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Pain Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. Where exactly is the pain, and can you point with one finger where the pain is the worse?

    Why: to determine the site of the pain.

  2. When did the pain start?
  3. Did the pain start gradually or suddenly?
  4. Can you give the pain a severity rating from 1-10, with 1 being very mild and 10 being the worst pain you could imagine?
  5. How would you describe the nature of your pain?

    Why: e.g. aching, stabbing, burning, throbbing, constricting, gripping and cramp-like.

  6. Does the pain radiate to any other site?

    Why: e.g. a person with a peptic ulcer will have a persistent pain under the ribs in the midline but sometime the pain will radiate through the abdomen to the back; a person with angina or a heart attack will have a central crushing chest pain but sometimes the pain will radiate to the left side of the neck, jaw and left arm.

  7. What is the progression of the pain?

    Why: e.g. begins at it's maximal intensity and remains at this level until it goes; increases gradually until it reaches a peak; begins at its peak and gradually declines; severity of the pain may fluctuate.

  8. How did the pain end?

    Why: e.g. gradually or suddenly.

  9. How long did the pain last?
  10. Have you found anything that makes the pain better?

    Why: e.g. a certain position, movement, hot water bottle, food, medication.

  11. Does anything make the pain worse?

    Why: e.g. certain gut pains may be made worse by eating certain foods; muscle or joint pain may be made worse by joint movement, muscle exercise or posture.

  12. Past medical history?

    Why: e.g. tuberculosis, diabetes, rheumatic fever, asthma, bleeding tendencies, tropical diseases, heart attack, stroke, sexually transmitted diseases.

  13. Past surgical history?

    Why: e.g. previous abdominal or pelvic surgery increases the risk of pelvic adhesions which may cause painful periods, pelvic pain, infertility and intestinal pain.

  14. Medications?
  15. Ciagarette smoking?
  16. Alcohol history?
  17. Family history?

    Why: e.g. asthma, heart attacks, stokes, diabetes, endometriosis, high cholesterol.

  18. Occupational history?
  19. Travel history?
  20. Nausea or vomiting?

    Why: If yes, nature and volume of the vomit and if it contains any blood?

  21. Change in appetite?
  22. Weight change?
  23. Difficulty in swallowing (dysphagia)?
  24. Diarrhea?
  25. Constipation?
  26. Bloody stool?
  27. Jaundice (yellowing of the skin and sclera of the eyes)?
  28. Cough?
  29. Sputum?

    Why: If yes, the amount, color, smell and presence of blood?

  30. Shortness of breath?
  31. Palpitations?
  32. Dizziness?
  33. Ankle swelling?
  34. Frequency of urine?
  35. Blood in the urine?
  36. Visual disturbance?
  37. Menstrual irregularities?
  38. Seizures?
  39. Facial weakness?
  40. Weakness of the arms or legs?
  41. Joint swelling?
  42. Limitation of the movement of the joints?

Conditions listing medical symptoms: Pain:

The following list of conditions have 'Pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Pain or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Conditions listing medical complications: Pain:

The following list of medical conditions have 'Pain' or similar listed as a medical complication in our database.


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