Female Questionnaire
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OUR SYSTEM DOES NOT RECOGNIZE YOU

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This section deals with unusual bowel movements.

If you use laxatives, try to answer according to how things would be without them.

Q144

Do you suffer from significant variation in bowel movements? This would include alternating constipation and diarrhea, or changes in pattern.
  • No / depends on eating pattern / don't know
  • Yes, some
  • Yes, significant

Q145

Do you have frequent intestinal pain or cramping with an urge to defecate, sometimes without success?
  • No / don't know
  • Rarely
  • Occasionally
  • Approximately daily
  • Several times per day

Q146

Do you have a tendency toward frequent bowel movements / stools?
  • No / not applicable / don't know
  • Somewhat, have 2-3 stools per day
  • Yes, have 4-5 stools per day
  • Yes, have 6-7 stools per day
  • Yes, 8 or more stools per day

Q147

Do you suffer from constipation?
  • Not applicable / don't know
  • No, I usually pass at least one stool per day
  • Yes, I often have a day with no bowel movement
  • Yes, I often go 2-3 days with no bowel movement
  • Yes, I often go 3+ days with no bowel movement

Q148

On average, how well-formed are your bowel movements / stools?
  • Don't know
  • Hard, difficult to pass
  • Well-formed, easy to pass
  • Loose
  • Very loose and watery

Q149

Do you pass stools that are sticky, oily, or greasy but not black? These often tend to leave streaks or residue down the sides of the toilet bowl after flushing.
  • No / they are black / don't know
  • Yes, sometimes slightly sticky/oily
  • Yes, often slightly sticky/oily, sometimes very
  • Yes, my stools are usually/always very oily/sticky

Q150

Do you ever pass black, tarry stools?
  • No / don't know
  • Yes, sometimes slightly black/tarry
  • Yes, often slightly black/tarry, sometimes very
  • Yes, my stools are usually/always very black/tarry

Q151

Do you see mucus in your stools?
  • Never / rarely / don't know
  • Occasionally
  • Often

Q152

Do you have clay-colored (pale) stools?
  • No / don't know
  • Yes, sometimes slightly pale
  • Yes, often slightly pale, sometimes very pale
  • Yes, my stools are usually/always very pale

Q153

Do you see red blood in or on your stools?
  • Never / don't know
  • Occasionally / small amount on tissue only
  • Occasionally / small amount on tissue and stool
  • Very often recently
  • A significant amount for some time now

Q154

Other than black/tarry, pale or blood-colored stools, do you regularly have stools of any other unusual color? Do not include color that results from obvious causes such as drugs, food colorings or colorful foods.
  • Don't know
  • No
  • Yes, green
  • Yes, orange
  • Yes, other color (please add a note)

Q155

Do you pass stools containing undigested fat? These stools might be yellow or pale in color, float, contain white specks, or leave an oily film on the toilet water.
  • No / don't know
  • Occasionally
  • Often

Q156

Have you noticed undigested food in your stools, other than corn?
  • No / don't know
  • Occasionally
  • Often