Medical Intake Question Bank

Paul asked Hermes to eventually ask all useful questions about his condition. This page is the staging area for that interview, so the questions can be asked systematically after Notion/Guava import.

UC/proctitis diagnosis and scope

• When did symptoms first start?
• When was UC/proctitis formally diagnosed?
• What did colonoscopy show: rectum only, sigmoid, left-sided, pancolitis, cecal patch, terminal ileum?
• What did pathology/histology say?
• Has disease extent changed over time?
• Has fecal calprotectin been tracked across flares/remission?

Symptoms and flare sequence

• How often does mucus appear before blood?
• How long from mucus onset to blood if no intervention occurs?
• What does constipation mean in practice: fewer BMs, harder stool, incomplete evacuation, straining, tenesmus?
• Any urgency, diarrhea, nocturnal BMs, fever, weight loss, anemia?
• What exactly does cecal pain feel like and when does it occur?

Triggers

• Which dairy forms trigger symptoms: milk, cheese, yogurt, whey, casein, butter, ghee?
• How fast after dairy does blood appear?
• What gluten test showed sensitivity?
• Is wheat distinct from gluten for symptoms?
• Other known food triggers?
• Stress/sleep timing relative to symptoms?

Sleep apnea and sleep

• Was sleep apnea formally diagnosed?
• Severity: AHI/RDI, oxygen nadir, REM/positional pattern?
• CPAP/oral appliance/other treatment status?
• Does UC activity track with sleep quality or apnea treatment adherence?

Biomarkers

• Full lipid timeline during flare/remission.
• ALP timeline with GGT, AST/ALT, bilirubin, vitamin D, bone markers if available.
• Calprotectin timeline.
• CRP/ESR/CBC/iron/ferritin.
• Stool tests and microbiome tests.

Treatments and experiments

• Mesalamine/suppository/enema history.
• Steroids/biologics/immunomodulators history.
• Supplements tried and response.
• Diet experiments tried and response.
• Fasting response.
• Stress/nervous-system interventions.
• Protocols/coaches tried.

Environment and context

• Antibiotic history.
• Food poisoning/infections/travel.
• NSAID use.
• Alcohol/cannabis/nicotine.
• Exercise patterns.
• Family history.
• Mold/water/home/work exposures.