Gastrointestinal History

Gastrointestinal History	Yes / No
Do you have gnawing pain / burning in the stomach?	N
Between meals?	N/A
Middle of the night?	N/A.
What types of food do you avoid?	Food that smells bad.
Have you ever vomited up blood?	N
Any recent change in bowel habits?	N
Frequency of loose bowel movements?	N/A
Problems with constipation?	N
Ever have black tarry bowel movements?	N
Excessive gas in your stomach?	N
Ever had bright red bleeding from the rectum?	N
Do you have pain with bowel movements?	N