1. |
Which symptom, sign or cause prompted you to seek help in our outpatient clinic? (Mark as many items as apply) |
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anal bleeding - in toilet paper, faeces or lavatory |
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anal itch |
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anal pain or discomfort |
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anal burning (baking) |
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anal soreness |
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anal lump |
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faecal soiling |
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anal weeping |
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anal mucous |
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anal incontinence |
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dubious abdominal pain |
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constipation |
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diarrhoea |
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faecal occult blood test (FOBT) |
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dubious anaemia |
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screening colonoscopy |
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elevation of tumour markers |
2. |
How long have you suffered from these symptoms or signs? |
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up to one week |
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two to four weeks |
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two to twelve months |
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I do not have any signs or symptoms |
3. |
Did you treat yourself or seek help from a doctor? |
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I treated myself without the help of a doctor |
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At first I treated myself then I looked for help from a doctor |
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I immediately looked for help from a doctor |