TerraBlue XT - TJay Suite

Abdominal Pain

1) Where exactly is the pain?

2) When did the pain start?

3) Did the pain start gradually or suddenly?

Gradually Suddenly

4) How long does it last? Burning Sharp Stabbing Dull Ache Any other If any other, mention

5) Does the pain move anywhere else?

No Yes
If Yes, Where does the pain move?

6) How long does it last? No particular time Morning Afternoon Evening Night

7) Is there anything that make the pain worse? For eg: taking food ,medicine or walking etc.,

8) Is there anything that make you feel better or any relieving factors?

9) Is the pain associated with fever, headache ,nausea or anything?

No Yes
If Yes, Mention

Dysphagia

1) What do you find difficult to swallow

Solid Liquid Both

2) Does the food stick somewhere inside?

No Yes
If Yes, Where does the food stuck?

3) When did you first notice this?

4) Did this come suddenly one day or has it been a gradual process?

Gradually Suddenly

5) When does it happen?

6) Do you find it painful to swallow?

No Yes

7) Has food ever gone down the wrong way?

No Yes

8) Do you feel short of breath during eating

No Yes

9) Do you suffer heartburn when you need to swallow hot drinks?

No Yes

Nausea or Vomitting

1) When do you tend to vomit? (For eg:If you eat something, after taking medicine,if you lie down in the bed or if you are anxious)

2) What does the vomit look like? (For eg:Undigested food, food accompanied with mucus material)

3) Is the vomit accompanied by any blood?

No Yes

4) How often does it occur?

5) Does nausea always occur before vomiting?

No Yes

6) Do the vomiting relieve the nausea partially or completely ?

Gradually Suddenly

7) What does it feel like? Can you descibe it?

8) Is it associated with abdominal pain, bloating, vertigo, dizziness ,headache or anything?

No Yes
If Yes, Mention

9) How intense is your feeling to vomit? (On a scale of 0 to 10)

Bowel Pattern or any change in Bowel Pattern

1) For how long have you noticed the change in pattern of bowel?

2) How often do you pass stool?

3) Have you noticed any blood in your stool?

No Yes

4) Have you eaten any uncooked food prior to the development of the change in bowel pattern?

No Yes

5) Is it accompanied with fever, abdominal pain or vomiting?

No Yes

6) Is there anyone else that you know got affected?

No Yes

7) Do you have anyone in your family with an inflammatory bowel disease?

No Yes

8) Have you lost your appetite?

No Yes

9) Do you see any fluctuation in your weight?

No Yes

10) Do you have the feeling of not completely emptying the bowel?

No Yes

11) Do you find that your stool floats or have a greasy appearance?

No Yes

12) Are you diabetic?

No Yes

Jaundice

1) When did you first noticed the yellow tinge in your eyes or skin?

2) Have you ever had jaundice earlier?

No Yes

3) Have any of your family member had jaundice before?

No Yes

4) Have you had any recent blood transfusion?

No Yes

5) Have you had any unprotected sex recently?

No Yes

6) Have you been in contact with anyone having jaundice?

No Yes

7) Do you notice any change in colour of your stool?

No Yes

8) Do you feel an itchy sensation?

No Yes

9) Do you have any abdominal pain?

No Yes

10) Is there any change in your appetite?

No Yes

11) Did you notice any fluctuation in your weight?

No Yes

Rectal Bleed

1) When did you first noticed the rectal bleed?

2) What colour is it?

Bright Red Dark Red

3) Where do you notice it? On toilet paper Mixed with stool Covering with stool Any other
If any other, Mention

4) How much blood do you estimate it to be?

Small amount Amount of a cup Amount in a full bowl

5) Is the blood there with every bowel motion?

No Yes

6) Have you noticed any mucous accompanied?

No Yes

7) Do you have pain in passing stool?

No Yes

8) Do you have the feeling of incompletely emptying your bowel?

No Yes

9) Have you lost your appetite?

No Yes

10) Have you noticed any weight loss?

No Yes

11) Is it painful to pass stool?

No Yes

12) Do you have diarrhea, crampy abdominal pain, fever, eye problem, joint pains or ulcers?

No Yes
If yes, Mention

Mr. Vinod Sharma
DOB: 01/01/1978 (Age 37), Male

+91 97420 56787

Chat

Video Call

Symptom Checker

Abdominal Pain

Dysphagia

Nausea or Vomitting

Bowel Pattern or any change in Bowel Pattern

Jaundice

Rectal Bleed

Mr. Vinod Sharma DOB: 01/01/1978 (Age 37), Male +91 97420 56787 Chat Video Call

Symptom Checker

Abdominal Pain

Dysphagia

Nausea or Vomitting

Bowel Pattern or any change in Bowel Pattern

Jaundice

Rectal Bleed

Mr. Vinod Sharma
DOB: 01/01/1978 (Age 37), Male

+91 97420 56787

Chat

Video Call