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Anorectal Health
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Do you suffer from constipation?
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Do you suffer from Diarrhea?
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Do you strain or push hard with BM?
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Time spent on toilet for typical BM?
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How often do you move your bowels?
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Do you feel tissue bulge out during BM?
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Do you feel completely empty after your BM?
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Are you taking any fiber supplements?
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Are you taking any laxatives?
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Are you Taking any herbs or teas to help your BM?
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Do you drink 6 to 8 glasses of water per day?
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Are you taking prescription pain pills?
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Do you participate in anal receptive sex?
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Symptoms (in rectal area)
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Do you take medication for Erectile Dysfunction(ED)?
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Medication for ED
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Are you allergic to latex?
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Are you Pregnant?
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Are you Breast feeding?
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Are you taking blood thinners or Anticoagulants ?
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Have you ever been diagnosed with :
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Comments:
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Do you have a large painful lump at anal opening?
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Prior hemorrhoid treatments?
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