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

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