Are you suffering from pain in the back ?
Is there any pain in the abdomen ?
YesNoOccasionallyduring an attack
Which side is your pain
Does the pain radiate to your private parts ?
Is such pain associated with nausea or vomiting ?
Have you ever seen blood in your urine
Do you feel like urinating frequently ?
Are you experiencing painful urination
Are you suffering from a frequent urinary infection these days ?
Do you drink less amount of water than normal ?
Are kidney stones common in the area you live in ?
Have you had kidney stones in the past ?
Have you got any investigation done like an ultrasound or ,x-ray done ? (If yes, then please mention the details of the report in the 'more symptoms' column at the end of the questionnaire)
Are you already a patient with Dr.Manoj's Homeopathy? If yes, then please give your Registration Number in the 'more symptoms' column.
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