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
14%
Have you experienced any of these signs and symptoms?
(Select all that apply)
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 or surgeries?
Gastrointestinal
disorders
(select all that apply)
35%
Have you had any of the following diagnoses or surgeries?
Neurological/
neuropsychiatric
disorders
(select all that apply)
42%
Have you had any of the following diagnoses or surgeries?
Gynecological
disorders
(select all that apply)
49%
Have you had any of the following diagnoses or surgeries?
Abdominal
conditions
requiring surgery
(select all that apply)
56%
After surgery, do you still have the same severe, unexplained pain?
63%
Have symptoms started within recent days after exposure to any of the following?
(Select all that apply)
70%
Have your symptoms disrupted parts of your life?
(Select all that apply)
77%
On a scale from 1-5, how disruptive are your symptoms?
84%
How frequently do you experience these symptoms?
91%
Has anyone in your family been previously diagnosed with a type of AHP?
(Select all that apply)
100%
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100%
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AHP Doctor Discussion
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