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Constipation?

Answer 5 quick questions to get a personalized symptom summary that can help guide a conversation with your physician

1. Please Select The Symptoms
That You Are Experiencing.

Fewer than 3 bowel movements a week

Fewer than 3 bowel movements a week

Straining to have bowel movements

Straining to have bowel movements

A sense that everything didn’t come out

A sense that everything didn’t come out

Having lumpy or hard stools

Having lumpy or hard stools

Belly bloating

Belly bloating

Needing help to empty your rectum (pressing on abdomen or inserting finger)

Needing help to empty your rectum (pressing on abdomen or inserting finger)

2. Which Number Describes
Your Bowel Movement Best?

(Multiple choices available)

Small, hard lumps

Small, hard
lumps

Log-like, but lumpy

Log-like,
but lumpy

Log-like, with surface cracks

Log-like, with
surface cracks

Smooth and snake-like

Smooth and
snake-like

Soft blobs with clear cut edges

Soft blobs with
clear cut edges

Fluffy with rugged edges

Fluffy with
rugged edges

Watery, no solid pieces

Watery, no
solid pieces

3. I Have Had These Symptoms
For…

Weeks

Months

Years

Please enter number of above line

4. How Do You Try To Manage
With Your Symptoms?

(Multiple choices available)

Taking laxatives

Taking laxatives

Taking stool softeners

Taking stool softeners

Taking fiber

Taking fiber

Taking a prescription

Taking a prescription

Drinking more water

Drinking more water

Changing my diet

Changing my diet

Exercizing more

Exercizing more

None of these

None of these

5. How satisfied are you with
your current treatments?

I’m not currently treated

I’m not currently treated

Extremely unsatisfied

Extremely unsatisfied

Not satisfied

Not satisfied

Somewhat satisfied

Somewhat satisfied

Satisfied

Satisfied

Take your health into your own hands -
talk to your physician about the symptoms.

Show this summary to your doctor:

I’ve been experiencing

My bowel movements are usually

I have had these symptoms for

I try to manage with my symptoms by

How satisfied I am with my current treatments

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Email symptom summary.

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Discuss with your physician if Vibrant is a good choice for you

Efficacious

Drug-free

1.2% Diarrhea

Improved quality of life

Vibrant can help you take charge of constipation and enjoy the quality of life you wish for.

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The summary can help you start a conversation with a physician. Print it, email it or just talk about it... You can connect to a physician online