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. 2019 Nov-Dec;10(8):862–872. doi: 10.6004/jadpro.2019.10.8.7

Table 5. Questions to Assess the Impact of Carcinoid Syndrome Diarrhea on Patients’ Daily Lives.

Domain Questions
Physical • How many bowel movements do you have per day?
• Do you have episodes of incontinence or fecal urgency during which you are not able to make it to the toilet in time?
• Have you experienced a change in your appetite?
• Have you experienced weight loss? Weight gain?
• Have you had a decrease in the number of bowel movements?
• Have you experienced a lessening of urgency with bowel movements?
• Have you had a decrease in the number of nocturnal bowel movements?
• Have you had an increase in abdominal pain?
• Have you experienced more nausea? Vomiting? Bloating?
• Has your blood glucose been elevated or decreased? Have you had hypoglycemic episodes (shaking, sweating, etc.)?
Social • Do your diarrhea symptoms limit your ability to be active and/or social?
• Do you have energy for the activities of daily living?
• Are you able to function throughout a full workday?
Emotional • How is your overall sense of well-being?
• Do you feel anxious or depressed due to your diarrhea?

Note. Information from Yadegarfar et al. (2013).