A few more questions from Dad

Thank you for filling out the first set. It helped me a lot. These questions fill in the gaps so I can understand what you are going through and help in the way that works for you.

It takes about 5 minutes. Tap an answer, or skip any you would rather not answer. There are no wrong answers and nobody is in trouble.

Nothing is sent until you tap send at the end.

Where do you feel the trouble swallowing?

The spot tells the doctor which part of the esophagus to look at.

What happens when you swallow?

Food that sticks and swallowing that hurts point to different causes.

Tap all that apply.

Do you get any of these?

Acid and food coming back up can irritate the esophagus.

Tap all that apply.

When does the belly pain show up?

Ulcer-type pain acts differently on an empty stomach than after a meal.

Tap all that apply.

Do you throw up?

It affects dehydration risk and which tests make sense.

How have your bowel movements been?

It shows whether the whole gut is slowed down or speeded up.

Which of these do you take?

Each one acts a little differently on the stomach, so the exact one matters.

Tap all that apply. Next I will ask a couple of quick things about each one.

What is the other medicine called?

The name on the bottle or box is perfect. A guess is fine too.

How often do you take ibuprofen (Advil or Motrin)?

The doctor needs the full picture of what you take.

What do you take ibuprofen (Advil or Motrin) for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take ibuprofen 800 mg?

The doctor needs the full picture of what you take.

What do you take ibuprofen 800 mg for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take naproxen (Aleve)?

The doctor needs the full picture of what you take.

What do you take naproxen (Aleve) for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take naproxen 500 mg?

The doctor needs the full picture of what you take.

What do you take naproxen 500 mg for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take aspirin?

The doctor needs the full picture of what you take.

What do you take aspirin for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take meloxicam (Mobic)?

The doctor needs the full picture of what you take.

What do you take meloxicam (Mobic) for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take Tylenol?

The doctor needs the full picture of what you take.

What do you take Tylenol for?

Knowing why helps the doctor find safer options.

Tap all that apply.

How often do you take that medicine?

The doctor needs the full picture of what you take.

What do you take that medicine for?

Knowing why helps the doctor find safer options.

Tap all that apply.

Do you have any of these?

Some swallowing problems are linked to allergic conditions.

Tap all that apply.

What would help most right now?

So we help in the way you actually want.

Tap all that apply.

How often would you like Mom and me to check in?

So we don't bug you and we are still there.

All done. Look it over.

This is what will be sent to Dad. Tap Back to change anything.