Dr. Shruthi Ananthram 19pgdg036 Abstract



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Dr.Shruthi-PGDG36-constipation
Questionnaire:
Q1. Have you evacuated in the last 24 hours

  • Yes

  • No

Q2. What is the usual consistency of your stool?

  • Type 1

  • Type 2

  • Type 3

  • Type 4

  • Type 5

  • Type 6

  • Type 7

Q3. Have you made any straining when trying to evacuate in the last 24 hours?

  • Yes

  • No

Q4. What was the level of straining in the last 24 hours?

  • Severe

  • Moderate

  • Mild

  • None

Q5. Do you have any history of anorectal obstruction?

  • Yes

  • No

Q6. Do you have any history of incomplete evacuation?

  • Yes

  • No

Q7. Do you have any history of abdominal discomfort?

  • Yes

  • No

Q8. Do you think you have spent too much time trying to evacuate in the last 24 hours?

  • Yes

  • No

Q9. Do you feel like you had to pass a bowel movement but you couldn’t (false alarm)?

  • Yes

  • No

Q10. Do you experience rectal burning during or after a bowel movement?

  • Yes

  • No

Q11. Rectal bleeding or tearing during or after a bowel movement?

  • Yes

  • No

Q13. Incomplete bowel movement, like you didn’t “finish”?

  • Yes

  • No

Q14. How do you define your bowel function?

Q15. How much water do you consume per day?

  • <1.5 liters

  • >1.5 liters

Q16. Do you suffer from any disability that restricts your mobility?

  • Yes

  • No

Q17. Do you suffer from tooth aches/ cavities/ gingivitis?

  • Yes

  • No

Q18. How is your appetite?

  • Good

  • Bad

Q19. Do you feel a lack of privacy while using the toilet?

  • Yes

  • No




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