Questionnaire - Page 3(e) of 9
(1014 maximum possible questions)		 Last updated: May 12, 2008

THE ANALYST TM
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This sections deals with abdominal / groin pain.
317.  Do you have generalized abdominal discomfort or pain?
Never / don't know
Occasional moderate discomfort
Frequent moderate discomfort
Occasional severe pain
Frequent severe pain
318.  If you have abdominal pain, does a bowel movement reduce it?
Not aplicable / don't know
No
Moderate improvement
Big improvement - the pain disappears
319.  Do you have pain or discomfort in the upper abdominal (stomach) area, below the breastbone?
Don't know
No
Occasionally / mild
Several times a week / moderate
Frequently / severe
320.  Does a large or fatty meal cause upper abdominal pain, perhaps worse at night?
No / don't know
In the past only
Mildly / occasionally
Moderately / often
Seriously / always
321.  Have you suffered from heartburn (burning at top of stomach) or gastric reflux?
Don't know
No
Past episode(s) now resolved
Current minor problem
Current major problem
322.  Are you currently experiencing severe pain in the lower abdomen?
Don’t' know
No
Lower left side only
Lower right side only
Both sides or middle
323.  If currently experiencing abdominal pain, for how long has this pain been present?
Don't know
Over 3 months
1 to 3 months
1 to 3 weeks
Less than a week
324.  Apart from abdominal gas, do you have a sense of lower abdominal fullness?
Don't know
No
Somewhat
Definitely, but not all the time
Definitely, almost always

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GLOSSARY

Gastric Reflux Disease:  Gastro-Esophageal Reflux Disease (GERD). A common relapsing condition affecting approximately 10% of the U.S. population and caused by an abnormal exposure of the lower esophagus to refluxed gastric contents, causing irritation and injury to the esophageal tissues. GERD develops as a result of relaxations of the transient lower esophageal sphincter. Typical presenting symptoms are heartburn, an epigastric burning sensation and acid regurgitation. However, some patients may present with atypical symptoms such as chest pain, shortness of breath, wheezing, and coughing.

Stomach:  A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.



 


A man gets a telephone call from a doctor. The doctor says: "About this medical test I did on you, I have some good news and some bad news."
The man asks for the good news first: "The good news is that you have 24 hours to live," says the doctor.
Horrified, the man asked: "If that is the good news, then what is the bad news??"
"I couldn't reach you yesterday!"