14

Abdominal pain

1. Yes 2. No

15

Nausea/vomiting

1. Yes 2. No

16

Abdominal fullness

1. Yes 2. No

17

Heartburn

1. Yes 2. No

18

Flatulence

1. Yes 2. No

19

Hematemesis

1. Yes 2. No

20

Melena

1. Yes 2. No

21

Dysphagia

1. Yes 2. No

22

Normal bowel habits

1. Yes 2. No

23

Anemia

1. Yes 2. No