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Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.

History taking is the most important weapon for making a diagnosis.

Abroad the following circumstances are never seen. For that matter even in states like Kerala same thing holds true. But in other Indian states there are a number of women who think that they do hardwork by cooking, cleaning the clothes, looking after the children and husband. For days and weeks together, these housewives do not go out of the house even if they are staying on the ground floor.

These women are more likely to develop osteomalacia, poor effort tolerance for which they present with symptoms of dyspnoea on exertion, all sorts of musculo skeletal backaches and aches in the joints.

Their mental health is never very good because of the closed surroundings. There are more symptoms of anxiety and depression because many of these women are living in a joint family and are frustrated with the problems of their mother-in-law and sister-in-law.

They are likely to be overweight because there is no caloric output. They are more likely to develop diabetes and hypertension because of the sedentary life. After menopause these women are more likely to develop osteoporosis.

Therefore, next time do not forget to ask the question to every housewife "Do you leave the house everyday and go out"?

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