Date:
Score each symptom 0 (none) to 10 (worst). B = bloating, P = pain, G = gas, U = urgency, S = stool change. Example: “B4 P2”.
| Meal / time | Food & drink (ingredients, amount) | 30 min | 2 h | 6 h |
|---|---|---|---|---|
| Breakfast | ||||
| Snack | ||||
| Lunch | ||||
| Snack | ||||
| Dinner | ||||
| Evening | ||||
| Other |
Sleep (hours, quality)
Stress (0–10)
Exercise
Period / cycle
Medication changes
Bowel movements
Notes