Abdominal pain - Better Safer Care
This form is to help your doctor give you better health care. It is completely confidential, and will be part of your medical record. ... Back pain / ache. Recent weight loss # lbs _____ time frame _____ Recent weight gain ... Stomach pain/discomfort. Diarrhea. Gas or cramps. Constipation. Frequent urination. Bladder infections. Changes in ... ................
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