COULD IT BE
ACUTE HEPATIC
PORPHYRIA (AHP)?

Complete this questionnaire to create your personalized Doctor Discussion Guide.

Bring your personalized discussion guide to your doctor to discuss if you should be tested for AHP.

7%

Have you had severe, unexplained pain for more than one day in these areas?

Click on the areas where you have experienced this pain.

Clear all

18%

How long have you been experiencing these symptoms?

(select one)

21%

For the signs and symptoms you’ve experienced, have your symptoms ever required you to go to the hospital?

(select one)

28%

Have you had any of the following diagnoses?

Gastrointestinal
disorders

(select all that apply)

35%

Have you had any of the following diagnoses?

Neurological/
neuropsychiatric
disorders

(select all that apply)

42%

Have you had any of the following diagnoses?

Gynecological
disorders

(select all that apply)

49%

Have you had any of the following diagnoses?

Abdominal
conditions
requiring surgery

(select all that apply)

56%

After surgery, do you still have the same severe, unexplained pain?

63%

Do you notice your symptoms occurring after exposure to any of the following?

(Select all that apply)

SOME MEDICATIONS
HORMONE CHANGES
Including levels of estrogen and progesterone. These hormones fluctuate the most during the 2 weeks before a woman’s menstrual cycle begins.
DRINKING ALCOHOL
SMOKING
STRESS CAUSED BY:
-Infections
-Surgery
-Physical exhaustion
-Emotional exhaustion
FASTING
or extreme dieting