Since when have you been suffering with ulcerative colitis? WeekMonthsYears
How many times in a day do you pass stools ? OnceMore than Once
Does your stool have mucus in it? YesNoOccasionally
Do your suffer with a stomach pain before passing stools? YesNoOccasionally
Do you pass stools after every meal? YesNoOccasionally
Do you have lots of gas formation? YesNoOccasionally
Have you been loosing weight recently? YesNo
Are you suffering with an ‘on and off’ fever? YesNo
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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More Symptoms:
