Gastrointestinal/Genitourinary
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Bladder control problems?
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Have you had any urinary problems?
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Any pain on urination and/or
blood in your urine?
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Do you need to get up in the
night to urinate?
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Any pain on urination?
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Any difficulty starting your
urine stream?
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Any decreased force of your
urine stream?
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Any increase or decrease in
the number of times you urinate per day?
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Any impotence?
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Any history of bladder infection,
kidney infection, prostate swelling, or kidney stones?
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What are your normal bowel habits?
Any changes in those bowel habits?
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Any abdominal bleeding?
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Any abdominal discomfort, pain,
or cramps?
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Any constipation or diarrhea,
dark stools, or blood in your stools?
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Any heartburn or indigestion?
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Any rectal bleeding, discharge,
or pain?
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Any difficulties holding your
urine or feces?
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Any nausea or vomiting?