Self Assessment for the Constipation

Have you had any of the following symptoms along with your constipation?

	YES	NO
Blood in your bowel movements or black tarry looking bowel movements?
Anal or rectal pain?
Abdominal pain?
Loss of appetite?
Vomiting?
Fever?
Swollen abdomen?
Sensitivity to cold?
Fatigue?
Recurrent diarrhea, nausea and/or vomiting over the past several days, weeks or months?
Unintended weight loss or gain?
Have you been constipated for longer than one week?

 

If you answered ‘yes’ to any of the above questions, please call 650-3400 to make an appointment to see a provider.

If not, please review the following information for self-care:

Constipation

Call 650-3400 for an appointment if you are not better in 7 days or if you develop any of the symptoms on the checklist above.

*Please note that by answering ‘NO’ to the above self evaluation questions we are comfortable with you trying self care options before being evaluated by a health care provider.  However, if you still have concerns, you may call for an appointment.