ever tried taking any laxatives that you can get at a chemist's?
Do you take anything for your bowels?
c.Does your stomach ever feel distended?
Do you ever feel bloated when you are constipated?
d.Do you have wind moving around in your bowels?
Do you feel gassy?
e.Do you pass wind?
Do you break wind?
f.Do you have a tendency towards flatulence?
Do you ever suffer from excessive wind?