• Your need
  • Symptoms
  • Health
  • Medicines
  • Consent
Our doctors would now like to check your suitability for this product

Your experience of cystitis

Your expHas a doctor or nurse previously diagnosed you as having cystitis?erience of cystitis

Have you ever had cystitis that has spread to your kidneys or required you to attend hospital?

In the last twelve months, how many times have you been treated with antibiotics for cystitis?

Are you confident that you could recognise the symptoms of cystitis?


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

Your current experience of cystitis

Do you think that you are currently suffering from cystitis?


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

Your medical history

Have you ever been diagnosed with a kidney, bladder or urinary tract condition (not including urine infections)?

Have you ever been diagnosed with a liver condition?

Have you ever been diagnosed with a blood condition?

Have you ever been diagnosed with G6PD deficiency?

Have you ever been diagnosed with Porphyria?

Do you have any condition that suppresses your immune system?

Do you have diabetes?

Do you use a catheter to drain your urine?

Have you ever had any operations or procedures on your kidney or bladder?

Other than those already mentioned, do you have any other significant medical conditions, illnesses or past surgical procedures?


Pregnancy and breastfeeding

How do I know if I\'m pregnant?

Are you breastfeeding?


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

Current and recent use of medicines

Are you taking any prescription-only medicines, over-the-counter medicines, alternative medicines or recreational drugs?

In the last two months have you taken any medicine, including both prescription and non-prescription medicines, other than any medicine you have mentioned above?


Allergies

Are you allergic to any of the following? Please select all that apply.

Do you have any other known allergies?


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

I confirm the above statements are true --I have responded honestly and provided complete and accurate information that reflects my up to date medical history and information, so that the doctor can safely assess and advise me.
--I fully understand all the questions and information provided. If I am unsure about any aspect of the service I will contact Your Chemist Online Doctor before proceeding.
--I understand the side effects, effectiveness and alternatives to the treatment I am requesting.
--I understand this consultation will form part of my Online Doctor medical record and will be kept in line with the relevant retention period.
--I have read, understand and agree to the latest terms and conditions and privacy policy


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