1

CHAPTER 1

THE PROBLEM

Chapter 1 presents the background of the study, the

theoretical and conceptual framework , the statement of the

problem, the hypothesis, significance of the study, the

study delimitations and the operational definition of

terms.

Background of the Study

The present-day situation, some students have low

resistance in reacting to the realities of nature like

cold and extreme warm temperature. Some failed to eat

balance diet due to growing habits like eating in fast

food chains while others are much dependent on junk foods.

Unlike in the previous generation where diet of children

were much on fresh vegetables and fruits.

One of the greatest problems in academic field is

getting sick the inability of the body to sustain the

rigors of academic activities. Many nursing subject

requirements could not be met due to complaints on

headaches, fever, toothache, stomach ache and the like. Due

to intense pressure of the nursing course, some failed even

in their subjects which resulted to re-taking the subject

and some dropped. The irony is that much has already

spent and the family of course suffered a financial loss.

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Considering these tremendous expenditures, it can be

said that the per capita cost of education is high and so

failure to pass nursing subjects among students has become

a gross and blatant disappointment to the guardians.

To say at least, it is a waste of time, money and

effort to put up a student to school, start an academic

calendar year, and carry on the task of teaching students

who seem to be disinterested in school work, and who end up

with failing grades or just obtain modest grades when they

could have achieved more. On the other hand, it is

pleasurably consoling when students turn out to be what is

expected of them academic achievers, conscientious and

diligent.

In school, the major activity of the students is

learning and the goal of this activity is academic

achievement. Success in an educational field will enable a

student to develop his potentialities and gain security and

satisfaction ( Mitz, 2001). However, when he fails in the

academic field, he is disappointed or dissatisfied. This

dissatisfaction could arose anxiety which may lead to

maladjustment – a condition which the school wants to avoid.

The focus of this study is the health condition of

students which has been greatly considered as a

contributing factor to academic performance.

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The general opinion is that students with healthy

conditions perform better in school than those who are

sickly. For even under the best of conditions, students are

likely to encounter a great many frustrating and

exasperating experiences. Thus, only those who are

personally committed to getting an education in a school of

his own choice and course that he personally chooses can

forge ahead despite obstacles that come his way. In

addition, the health condition of an individual becomes a

factor that pushes the student to actively participate in

any school activity. This condition drives him to be

diligent in his studies and conscientious in tasks asked

of him by his teacher. Thus, from such attitude, higher

grades are expectedly obtained.

The desire of the researchers to identify common

health problems and its effect on academic performance is

the main reason for undertaking this research.

Theoretical Framework

Several educational innovations have been tried in

Philippine schools for the maximum development of every

need. However, in spite all efforts to get students to

achieve, wide variations in achievement are found in every

educational level. This is due to tremendous differences

existing among individuals in their physical, mental,

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social, emotional and cultural backgrounds. These

individual differences and the different factors that

affect learning could primarily be shaken by health

conditions of students.

This study is anchored on the theory of Johnson (2003)

that is designed to help interpreting the relationship

between the health conditions and student achievement was

used in this study. Its purpose is to explain variations in

student performance that occur among classroom considering

health factors.

Thus, the core assumptions while implementing

establishing sound mind, sound body and healthy academic

performance theoretically anchored Johnson Principles :

(1) Every person is a learner;(2) learning is an ongoing

and lifelong process; (3) People learn within social and

cultural contexts, independently and through interaction

with others; (4) What is learned depends on the way it is

learned and with whom it is learned; (5)principles of

health is wealth-learning takes place when participants are

physically and mentally ready .

Independent Variables Dependent Variables

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Common Health Academic Performance

Problems
• Tension head • Excellent
ache • Very
• Migraine Satisfactory
Effect
• Sinusitis • Satisfactory
• Toothache • Fair
• Cough • Poor
• Diarrhea
• Skin diseases

Figure 1. Conceptual Framework

Common Health Problems Affecting Academic Performance of
Level III Nursing Students SY 2006-2007

Statement of the Problem

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The researchers would like to ascertain the common

health problems encountered by Level III nursing students

and its effect on the academic performance SY 2006-2007.

Specifically, it would answer the following questions:

1.) What are the common health problems encountered

by the respondents for SY 2006-2007?

1.1 tensions and headaches

1.2 migraine

1.3 sinuses

1.4 toothache

1.5 cough

1.6 diarrhea

1.7 skin diseases

2 ) What is the academic performance of the Level III

nursing students ?

3) Is there significant effect on the identified

common health problems to the academic performance of level

III nursing students?

Hypothesis

The following null hypothesis will be tested at .05

degree of significance ;

Ho There is no significant effect of common health problems

to the academic performance of the Level III nursing

students.
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Significance of the Study

The results obtained from this research serves as

valuable information and knowledge about the common health

problems encountered by Level III nursing students and its

effect on their academic performance. However, it is

beneficial to the following groups:

Administration

The administration of Butuan Doctors’ College will

have the information on the common health problems of

nursing students so they can plan for course of actions,

to equip school clinic with staff and medical supplies to

meet the needs of studentry.

Nursing Faculty

The faculty will establish their instructional goals

and objectives anchored to the total development of

students. The assessment on physical conditions of students

will provide the faculty with information about the

capacity of the students to comprehend and learned with

emphasis on their physical readiness. Psychological

equilibrium could be maintained when actors in the

students’ life performed their share.

Students
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The students will develop a effective mastery skills

when they are physically healthy. Thus, the research will

provide them avenue to present problems for resolutions.

Parents

The parents are directly responsible for their

children and the result of the study will help them look to

the health care plan for their children.

Future Researchers

The result of this research work will serve as basis

or reference for future related studies specifically in the

education aspect.

Scope and Delimitation

To determine the boundaries of the study, the

following parameters were considered:

Content Delimitation

The study focused on the common health problems and

its effect to the academic performance of Level III Nursing

Students SY 2006-2007 at Butuan Doctors’ College.

Subject Delimitation

The subject of the study are 160 level III students’

affiliates at Butuan Doctors’ College SY 2006-2007.

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The study involved two kinds of variables, termed as

independent and dependent variables.

The dependent variable is the academic performance of

Level III nursing students.

The independent variables are the common health

problems encountered by level III nursing students.

Time Delimitation

The study is conducted 2nd semester of School Year

2006-2007 and tabulated and interpreted 1st semester of

School Year 2007-2008.

Definition of Terms

To be able to know and understand the meaning of the

major terms found in this research study clearly, some of

the major terms are defined operationally:

Academic Performance. It refers to the concrete

achievement of the students in knowledge, skills and

aptitudes in relation to the requirements of the course. As

used in the study, it refers to the average rating that

students rated in the concept immunologic disorders for

level III and level IV communicable disease nursing.

Cough. This refers to a health problem experience

cold and chilling.

Diarrhea. This refers to gastrointestinal disorder

characterized by excessive bowel movement.

 10

Migraine. The term refers to a migraine headaches

happen when blood vessels in the head open too wide or

close too tight.

Sinusitis. This term refers to headache that occurs

when fluids in the nose aren’t able to drain well and a

build up of pressure occurs in the sinuses.

Skin Diseases. This term refers to skin disorders

experiencing itchiness and irritation.

Tension headache . This term refers to tensions

headache which create a stress and manifest mental pain.

Toothache. This refers to tooth disorder experiencing

extreme pain emanating from the teeth.

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Chapter 2

Review of Related Literature

This chapter discusses about the conceptual and

related studies conducted about the problem.

Links Between Health and School Performance

It is well known that healthy behavior can have long

term benefits. For students, healthy behavior can also have

more immediate consequences of better school performance.

According to American School Health Association (1998),

“Schools are ideal places to reach children and youth.

Because students’ health and learning are linked. Students

cannot learned when they are not well or when health

concerns interrupt their ability to concentrate (Lenninger,

2002) .

Many students have shown a link between participation

in high risk and unhealthy behaviors and school

performance. Drug use, alcohol use and tobacco use, poor

nutrition and physical inactivity and violence are all

related to diminished school performance. These studies

suggest that if students are not in good health, they will

not able to learn and achieve to their highest potential

(Bucks, 2001).

There is a wide range of school performance problems

that have been linked to unhealthy and high risk behaviors.

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Dropping out, truancy and delinquency are related to such

behaviors. Lower academic achievement as measured by grade

point average, test scores and education level as well as

memory, attention and motivation have been linked to

unhealthy behaviors.

Nutrition and Physical Activity

Given (2002) stated that good eating habits can help

students learn better. Experts suggest that healthy eating

is necessary for optimal brain development and

functioning. Food intake can affect energy levels,

concentration and learning.

Academic Performance

Academic performance reflects the productive

integration of the students’ interest and teachers’

expertise in the teaching-learning situation (Brookover,

1999). It demonstrates the students’ grasp of the subject

content which is partly measured by oral and written tests.

However, such measurements do not directly assess holistic

individual capabilities in relation to intelligence

quotient, motivation and interest, attitudes towards the

subject and attitude towards the teacher. Measured in terms

of grade point average, often expressed in percentages,

academic performance reflects the extent of students

achievement in terms of knowledge, skills and values

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acquired vis-à-vis the content, course, scope and degree of

difficulty of the course (Tuckman, 2001)

Along the same vein, Oliva ( 2000) averred that in

relation to academic performance there are valuable

indicators of the psychological construct of the

individual. The individual’s interest and attachment to

certain objects, concepts and orientations invariably the

type of personality and the aspiration and visions of the

individual.

Asher (2000) recognized the many different conditions

affect the efficiency, as well as the amount and quality of

an individual learning. Some of these conditions are his

mental ability, degree of maturation, readiness, interest,

goals, values, experiential background, mental and physical

health, previous achievement and social adaptability.

Others are the skill, artistry and personality of the

teachers and nature of the material which the individual is

expected to learn. Still others are the individual’s

classroom environment, the composition of his group and the

interaction of the member.

Many educationalist contended the importance of good

health and nutrition to the academic performance. The

physical, social, mental and emotional environment

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contributed to the academic success and improve mental

ability.

Learning processes are complex processes which

requires soundness of mind and body.

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CHAPTER 3

METHODOLOGY

This chapter presents the research design, research

locale, the respondents, instrument, sampling technique,

the data gathering procedures and statistical tool

utilized in the course and analysis of the study.

Design

The study wanted to identify common health problems

and relate them to the academic performance of Level III

and IV Nursing students. Gathering facts and information

along the line constitute a descriptive research.

Correlating independent variables with dependent variable

is a correlational research.

Research Locale

The study was conducted at Butuan Doctors’ College

(BDC).

BDC is providing tertiary education in Caraga region.

Form part of its vision and mission is to institutionalize

medical education as key to human formation and academic

competence. It has been provider of health practitioners

for more than two three decades.

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Respondents

The respondents of the study were 160 level III

nursing students randomly taken as respondents. Of the

total population of 225 coming from six sections.

Instrument

As means of data gathering, a set of structured

questionnaire-interview was developed. Respondents were

allowed to check appropriate answers. The survey form has

two parts, namely , Part 1- Letter of Invitation ; and

Part II – The Common Health Problems Encountered.

To ascertain the validity and reliability, the

researchers’ adviser and Research subject instructor

checked the guide questions.

Data Gathering Procedure

The researchers made a simple questionnaire for study,

and then the researchers’ adviser checked it for

corrections and approval. The approved questionnaire was

reproduced and administered personally by the researchers.

Prior to the actual gathering of data, the researchers made

a letter of request addressed to the Dean of College of

Nursing asking permission to conduct a study along the

common health problems encountered while in school.

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Upon approval, the researchers identified target

respondents . The instruments were retrieved, tabulated and

statistically treated.

Academic performance was based on the information

provided by the office of the registrar as requested by the

researchers.

Treatment of the Data

The researchers utilized statistical method for the

analysis of data. The researchers coded the responses of

the respective respondents using the Likert scale.

Scale Range Verbal Description

5 4.51- 5.0 Always
4 3.50- 4.49 Oftentimes
3 2.50- 3.49 Sometimes
2 1.50 - 2.49 Seldom
1 1.0- 1.49 Never

Statistical Technique
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Frequency of responses, including the respondent’s

socio-demographic profile, were tallied for the computation

of percentage value. The following statistical tools were

employed :

1. Frequency. It is the total number of responses.

2. Percentage- used to determine the frequencies and the

percentage of the first variable. This includes the manner

on how the items were rated after the consolidation of data.

Formula: = f/x (100)

Wherein: f = frequency of respondents

X = total number of respondents

3. Weighted mean- This technique was used by the

researchers for the purpose of quantitative analysis.

Formula: Wm = F (X1 + X2 + X 3 + X 4 + X5)

N

Where f = frequency

X1-= weight in the four point scale

N= sum of the frequencies

4. Chi square is used to test significant effect.

CHAPTER IV

DATA PRESENTATION, ANALYSIS AND INTERPRETATION

This chapter discusses the major findings of the study

and its interpretation.

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Problem # 1 What are the common health problems encountered

by the respondents for SY 2006-2007?

When asked as to tension headache, the respondents

answered that they oftentimes encountered tension headache

with an average mean of 4.03 with a verbal description of

oftentimes.

Table 8 shows that the respondents oftentimes

experience headache in the forehead , suffered pains

radiating to the head, really stressed out of the pain,

had an eye strain, and could not have a good sleep..

Table 1
Frequency and Mean Distribution of the Respondents’
Perception on Common Health Problems as to Tension
Headache Affecting Academic Performance

Common health problems 5 4 3 2 1 Wxm Verbal

description
1. Tension Headache
1.1 I experience ache in 70 40 30 10 10 3.93 Oftentimes
my forehead, above my ear
and back of my head.
1.2 I suffered pains and 85 35 20 14 6 4.11 Oftentimes
it radiates to my head.
1.3 I am really stressed 37 90 23 5 5 3.93 Oftentimes
out.
1.4 I had an eye strain. 35 100 15 7 3 3.98 Oftentimes
1.5 I could not have a 58 80 13 7 6 4.18 Oftentimes
good sleep.
Overall Average Mean 4.03 oftentimes

Majority of the respondents sometimes encountered

migraine as health problems with an average mean of 3.14

and has a verbal description of sometimes. The respondents

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oftentimes experience headache starting from the head and

move to the other part, feel uncomfortable with the

experience, light hurting the eyes and causing headache,

and after headache, feeling drained and tired.

Table 2
Frequency and Mean Distribution of the Respondents’
Perception on Common Health Problems as to Migraine
Affecting academic Performance

2. Migraine 5 4 3 2 1 Wxm Verbal

description
2.1 I experience headache 10 33 89 20 5 3.08 Sometimes
that started at the side
of my head and move to the
other part.
2.2 I feel uncomfortable 15 25 84 23 13 3.03 Sometimes
in my stomach.
2.3 Light hurts my eyes 25 25 75 25 10 3.18 sometimes
and cause headaches and
worsens during my
activities.
2.4 After the headache, I 22 27 95 9 7 3.3 sometimes
had drained feeling and
tired
Total average mean 3.14 sometimes

Majority of the respondents had health problem on

sinusitis with an over-all average mean of 3.68 and a

verbal description of oftentimes.

Items perceived as oftentimes a health problems are

pain in the forehead, cheekbones and worsen in the morning,

increased pain when bending , having a stuffy nose and

runny nose and difficult breathing due to the conditions.

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Table 3

Frequency and Mean Distribution of the Respondents’

Perception on Common Health Problems as to Sinusitis
That Affect Academic Performance
3. Sinuses Problems 5 4 3 2 1 WXm Verbal
description
(Sinusitis)
3.1 I had pain In my 40 90 14 10 6 3.92 Oftentimes
forehead, cheekbones and
worsen In the morning.
3.2 I had an increased 27 80 34 10 9 3.66 Oftentimes
pain when I bend over or
touch my knee.
3.3 I had a stuffy nose. 18 100 22 15 5 3.69 Oftentimes
3.4 I had a runny nose 20 93 22 15 10 3.61 Oftentimes
3.5 I have difficulty in 20 88 22 17 13 3.53 Oftentimes
breathing
Total average mean 3.68 Oftentimes

Majority of the respondents oftentimes encountered

toothache as a health problem with an average overall mean

of 3.81.

Items considered as oftentimes a problem on toothache

are swollen gums and tooth decay, dizziness and exhausted

due to toothache ,could hardly eat and painful to chew,

leave all activities unattended, and could not rest and

sleep due to toothache .

Table 4
Frequency and Mean Distribution of the Respondents’
Perception on Common Health Problems as to Toothache
That Affect Academic Performance
4. Toothache 5 4 3 2 1 Wxm Verbal
description
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4.1 I had a swollen gums 25 85 37 13 15 3.64 Oftentimes

and tooth decay
4.2 I felt dizzy and 40 90 10 15 5 3.90 Oftentimes
exhausted due to toothache
4.3 I could hardly eat and 30 118 12 8 2 4.15 Oftentimes
it is painful to chew.
4.4 I had to leave all my 28 100 17 10 5 3.65 Oftentimes
activities unattended.
4.5 I could not sleep and 30 85 27 12 6 3.75 Oftentimes
rest due to toothache
Total average mean 3.81 Oftentimes

When asked as to the problem on cough, majority

responded that cough was oftentimes experienced with an

average mean of 3.88.

Items encountered as oftentimes are the conditions

that drain the respondents’ energy, irritates their nose

and throat causing feeling dizzy during coughing, having a

hard time breathing and expectorating and coughing out

yellowish sputum.

Table 5
Frequency and Mean Distribution of the Respondents’
Perception on Common Health Problems as to Cough
That Affect Academic Performance
5. Cough 5 4 3 2 1 Wxm Verbal
description
5.1 It drains my whole 49 80 20 6 5 4.01 Oftentimes
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energy.
5.2 It irritates my nose 48 77 26 8 1 3.71 Oftentimes
and throat, causes pain
5.3 I felt dizzy when 40 90 20 8 2 3.93 Oftentimes
coughing
5.4 I had a hard time 50 77 23 5 5 4.01 Oftentimes
breathing and swallowing
5.5 I expectorate and cough 30 80 36 6 8 3.73 Oftentimes
out yellowish sputum.
Total average mean 3.88 oftentimes

When asked as to the problem of diarrhea , majority of

the respondents oftentimes experience diarrhea with an

average mean of 3.69.

Items considered as oftentimes experienced by

respondents with diarrhea are indigestion; having loose

and watery stool; weakens their body; hardly maintain

equilibrium and, vomiting and being dehydrated.

Table 6
Frequency and Mean Distribution of the Respondents’
Perception on Common Health Problems as to Diarrhea
That Affect Academic Performance
6. Diarrhea 5 4 3 2 1 Wxm Verbal
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description
6.1 I always have 30 85 20 15 10 3.69 Oftentimes
indigestion
6.2 I had a loose and 20 95 39 10 5 3.88 Oftentimes
watery stools.
6.3 It weakens my whole 34 70 36 10 10 3.65 Oftentimes
body and functioning
6.4 I could hardly 27 80 14 23 16 3.43 Oftentimes
maintain my body
equilibrium
6.5 I am vomiting and 26 88 34 8 4 3.77 Oftentimes
dehydrated.
Total average mean 3.69 oftentimes

Majority of the respondents perceived oftentimes

having skin disease a common health problem with a

weighted mean of 3.78

Items identified to be oftentimes a common health

problems are feeling itchy and irritable, irritates the

respondents the whole day, having disturb concentration

and having a painful experience with the condition.

Table 7
Frequency and Mean Distribution of the Respondents’
Perception on Common Health Problems as to Skin Diseases
7. Skin diseases 5 4 3 2 1 WXM Verbal
description
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7.1 I felt itchy and 38 76 38 6 2 3.88 Oftentimes

irritable
7.2 It irritates me the 37 85 25 7 6 3.87 Oftentimes
whole day.

7.3 It disturb my 33 77 23 10 7 3.65 Oftentimes

concentration to studies
7.4 It is painful 28 74 29 20 7 3.75 Oftentimes
experience with the
condition.
Total average mean 3.78 Oftentimes

2. What is the academic performance for the

first semester, 2006- 2007?

Majority of the respondents performed satisfactorily

in their academic performance with a frequency of 115 or

44.6 %.

Table 8
Level of Academic Performance of Level III and IV Nursing
Students

Academic Range Frequency Percentage

Performance
Excellent 90 and 10 6. 30
above
Very 85- 89 23 14.35
satisfactory
Satisfactory 80- 84 82 51.20
Fair 75-79 35 21.85
Needs 74 and 10 6. 30
improvement below
Total 160 100
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3.) Is there significant effect on the identified common

health problems to the academic performance of nursing
students?

Table 9
Chi-Square Correlation Between Common Health Problems and
Academic Performance
Variables Df Computed Tabled Decision
X square X
value square
value
Tensions and headache 4 139.36 9.448 Reject
Ho
Migraine 3 123.58 7.815 Reject
Ho
Sinuses 4 120.03 9.448 Reject
Ho
Toothache 4 173.32 9.448 Reject
Ho
Cough 4 129.40 9.448 Reject
Ho
Diarrhea 4 126.99 9.448 Reject
Ho
Skin diseases 3 105.87 7.815 Reject
Ho

When tested to significant effect using the Chi square

between common health problems and academic performance,

table 21 shows that computed x square are higher than the

tables x square then the decision to reject the null is

carried. Therefore, there is effect of the perceived common

health problems to the academic performance of the students.

Chapter V
 27

SUMMARY, CONCLUSION AND RECOMENDATIONS

This chapter presents the summary, conclusions and

recommendations drawn out of the study.

Summary

The study aimed to ascertain the effect of the common

health problems perceived by Level III Nursing students for

school year 2006-2007.

A self made instrument was reviewed and approved by

the adviser , then distributed and answered by almost 258

level III .

After the administration of the instrument the

researchers tabulated the frequency, weighted means and

their verbal interpretation. To test the significant

difference in perception, the respondents tested both

variables with analysis of variance while significant

effect employs a chi-square.

Conclusions

Majority of the respondent oftentimes experienced

common health problems like tension headache, migraine,

sinusitis, toothache , cough, diarrhea and skin diseases.

Majority of the respondents performed satisfactorily

in their academic performance for the 1st semester of SY

2007-2008.
 28

The study revealed that perceived common health

problems have significant effect in the academic

performance of the Level III nursing students.

Recommendations

On the basis of the above findings, the following

recommendations are proposed:

1. The school administration should enhance medical

services for students’ welfare like regular check-up and

hire more clinic physician and/or school nurses and

lengthen clinic hours..

2. Nursing Faculty to identify students needing

medical care and use a better referral procedure for

students to health care providers in base/affiliating

hospitals.

3. The parents monitor not only the heath status of

their students but also determine effects of their health

on their academic performance.

4. The students should submit to regular check up and

follow treatment regimen

5. For future researchers to undertake the same study

and involve more variables affecting academic performance .

Bibliography
 29

Asher, Jesicca. Motivation. Management Theories and

Practice: Newcrawton Publishing Corp. Revised
Edition. (2000)

Brookover,M. Learning and Coping. Psychological Review-

Psychological Society publication. 1999 edition.

Colley, Richard. Perspective in Health . Brookover

Series. 1999 Edition.

Given ,Mendel.(2002). Human Development . New York:

Mcmillan Book Company .

Johnson, D. (2003). Nursing Education.Charles C.Thompson

Publisher Springfield CA.

Leninger, James . Medical Review. James C. Printing

Company. September 2002 Issue.

Mitz , John (2001). Physical Development. London:Prentice

Hall Publishing Company.

Letter to the Respondents

March 12, 2007

 30

Dear respondents,

We would like to inform you that we are presently

conducting a study on the “Common Health Problems and Its
Effect on the Academic Performance of Level III Nursing
Students SY 2006-2007” as part of the requirements in the
subject research.

In this connection, we would like to invite you as

respondents to this study.

Thank you very much.

Very truly yours,

Group ____
 31

Common Health Problems Among Level III Nursing Students

and Its Effect on the Academic Performance SY 2006-2007

Questionnaire -Checklist

Name __________________________ (Optional)

I. Common Health Problems

The following statements are considered health

problems encountered while studying. Kindly check the
appropriate column using the following scale:
5 = Always
4 = Oftentimes
3 = Sometimes
2 - Seldom
1 = Never

Common health problems 5 4 3 2 1

1. Tension Headache
1.1 I experience ache in my
forehead, above my ear and back of my
head.
1.2 I suffered pains and it radiates
to my head.
1.3 I am really stressed out.
1.4 I had an eye strain.
1.5 I could not have a good sleep.
2. Migraine
2.1 I experience headache that
started at the side of my head and
move to the other part.
2.2 I feel uncomfortable in my
stomach.
2.3 Light hurts my eyes and cause
headaches and worsens during my
activities.
2.4 After the headache, I had drained
feeling and tired
3. Sinuses Problems (Sinusitis)
3.1 I had pain In my forehead,
cheekbones and worsen In the morning.
3.2 I had an increased pain when I
bend over or touch my knee.
3.3 I had a stuffy nose.
 32

3.4 I had a runny nose

3.5 I have difficulty in breathing
4. Toothache
4.1 I had a swollen gums and tooth
decay
4.2 I felt dizzy and exhausted
4.3 I could hardly eat and it is
painful to chew.
4.4 I had to leave all my activities
unattended.
4.5 I could not sleep and rest
5. Cough
5.1 It drains my whole energy.
5.2 It irritates my nose and throat,
causes pain
5.3 I felt dizzy when coughing
5.4 I had a hard time breathing and
swallowing
5.5 I expectorate and cough out
yellowish sputum.
6. Diarrhea
6.1 I always have indigestion
6.2 I had 4 loose and watery stools.
6.3 It weakens my whole body and
functioning
6.4 I could hardly maintain my body
equilibrium
6.5 I am vomiting and dehydrated.
7. Skin diseases
7.1 I felt itchy and irritable
7.2 It irritates me the whole day.
7.3 It disturb my concentration to
studies
7.4 It is painful.