Do you have fewer than 3 bowel movements per week?
Do you have frequent loose, watery stool?
Is there undigested food in your stool?
Do you frequently suffer from a feeling of urgency (feeling that you must immediately rush to the toilet to pass a stool)?
Is your stool slimy (mucus) or oily?
Are you disturbed by pain or discomfort in your abdomen after eating?
Have your recently (over the past year) taken a round of antibiotics?
Do you experience reflux of stomach contents? This often feels like a burning sensation in the throat, a sour or bitter taste, difficulty swallowing, or a dry cough..
Have you taken a medication for acid reflux (such as a PPI) over the past year?
Do you have a history of dieting, restricting a food group, or an eating disorder?
Name *
Phone *

This assessment is not intended to diagnose or treat any health condition, and is not a substitute for professional medical advice.