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This questionnaire is provided for general information only and is not intended to be used for self diagnosis. Some of the symptoms could indicate a more serious condition which could require the assistance of a health professional. If you consider CandidaCandida, flourescent stain Nail infection, candidal Skin testing, ppd (r arm) and candida (l) to be a problem we encourage you to discuss your condition with knowledgeable health professionals familiar with this subject.
Thank-you
Nivedita
CANDIDA ALBICANS OUESTIONNAIRE
This questionaire is provided as a indicater.
Print and Add up your score to determin the possibility of candida.
LIST 1.
_____ 1. Have you ever taken antibiotics?
_____ 2. Have you ever taken steroid drugs such as Prednisone or Cortisone?
_____ 3. Have you ever taken contraceptive medication?
_____ 4. Have you been pregnant more than once?
LIST 2. - MAJOR SYMPTOM HISTORY
______ 1. Have you had itching or burning of the Vagina, Cvstitis or Thrush (Female) or "Jock itch" (Male)?
______ 2. Have you ever had athlete's foot, skin rashes or fungal infections of nails or skin?
______ 3. Are you affected by chemical fumes, perfumes, tobacco smoke etc?
______ 4. Do you crave sugary foods, bread, beer or alcohol and are your symptoms worse after taking these?
______ 5. Do you suffer from a variety of allergies?
______ 6. Do you suffer from intestinal gas, abdominal gas5 bloating or discomfort, belching or wind?
______ 7. Do you suffer from pre-menstrual syndrome (fluid retention, irritability, cramp or pain)?
______ 8. Do you suffer from depression, fatigue, lethargy! or mood swings?
______ 9. Pire you often irritable, easily angered, anxious or nervous?
______ 10. Do you have trouble thinking clearly, suffer occasional memory losses or have difficulty concentrating?
______ 11. Are you ever dizzy or light headed?
______ 12. Do you have muscle aches, tingling, numbness or burning or joints that swell and ache with normal activity?
______ 13. Do you have erratic vision or spots before the eyes?
______ 14. Have you had an unexpected weight gain without a change of diet?
______ 15. Are you bothered by constipation, diarrhea or alternating constipation and diarrhea especially when taking antibiotics?
LIST 3. SECONDARY SYMPTOMS
_____ 1. Do you feel worse on damp days
_____ 2. Do you experience persistent drowsiness?
_____ 3. Do you have a lack of co-ordination or loss of balance
_____ 4. Have you experienced regular headaches?
_____ 5. Is your mouth or throat often dry?
_____ 6. Do you suffer from bad breath?
_____ 7.AIre you bothered by a post-nasal drip, nasal itch and/or congestion?
_____ 8. Do you experience any tightness in the chest?
_____ 9. Do you experience ear sensitivity or fluid in the ears?
_____ 10. Do you regularly experience heartburn or indigestion?
TOTAL SCORE
LIST 1. __________
LIST 2. __________
LIST 3. __________
Please total your score.
If you have one or more ticks in List 1,
Two or more in List 2
Any in List 3- Candida is possibly involved.
This questionnaire is provided for general information only and is not intended to be used for self diagnosis. Some of the symptoms could indicate a more serious condition which could require the assistance of a health professional. If you consider Candida to be a problem we encourage you to discuss your condition with knowledgeable health professionals familiar with this subject.
Click the candida page link at the bottom of the page
http://www.nzhealth.net.nz/dis_ease/candida_questionaire.htm
around the navel and then progresses to the right side. Sometimes this is hard to diagnose. My daughter had appendicitis several years ago, and it came and went over several months. Has your daughter had a white blood count test taken during an "attack"? This is usually elevated when there is infection present.