since how long have you been suffering with this problem ?
Is there any redness/ or heat in the effected part?
Is there any itching in the effected part?
What are the part affected?
Are there any Trigger factors? ( please mention what triggers off your attacks)
Is there any difficulty breathing?
Is there any fever with the attacks?
Is there a family history of Urticaria?
Have you got any investigations done? (If yes, then please mention the details of the reports in the ‘more symptoms’ column at the end of the questionnaire)YesNo
Are you already a patient with Dr.Manoj's Homeopathy? If yes then please state your Registration Number. in the more symptoms column.YesNo
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