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treatment, migraine headaches, cluster headaches, or headaches associated with visual or
neurological symptoms.
18.b. Dizziness or fainting spell
For example: Frequent spinning or lightheadedness; other factors associated with episodes of
dizziness or fainting, such as headache, nausea, loss of consciousness, tingling, numbness,
vertigo.
18.c. Unconsciousness for any reason
For example: Unconsciousness, no matter how short, whether explained or unexplained.
18.d. Eye or vision trouble except glasses
For example: Unusual visual experiences (halos, wavy lines, etc.), sensitivity to light, eye
injury, loss of vision, vision discomfort, eye surgery.
18.e. Hay fever or allergy
For example: Chronic or seasonal allergies controlled by allergy shots and/or medication,
nasal allergies, nasal obstruction, sinus block, sinusitis.
18.f. Asthma or lung disease
For example: Asthma attacks; use of an inhaler; COPD; chronic bronchitis; emphysema;
fistula; fungal disease; pleurisy; pneumothorax; pulmonary embolism; pulmonary fibrosis;
chest surgery; tumor(s).
18.g. Heart or vascular trouble
For example: Angina, heart pain, coronary heart disease, heart attack, myocardial infarction,
abnormal rhythm, atrial fibrillation, cardioversion, cardiac failure, congestive heart failure,
heart enlargement, cardiac decompensation, hypertrophy or dilation of the heart, pulmonary
hypertension, heart valve disease, heart valve repair or replacement, pacemaker, anti-
tachycardia device, implantable defibrillator, congenital heart disease, endocarditis, heart
inflammation, pericarditis or heart transplant.
18.h. High or low blood pressure
For example: Diagnosis of high or low blood pressure, whether treated or not; use of blood
pressure medication of any kind.
18.i. Stomach, liver, or intestinal trouble
For example: Appendicitis, bleeding ulcer, bowel obstruction, cancer, Crohn's disease, chronic
hepatitis, cirrhosis, colostomy, irritable bowel syndrome, hernia, ulcerative colitis, any
surgery.
18.j. Kidney stone or blood in urine
For example: Kidney stone, kidney cancer, kidney transplant, blood in urine, chronic recurrent
urinary tract infections, urinating frequently at night.
18.k. Diabetes
For example: Pre-diabetes, type I diabetes, or type II diabetes treated with insulin,
medication (oral or injectable), and/or diet and exercise.
18.l. Neurological disorders: epilepsy, seizures, stroke, paralysis, etc.
Also, muscle weakness, disturbance of sensation, disturbance of consciousness, loss of
coordination, head injury, concussion.
18.m. Mental disorders of any sort: depression, anxiety, etc.
Also, attention deficit disorder, attention deficit hyperactivity disorder, bipolar disorder,
obsessive compulsive disorder, panic attacks, personality disorder, post-traumatic stress
disorder, psychosis.