Do you suffer from a bloated feeling in your abdomen?

Have you been suffering with acidity for?

Do you suffer with belching/burps?

Do you pass wind/gas?

Do you vomit?

Do you suffer with loose motions?

Do you wake up in the middle of the night with a burning in the abdomen?

Do you suffer with pain in the abdomen?

Is your pain better...

Have you taken or been taking painkillers or other allopathic drugs for a long period of time?

Have you got any investigation like an endoscopy or ultrasound done? (Please mention the reports in the ‘more symptoms’ column at the end of the questionairre)?

Are you already a patient with Dr. Archana Vyas's Homeopathy? If yes please state your Registration Number in the text box.