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Leaky Gut / SIBO Quiz

Struggling with gut problems?

Take this quiz to find out right now if you are likely struggling with gut problems.

Step 1 of 4

25%

First Name*
Last Name*
Email*
Begin Quiz
Rate your answers (0 being least/never, 3 being most/always)
I feel that bowels do not empty completely
- 0
- 1
- 2
- 3
I experience lower abdominal pain relieved by passing stool or gas
- 0
- 1
- 2
- 3
I experience alternating constipation and diarrhea
- 0
- 1
- 2
- 3
I experience diarrhea
- 0
- 1
- 2
- 3
I experience constipation
- 0
- 1
- 2
- 3
I experience hard, dry, or small stool
- 0
- 1
- 2
- 3
I experience coated tongue or “fuzzy” debris on tongue
- 0
- 1
- 2
- 3
I pass large amount of foul-smelling gas
- 0
- 1
- 2
- 3

I experience more than 3 bowel movements daily
- 0
- 1
- 2
- 3
I use laxatives frequently
- 0
- 1
- 2
- 3
I experience excessive belching, burping, or bloating
- 0
- 1
- 2
- 3
I experience gas immediately following a meal
- 0
- 1
- 2
- 3
I have offensive breath
- 0
- 1
- 2
- 3
I experience difficult bowel movements
- 0
- 1
- 2
- 3
I get a sense of fullness during and after meals
- 0
- 1
- 2
- 3
I have difficulty digesting fruits and vegetables; undigested foods found in stools
- 0
- 1
- 2
- 3

I experience stomach pain, burning, or aching 1-4 hours after eating
- 0
- 1
- 2
- 3
I use antacids
- 0
- 1
- 2
- 3
I feel hungry an hour or two after eating
- 0
- 1
- 2
- 3
I experience heartburn when lying down or bending forward
- 0
- 1
- 2
- 3
I experience temporary relief by using antacids, food, milk, or carbonated beverages
- 0
- 1
- 2
- 3
My digestive problems subside with rest and relaxation
- 0
- 1
- 2
- 3
I experience heartburn due to spicy foods, chocolate, citrus, peppers, alcohol, and caffeine
- 0
- 1
- 2
- 3
Eating roughage and fiber cause me constipation
- 0
- 1
- 2
- 3

I experience indigestion and fullness last 2-4 hours after eating
- 0
- 1
- 2
- 3
I experience pain, tenderness, soreness on left side under rib cage
- 0
- 1
- 2
- 3
I expereience excessive passage of gas
- 0
- 1
- 2
- 3
I experience nausea and/or vomiting
- 0
- 1
- 2
- 3
I experience Stool undigested, foul smelling, mucous like, greasy, or poorly formed
- 0
- 1
- 2
- 3
I experience frequent urination
- 0
- 1
- 2
- 3
I experience increased thirst and appetite
- 0
- 1
- 2
- 3
I have difficulty losing weight
- 0
- 1
- 2
- 3

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Dr. Will Cole, IFMCP, D.C.
COLE NATURAL HEALTH CENTERS

1000 Infinity Drive #230, Monroeville, Pennsylvania 15146
Phone: 724-772-9833

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