SYMPTOM | NONE | VERY MILD | MILD | MODERATE | SEVERE | VERY SEVERE |
---|---|---|---|---|---|---|
Nausea/vomiting [Number 1 to 3] | ||||||
1. Nausea (feeling sick to your stomach as if you were going to vomit) |
0 |
1 |
2 |
3 |
4 |
5 |
2. Retching (heaving as if to vomit but nothing comes up) |
0 |
1 |
2 |
3 |
4 |
5 |
3. Vomiting |
0 |
1 |
2 |
3 |
4 |
5 |
Postprandial fullness/early satiety [Number 4 to 7] |
||||||
4. Stomach fullness |
0 |
1 |
2 |
3 |
4 |
5 |
5. Not able to finish a normal-sized meal |
0 |
1 |
2 |
3 |
4 |
5 |
6. Feeling excessively full after meals |
0 |
1 |
2 |
3 |
4 |
5 |
7. Loss of appetite |
0 |
1 |
2 |
3 |
4 |
5 |
Bloating [number 8 and 9] | ||||||
8. Bloating (feeling like you need to loosen your clothes) |
0 |
1 |
2 |
3 |
4 |
5 |
9. Stomach or belly visibly larger |
0 |
1 |
2 |
3 |
4 |
5 |
Adapted from AAFP 2016
References
Am Fam Physician. 2016 Dec 15;94(12):980-986.
https://www.ncbi.nlm.nih.gov/pubmed/15129893
https://www.ncbi.nlm.nih.gov/pubmed/19558608