The general pattern for taking the history of the patient suffering from fever remains the same as for other patients. Here we will discuss questions which you have to ask the patient under the heading of history of the present illness.
Keep in mind that the general sequence for history taking is followed as it is. This sequence includes biodata (Name, age, gender, occupation and address), presenting complaints, history of present illness, systemic inquiry and so on.
What questions you must ask while talking about the history of a patient suffering from pain?


The questions which are asked while taking the history of a patient help a doctor diagnose the disease, so It is important to ask every question. The questions are:
• What is the exact site of the pain?
• What is intensity of the the pain?
• Is there any radiation of pain to other parts of the body?
• Is there any Referred pain in the body?
• Is there any shift of pain?
• What is the character of pain?
• What is the duration of the pain?
• What is the periodicity of pain?
• Is there any particular time of occurrence?
• What are aggravating factors?
• What are relieving factors?
• What are the associated symptoms of pain?

Note: the answer to each question leads to diagnosis. So while asking the questions the doctor is trying to figure out the disease.
These questions are:

The exact site of pain
It is not enough to say that the patient is suffering from abdominal pain. It is important to ask to indicate where exactly he/she is feeling the pain. It gives the doctor an idea about the disease of the patient.
For example, the pain of ischaemic heart disease is felt across the sternum and the pain of a duodenal ulcer is felt in the epigastrium. we can also take the example of reflux esophagitis whose pain is felt along the sternum.
What is intensity of the the pain?
The intensity to which a person can bear pain differs in different people but it is important to estimate its severity.
Pain can be
1. Mild
2. Moderate
3. Severe
The pain is said to be severe if it awakens the patient at night. Pains of myocardial infarction pancreatitis are severe.

3. Severe
The pain is said to be severe if it awakens the patient at night. Pains of myocardial infarction pancreatitis are severe.

You can also estimate the intensity of pain by simply looking at the face of the patient. A patient with severe pain looks dull.

Radiation of pain to other parts of the body
Radiation of pain means that pain spreads to some other part of the body while continuing to its site of origin. It is different from the shift of pain to the other parts of body in which pain diminishes from it’s original site and is felt in some body part.

Is there any Referred pain in the body?
Referred pain is different from the radiation of the pain because referred pain is felt at some remote area of the body.
For example, the pain of cholecystitis is also felt at the tip of the shoulder( because of same nerve supply).
While asking the patient, you can say it as:
Do you feel pain in some other body part simultaneously?
Is there any shift of pain?
In a shift of pain, pain is felt at one site and is relieved from there and then felt at another location. For example the pain of appendicitis occurs around the umbilicus and then shifts towards the right umbilical fossa, where the appendix is present.
Character of pain
Pain can be of different types. Different patients use other terms to describe the pain.
• Heaviness
• Burning pain
• Aching pain
• Throbbing pain
• Jolt like pain
• Pricking pain
• Stabbing or cutting pain
• Colicky pain
The character of pain also gives us information about the type of disease the patient suffers from.
What is the duration of the pain?
Although it is not possible to estimate the duration of pain without actual measurement sometimes helps in making a diagnosis. For example, the pain of angina usually lasts less them 30 minutes, while the pain of myocardial infarction last for more than 30 minutes.
What is the periodicity of pain?
Periodicity means that the patient suffers from pain for a few weeks and then becomes pain-free for the next few weeks. This type of periodicity occurs in duodenal ulcers.
Is there any particular time of occurrence?

Pains related to different diseases may occur at a particular time. For example, the headache of a migraine may occur during menses. The pain of a duodenal ulcer is relieved by food.
What are aggravating factors?
Ask the patient if any particular factor aggravates the pain. For example, movement increases the pain in joints. Son of angina is aggravated by exertion. Pain in peptic ulcers increases by consuming tea or spicy food.
What are relieving factors?
Ask the patient if something relieves the pain. The pain of angina is relieved by rest and sublingual nitrates. Another example of pain from a duodenal ulcer is relieved by antacids and food.
What are the associated symptoms of pain?
Depending on the disease, there will be associated symptoms with the pain. For example, in cholecystitis, abdominal pain is associated with vomiting. Other symptoms may include shortness of breath, sweating blood in urine, blood in vomiting and chest pain from ischaemic heart disease etc.
Conclusion
So these are the routine questions you must ask a patient suffering from pain. This will help you diagnose the disease. Patients should also cooperate with the doctor by answering the questions so that it may become easy for a doctor to diagnose and treat the patient properly. Hope you enjoyed reading this.