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