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Do you have any of these symptoms?
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Gastrointestinal Symptoms:
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    _____ Painful Swallowing
    _____ Change in Bowels
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    _____ Black Stools
    _____ Abdominal Bloating
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    _____ Excess Flatus
    _____ Jaundice
    _____ Weight Loss
    _____ Poor Appetitie
Other Symptoms:
    _____ Chronic Cough
    _____ Shortness of Breath
    _____ Coughing up Blood
    _____ Chest Pain
    _____ Palpitations
    _____ Easy Bruising
    _____ Easy Bleeding
    _____ Blood in Urine
    _____ Painful Urination
    _____ Difficulty Urinating
    _____ Weakness Arm/Leg
    _____ Numbness Arm/Leg
    _____ Blurred Vision
    _____ Severe Headache
    _____ Fever/Chills
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These are basic questions.
There are many more.