Pyrroluria Questionnaire

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Full Name

Date

Age

Gender

Most Common Signs and Symptoms. Tick the relevant boxes

Being anxious, shy or fearful or exeriencing inner tension since childhood but hiding these feelings from others

Having bouts of depression or nervous exhaustion

Poor dream recall, stressful or bizarre dreams, or nightmares

Excessive reactions to tranquillisers, barbiturates, alcohol or other drugs, in which a little produces a powerful response

Preferring not to eat breakfast, experiencing light nausea in the morning or being prone to motion sickness

Joints popping, cracking or aching, pain or discomfort between the shoulder blades or cartilage problems

Have white spots or flecks on your fingernails

Disliking protein or having even been a vegetarian or vegan

Being sensitive to bright sunlight or noise

Upper abdominal pain on your seft side under the ribs or, as a child, having a stitch in your side as you ran

Tending to have cold hands or feet

Tend to suffer from anaemia

Having frequent colds or infections, or unexplained chills or fever

Reaching puberty later than normal or having irregular menstruation or PMS

Translucent, pale or fair skin, being the palest in the family, or sun burning easily, now or when younger

For women, belonging to an all-girl family or having look-alike sister

For men, having a mother from an all-girl family or a mother with look-alike sisters, or all the females in the mother's family bearing a strong resemblance to each other

Avoiding stress because it upsets your emotional balance

Tending to become dependent on one person whom you build your life around

Preferring the company of one or two close friends rather than a gathering of friends; becoming more of a loner as you age

Feeling uncomfortable with strangers

Being easily upset internally by criticism

Suffer from frequent mood swings

Being bothered by being seated in the middle of the room in a restaurant

Less common signs and symptoms. Tick the relevant boxes.

Crowded upper front teeth, many cavities or inflamed gums or wearing braces

Bad breath and body odour (or a sweet, fruity odour), especially when ill or stressed

Being prone to acne, eczema, herpes or psoriasis

Reduced amount of head hair, eyebrows or eyelashes, or have prematurely grey hair

Difficulty recalling past events and people in your life

Difficulty recalling what has just been read

Suffer from stretch marks on the skin or poor wound healing

Suffer from poor appetite or poor sense of taste or enjoy spicy food

Tend to carry any excess fat in lower extremities rather than evenly distributed around your body (pear-shaped body)

Feeling stressed by changes in routine, such as travelling or being in new situations

Your face looking swollen when you are under a lot of stress

Cluster headaches or blinding headaches

Have one or more of the following: a psychiatric disorder, schizophrenia, high or low histamine, alcoholism, learning and behavoural disorders, autism or Down's syndrome

Tending to have morning constipation

Tingling sensations or muscle spasms in your legs or arms

Submit

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