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His Holiness
Maharishi
Mahesh Yogi
Ano-Rectal
Main Category Index
Alphabetic Index
Bowel incontinence
Your answers will enable us to develop your personalized consultation.
Select the consultation type for this disorder.
For more information, click on the consultation type.
Enhanced
($900)
Additional or Follow-up
($450)
Issues
1)
(required)
Check one or more
characteristics
or information relevant to your current case of Bowel incontinence and its symptoms.
Involuntary passage of stool
Sphincter injury
Loss of sphincter control
Caused by central nervous system or spinal cord disorder
Musculoskeletal impairment
Depression
Severe anxiety
Aggravated by stress
Gastrointestinal distress
Colostomy
Stress incontinence precipitated by coughing, straining or heavy lifting
Poor nutrition
Blocked energy flow
None
2)
(required)
Check one or more
primary areas
to be addressed.
Anus
Rectum
Bowel
3)
(required)
Check one or more
Sensations
that are predominant in your case of Bowel incontinence.
Shakiness
Itching
Numbness
Heaviness
Weakness
Rawness
Pain
Stiffness, rigidity and/or tightness
Burning
Heat
None
4)
Check one or more kinds of
Pain
that you experience in association with your case of Bowel incontinence or its symptoms.
Sharp
Dull/Achey
Burning
Prickling
Stabbing
Shooting
Unbearable
Constant
Occasional
Intermittent
Acute
Extreme
Current condition
5)
(required)
Select
how often
you experience Bowel incontinence or its symptoms.
Daily
Weekly
Monthly
Yearly
Continuously
Varies
Depends entirely on circumstances
6)
(required)
Currently,
how severe
is your case of Bowel incontinence or its associated symptoms?
mild
moderate
severe
very severe
7)
(required)
How
disabling
is your case Bowel incontinence or its symptoms?
mildly
moderately
severely
very severely
Not at all
Disorder History
8)
(required)
Approximately,
how long
have you had Bowel incontinence or its symptoms?
1
2
3
4
5
6
7
8
9
10-15
16-20
21-30
31 or more
years
months
weeks
9)
(required)
Is your case of Bowel incontinence the
result of an accident
or another sudden traumatic event?
yes
no
unsure
10)
(required)
Has your case of Bowel incontinence been
medically diagnosed?
yes
no
11)
Brief history of your case of Bowel incontinence and its treatment (optional - up to 250 characters only)
12)
How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Bowel incontinence?
0
1
2
3
4 or more
12)
What was the average percentage of relief you gained as a result?
75-100%
50-75%
25-50%
0-25%
Unsure
Comments
13)
Additional comments (up to 250 characters only)