How to describe your symptoms to your doctor
Getting the best care from your doctor starts with you, and being a good patient is not about keeping quiet. You know yourself, your body and your symptoms better than anyone. Doctors are there to help you, and you can help your doctor by expressing concerns, asking questions and being an advocate for your health.
Yet, many patients take a back seat and rely on their doctor to drive the conversation during doctor visits. Maybe you're embarrassed to ask questions, or you simply don't know how to talk to your doctor.
“Helping patients communicate their symptoms clearly could go a long way toward making an accurate diagnosis,” said Dr. John Ely, professor of family medicine and a retired family physician from the University of Iowa.
"In medical school, professors teach medical students the eight characteristics of a symptom. I think it would help patients to know what they are in order to be more involved in getting an accurate diagnosis,” said Ely.
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Tell your doctor these eight things about your symptoms
1.
Where is the symptom in your body and how is it behaving?
Does the pain spread throughout your body? If so, where? For example, if you have low back pain, does it spread to your stomach or leg? Or does it just stay in your back? This type of question would not apply to more generalized symptoms, like tiredness or shortness of breath.
2.
How long have you had the symptom?
If it’s something random, like a spell of chest pain, how often does it happen and how long does it last each time? Is it gradually getting worse? Getting better? Staying the same?
3.
What were you doing when you first noticed the symptom?
Were you just sitting there? Arguing with someone? Running up the stairs?
4.
Are there any other symptoms associated with this symptom?
For example, with chest pain, did you also have any light-headedness or shortness of breath?
5.
What does the symptom feel like?
“Patients sometimes say to me, ‘What do you mean? It's just a pain, doc.’ Well, is it like an elephant stepping on your chest, a fire in your chest, someone stabbing you with an ice pick or what? I want to stay open-ended as long as possible, so [I usually say] ‘Just tell me what it feels like,’” said Ely.
6.
How often does the symptom happen?
For example, how much is the symptom affecting your daily activities? How would you rate it on a scale of one to 10?
7.
What makes the symptom worse?
Have you noticed anything that makes your symptoms go from bad to worse? For example, with dizziness, is it worse if you roll over in bed or if you stand up quickly?
8.
What makes the symptom better?
Have you noticed anything that improves your symptoms? Lying down? Eating a meal? Certain times of the day? Using a heating pad?
Four ways to have the best doctor visit
1.
Get to the point quickly.
The typical office visit ranges from 10 to 20 minutes so when you explain the reason for your doctor visit, keep it brief. Start by running through the eight characteristics about your symptoms in a quick explanation.
2.
Bring a medication list to your doctor visit.
Let your doctor know about any prescriptions, over-the-counter drugs, supplements or herbs you take regularly.
3.
Know your health history.
Being able to talk about any previous medical problems and procedures can make an office visit more efficient. Write it all down if it’s complicated.
4.
Take notes.
Write down key information so you don’t forget later.
Choose and use a primary care provider
A good relationship with your doctor is essential to getting the most out of your visits. Finding a primary care provider who is right for you ensures you have someone who knows you and your health, and can help you make health care decisions.