PATIENT INFORMATION QUESTIONNAIRE
Asthma Emphysema Shortness of breath. Gastrointestinal. Reflux Hepatitis Abdominal Pain Diarrhea Incontinence Ulcers Bloating Heartburn. Irritable bowel syndrome Constipation Nausea Genitourinary . Impotence Kidney stones Decreased libido Urinary frequency ................
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