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Fecal urgency Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Fecal urgency. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. What exactly do you mean by fecal urgency?

    Why: fecal urgency is generally taken to mean a sudden or excessive need to defecate. Fecal urgency may be called "diarrhea" in many sources.

  2. How long have you had fecal urgency?

    Why: to determine if acute or chronic. Acute fecal urgency (without blood) is more likely to be infectious in nature e.g. staphylococcal toxin food poisoning, giardiasis, traveler's diarrhea, a virus or contaminated food. Chronic diarrhea has a large number of causes.

  3. How frequent are the stools?
  4. What is the volume of the diarrheal stools?

    Why: e.g. high volume stools may be suggestive of infection (such as E.Coli, Staphylococcus aureus, Vibrio Cholerae), carcinoid syndrome, bowel polyp, Zollinger-Ellison syndrome, magnesium antacids, lactose intolerance or after gastric surgery; small volume stools may suggest inflammatory bowel disease or colon cancer.

  5. What is the nature of the stools?

    Why: e.g. fatty, pale colored, extremely smelly stools that float in the toilet and are difficult to flush away is called steatorrhea due to excess fat in the stool and are characteristic of malabsorption of nutrients which may be due to celiac disease, chronic pancreatitis, previous gastrectomy and cystic fibrosis.

  6. Does the fecal urgency persist on fasting?

    Why: may suggest an infection (such as E.Coli, Staphylococcus aureus, Vibrio cholerae), vasoactive intestinal polypeptide secreting tumor, Zollinger-Ellison syndrome, carcinoid syndrome and villous bowel polyp.

  7. If fecal urgency is acute, where did you eat in the 24 hours before he diarrhea started and what food have you eaten during this time?

    Why: may help in discovering the source of possible food poisoning.

  8. Have any other family members experienced acute fecal urgency also?

    Why: may suggest toxic staphylococcal gastroenteritis, Salmonella, Shigella, Campylobacter pylori.

  9. Has there been recent foreign travel?

    Why: may suggest traveler's diarrhea, cholera, shigellosis, salmonellosis and giardiasis.

  10. Medications?

    Why: e.g. recent antibiotics may predispose to pseudomembranous colitis; medications that can cause diarrhea and fecal urgency include digitalis, diuretics, beta-blockers, aspirin, colchicines, other non-steroidal anti-inflammatory medications; overuse of laxative may also cause fecal urgency.

  11. Alcohol history?

    Why: it is well known that alcohol can cause fecal urgency.

  12. Blood in the stool?

    Why: If acute fecal urgency, may suggest Salmonella, Shigella, Campylobacter jejuni, ulcerative colitis and amebic dysentery. If chronic fecal urgency, may suggest ulcerative colitis, bowel cancer, diverticulitis, amoebiasis, Zollinger-Ellison syndrome.

  13. Mucous in stool?

    Why: suggests ulcerative colitis, Crohn's disease and irritable bowel syndrome.

  14. Fever?

    Why: may suggest Salmonella, Shigella, Campylobacter jejuni and ulcerative colitis, severe amoebic dysentery or pseudomembranous colitis. May get a low grade temperature with traveler's diarrhea and toxic staphylococcal gastroenteritis.

  15. Severe vomiting?

    Why: may suggest toxic staphylococcal gastroenteritis (which follows 2-4 hours after eating food poisoned with the toxin), traveler's diarrhea and viral gastroenteritis.

  16. Alternating fecal urgency and constipation, abdominal bloating, abdominal pain that is relieved by opening the bowels or passing wind?

    Why: may suggests irritable bowel syndrome.

  17. Pain in joints, back pain, eye trouble or mouth ulceration?

    Why: may suggest inflammatory bowel disease.

  18. Neurological symptoms?

    Why: e.g. double vision, blurred vision, sensitivity of the eyes to light, poor coordination and difficulty with speaking - may suggest botulism caused by the neurotoxin of clostridium botulinum which flourishes in preserved anaerobic food.

Conditions listing medical symptoms: Fecal urgency:

The following list of conditions have 'Fecal urgency' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Fecal urgency or choose View All.

 

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