Complete the SBS Doctor Discussion Guide

DOCTOR DISCUSSION GUIDE

Talk to your doctor

Complete and download the Doctor Discussion Guide.Use it to discuss symptoms and your unique healthcare situation at your next appointment.

This information is not intended to make a diagnosis or to take the place of talking to a US healthcare professional.Only a doctor or other trained healthcare professional can diagnose short bowel syndrome.

[1]

Do you have a preexisting condition, such as Crohn’s disease, or have you gone through an event that affects your gastrointestinal health?

Yes No

[2]

Have you had surgery to remove part of your intestines?

Yes No

[3]

Do you experience gastrointestinal symptoms, like diarrhea?

Yes No

[4]

On average, how many bowel movements do you have in a day?

[5]

Are you receiving parenteral nutrition and/or IV fluids?

Yes No

[6]

Do you have a central line or feeding tube?

Yes No

[7]

Do you have difficulty maintaining your weight?

Yes No

[8]

Are you experiencing vomiting?

Yes No

[9]

Do you experience bloating?

Yes No

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DOCTOR DISCUSSION GUIDE

Talk to your doctor

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