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GUT HEALTH CALCULATOR

This assessment ensures understanding of lifestyle factors only
This tool doesn’t replace any medical assessment.

All the references have been taken from BMC Medicine, World Gastroenterology Organization page, BMJ open, NIH

Name *

Age *

Gender *

Male

Female

Other

Occupation *

Address *

Contact number *

HAS THERE BEEN ANY CHANGE IN YOUR WEIGHT OVER THE PAST MONTH ( UNINTENTIONAL) ? *

CHANGE IN WEIGHT OF 3KG OR BELOW 3KG

CHANGE IN WEIGHT ABOVE 3 KG

HOW MUCH WATER DO YOU CONSUME DAILY? *

2.5 - 3 Litres or more

Less than 1.5 Litres

Less than 1 Litre

How many meals do you have on a regular day? *

more than 3

HOW OFTEN DO YOU FAST? *

Occasionally

Weekly 2 times

4-6 times a month

HOW OFTEN YOU EAT OUTSIDE/PROCESSED FOODS ? *

Never

Occasionally (2-3times a week)

More often (Weekly 4-5) times

DO YOU HAVE ANY METABOLIC DISORDERS?E.G DIABETES/ THYROID/PCOS/HYPERTENSION *

Lifestyle disorders

Chronic Clinical disorders

HOW OFTEN DO YOU NOTICED ANY DISCOMFORT IN YOUR BOWEL MOVEMENTS? *

Occasionally

Often

DO YOU FEEL UNCOMFORTABLE AFTER EVERY MEAL? *

Feel heavy or exhausted

Bloated or nauseous

Any sign of cramp,pain or burning sensation after eating

ARE YOU IN HABIT OF CONSUMING ALCOHOL/ SMOKING/ DRUGS/ ANTIBIOTICS/STEROIDS ETC.? *

Occasionally

Often

DO YOU FEEL IRRITATED BY ANY PARTICULAR FOODS? *

To some specific foods

Every time with more than 5 different foods

DO YOU EXPERIENCE BAD TASTE OR BAD BREATH IN YOUR MOUTH AFTER CERTAIN INTERVALS? *

Yes

DOSE EATING SPICY & FATTY FOODS, CHOCOLATES, COFFEE, ALCOHOL, CITRUS OR HOT PEPPERS CAUSES YOUR STOMACH BURN OR ACHE? *

Yes

DO YOU HAVE ANY SORT OF RECTAL PAIN, DISCOMFORT OR CRAMPS IN YOUR LOWER ABDOMEN AREA? *

Yes

DO YOU FEEL DIFFICULTY OR PAIN WHEN SWALLOWING FOOD OR BEVERAGES? *

Yes

HAVE YOU RECENTLY EXPERIENCED , ANY KIND OF INFECTIONS OR CLINICAL ILLNESSES? *

Some general Infections (fever, cold, vomit or nausea)

Chronic illnesses (ulcer, inflammation, fissure etc)

GUT HEALTH CALCULATOR

Click Submit to finish.

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