Dysphagia: |
{html_radios name="dysphagia" options=$form->get_options() selected=$form->get_dysphagia() separator=""} |
Heartburn: |
{html_radios name="heartburn" options=$form->get_options() selected=$form->get_heartburn() separator=""} |
Bloating: |
{html_radios name="bloating" options=$form->get_options() selected=$form->get_bloating() separator=""} |
Belching: |
{html_radios name="belching" options=$form->get_options() selected=$form->get_belching() separator=""} |
Flatulence: |
{html_radios name="flatulence" options=$form->get_options() selected=$form->get_flatulence() separator=""} |
Nausea: |
{html_radios name="nausea" options=$form->get_options() selected=$form->get_nausea() separator=""} |
Vomiting: |
{html_radios name="vomiting" options=$form->get_options() selected=$form->get_vomiting() separator=""} |
Hematemesis: |
{html_radios name="hematemesis" options=$form->get_options() selected=$form->get_hematemesis() separator=""} |
Pain: |
{html_radios name="gastro_pain" options=$form->get_options() selected=$form->get_gastro_pain() separator=""} |
Food Intolerance: |
{html_radios name="food_intolerance" options=$form->get_options() selected=$form->get_food_intolerance() separator=""} |
H/O Hepatitis: |
{html_radios name="hepatitis" options=$form->get_options() selected=$form->get_hepatitis() separator=""} |
Jaundice: |
{html_radios name="jaundice" options=$form->get_options() selected=$form->get_jaundice() separator=""} |
Hematochezia: |
{html_radios name="hematochezia" options=$form->get_options() selected=$form->get_hematochezia() separator=""} |
Changed Bowel: |
{html_radios name="changed_bowel" options=$form->get_options() selected=$form->get_changed_bowel() separator=""} |
Diarrhea: |
{html_radios name="diarrhea" options=$form->get_options() selected=$form->get_diarrhea() separator=""} |
Constipation: |
{html_radios name="constipation" options=$form->get_options() selected=$form->get_constipation() separator=""} |
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