since how long have you been suffering with this problem ? WeeksMonthsYears
Is there any redness/ or heat in the effected part? YesNoOccasionally
Is there any itching in the effected part? YesNoOccasionally
What are the part affected? LimbsBodyLipsKeeps changing
Are there any Trigger factors? ( please mention what triggers off your attacks) SeafoodSunStressNot Sure
Is there any difficulty breathing? YesNoOccasionally
Is there any fever with the attacks? YesNoOccasionally
Is there a family history of Urticaria? YesNoOccasionally
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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