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DISCOGRAPHY QUESTIONNAIRE
Fluoroscopy or Dynamic Pelvic MR
PATIENT I.D. Please answer yes or no. Some questions require you to circle the best answer.
1. Do either of these situations apply to you?
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How to fill out defecography questionnaire - cedars-sinai

How to fill out defecography questionnaire - cedars-sinai
01
To fill out the defecography questionnaire at Cedars-Sinai, follow these steps:
02
- Obtain the questionnaire form from the hospital or download it from their official website.
03
- Read the questionnaire carefully and familiarize yourself with the questions.
04
- Begin by providing your personal information, such as your name, age, and contact details.
05
- Answer each question accurately and honestly, providing as much detail as possible.
06
- If you are unsure about any question, seek clarification from the healthcare provider or refer to the accompanying instructions.
07
- Once you have completed the questionnaire, review your answers to ensure they are accurate and complete.
08
- Submit the filled-out defecography questionnaire to the designated department or healthcare professional at Cedars-Sinai.
Who needs defecography questionnaire - cedars-sinai?
01
The defecography questionnaire at Cedars-Sinai is typically needed by individuals who are experiencing symptoms or issues related to bowel movements and defecation.
02
This questionnaire helps healthcare professionals gather relevant information about a patient's condition, symptoms, and medical history.
03
It is often used to evaluate and diagnose conditions such as fecal incontinence, rectal prolapse, pelvic floor dysfunction, and other disorders related to bowel function.
04
If you are experiencing any discomfort, pain, difficulty, or abnormality during bowel movements, your healthcare provider may recommend filling out the defecography questionnaire for further evaluation and treatment.
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What is defecography questionnaire - cedars-sinai?
Defecography questionnaire at Cedars-Sinai is a diagnostic test used to evaluate the anatomy and function of the rectum and anus during defecation.
Who is required to file defecography questionnaire - cedars-sinai?
Patients who are scheduled to undergo a defecography test at Cedars-Sinai are required to fill out the questionnaire.
How to fill out defecography questionnaire - cedars-sinai?
The defecography questionnaire can be filled out online through the Cedars-Sinai patient portal or manually at the hospital.
What is the purpose of defecography questionnaire - cedars-sinai?
The purpose of the defecography questionnaire is to gather important information about the patient's bowel habits, symptoms, and medical history prior to the test.
What information must be reported on defecography questionnaire - cedars-sinai?
The defecography questionnaire may ask about bowel movements, dietary habits, medications, symptoms of constipation or incontinence, and any previous surgeries or medical conditions related to the digestive system.
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