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hello hi um should we start yeah ok hello how um good morning sir how can i help you this morning
hello hi um before we stop yeah ok hello um good morning sir how can i help you this morning
sorry to hear that um and and when you say diarrhea whatd you mean by diarrhea do you mean youre going to the toilet more often or are your stools more loose
yeah im sorry to hear that um uh and and when you say diarrhea what do you mean by diarrhea do you mean youre going to the toilet more often or are your stools more loose
ok fine and you mentioned youve been feeling quite weak and shaky as well what do you mean by shaky do you mean youve been having uh have you been feeling feverish for example
ok all right and you mentioned youve been feeling quite weak and shaky as well what do you mean by shaky do you mean youve been having uh have you been feeling feverish for example
you measure your temperature then
you measure your temperature then
ok ok any other symptoms like sweating or um night sweats no and uh any vomiting at all
ok ok any other symptoms like sweating or um night sweats no and uh any vomiting at all
you stopped vomiting ok and was your vomit i know its not a nice thing to talk about but was it just normal food colour yeah and there was no blood in your vomit is that right
you stopped vomiting ok and was your vomit i know its not nice things to talk about but was it just normal food color yeah and there was no blood in your vomit is that right
no ok um and um any any other symptoms at all so you mentioned tummy pain you mentioned diarrhea you mentioned your vomiting uh anything else that comes to mind
no ok um and um any any other symptoms at all so you mentioned tummy pain you mentioned diarrhea you mentioned the vomiting uh anything else that comes to mind
ok
ok
ok so youre drinking fluids um what kind of foods have you managed to eat if anything
ok so youre drinking fluids um what kind of foods have you managed to eat anything
ok fine um and sir these started three days ago the symptoms are you aware of any triggers which may have caused the symptoms uh to kick on so for example think like takeaway foods or eating out or being around other people with similar symptoms
ok fine um and so uh uh this started three days ago the symptoms are you aware of any triggers which may have caused your symptoms to uh to kick on so for example things like takeaway food or eating out or being around other people with similar symptoms
ok
thank you
do you remember where you ate
do you remember what you ate
ok anyone else unwell with similar symptoms
ok anyone else unwell with similar symptoms
ok ok fine um alright and uh in terms of your your overall health are you normally fit and well or uh
ok ok fine um right and uh in terms of your your overall health are you normally fitting well or uh
ok and is your asthma well controlled
ok and is your asthma well controlled
fine and you dont have any other tummy problem bowel problems i should be aware of
fine and you dont have any other tummy problem bowel problems i should be aware of
no ok um and apart from the inhalers do you take any other medications
no ok um and apart from the inhalers do you take any other medications
ok fine and in terms of just your day to day life you said its been affecting your life um in what way has it been affecting your life
ok fine and in terms of just your your day to day life you said its been affecting your life um in what way has it been affecting your life
ok
ok
yeah
yeah
and have you are you currently working at the moment
and have you are you currently working at the moment uh
ok and how many times a day are you going lets say in the last couple of days
ok and how many times a day are you going lets say in the last couple of days
would would work
to work
ok have you been going into work the last three days or have you been at home
ok have you been going to work the last three days or youve been at home
ok that must be difficult for you then
ok that must be difficult for you then
fine and you said you mentioned you live with your wife and two children is that right
right and you said you mentioned you live with the wife and two children is that right
right alright um just a couple of other question we need to ask sir um do you smoke at all
ok all right um just a couple of other questions we need to ask uh um do you smoke at all
and do you drink much in the way of alcohol
and do you drink much in the way of alcohol
ok so um er normally at this stage i like to um examine you if thats ok but um um but but having listened to your story sir i think uh um just to recap for the last three days youve been having loose stool diarrhea a bit of tummy pain uh mainly on the left hand side um and vomiting and fever and youre quite weak and lethargic um you mentioned you had this chinese takeaway as little as three days ago and i wondered whether that might be the cause of your problems
ok so um uh normally at this stage id like to um examine you if thats ok but um um but but have a listen to your story so i think you um just to recap you for the last three days youve been having loose stool diarrhea a bit of tummy pain mainly on the left hand side um and vomiting and feeling generally quite weak and lethargic um you mentioned youre having this chinese takeaway as well three days ago and i wonder whether that might be the cause of your problems
um it seems like you may have something uh called gastroenteritis which essentially just a tummy bug or infection of your uh of your tummy
um it seems like you may have something uh called gastroenteritis which is essentially just a tummy bug or infection of your of your tummy
uh mainly caused by viruses but there can be a possibility of bacteria uh causing its symptoms um
um mainly caused by viruses but it can be a possibility of bacteria uh causing your symptoms um
at this stage uh what what wed recommend is just what we say conservative management so um i dont think you need anything like antibiotics its really just um making sure youre well hydrated so drinking fluids
at this stage uh what what wed recommend is just what we say conservative management so uh i dont think you need anything like antibiotics its really just um making sure youre well hydrated so drinking plenty of fluids
six seven times a day and you mention its mainly watery have you noticed any other things like blood in your stools
67 times a day and you men you mentioned it mainly watery have you noticed any other things like blood in your stools
um there are things like dioralyte you can get from the pharmacy which uh its um it helps helps replenish your minerals and vitamins
um uh there are things like diur like you can get from the pharmacy which uh its um it helps replenish some of your minerals and vitamins
um and if you are having vomiting diarrhea i would say recommend that in the first you know first couple of days
um and if you are having vomiting and diarrhea i would say recommend that the first you know first couple of days
if you are feeling feverish and weak eh taking some paracetamol uh two tablets up to four times a day for the first few days can also help
um if you are feeling feverish and weak you taking some paracetamol uh 22 tablets up to four times a day for the first few days can also help
i will certainly advise you to take some time off work actually i know youre quite keen to work but i would say the next two two to three days as the infection clears from your system to take some time off and rest
ill certainly advise you to take some time off work actually i know youre quite keen to work um i would say in the next 22 to 3 days um as the infection clears from your system to take some time off and rest
um ill admit if your symptoms havent got better you know in in three to four days id like to come and see you again
um you know if your symptoms havent got better you know in in 3 to 4 days id like you to come back and see you again
because if it is ongoing then we have to wonder whether something else caused your symptoms
because if it is ongoing then we have to wonder whether theres something else causing these symptoms
uh and we may need to do further tests like um taking a sample of your stool so we can test that
uh uh and we may need to do further tests like um taking a sample of your stool so we can test that
um etcetera etcetera
um et cetera et cetera
hows that sound
how does that sound
do you have any questions for me
do you have any questions for me
ok and you mentioned youve had some pain in your tummy as well whereabouts is the pain exactly
ok and you mentioned youve had some pain in your tummy as well w whereabouts is the pain exactly
ok and is uh is the treatment plan clear
ok i is the is the treatment plan clear
great well i wish you all the best
great well i wish you all the best
thank you bye bye
thank you bye bye
one side and what side is that
one side and what side is that
left side ok and can you describe the pain to me
left side ok and can you describe the pain to me
ok and is the pain is that is it there all the time or does it come and go
ok and does the pain is that is it there all the time or does it come and go
come and go does the pain move anywhere else for example towards your back
go does the pain move anywhere else arm towards your back
hello how are you
hello how are you
oh hey um ive just had some diarrhea for the last three days um and its been affecting me i need to stay close to the toilet and um yeah its been affecting my day to day activities
hi um ive just had some um diarrhea for the last three days um and its been affecting me i need to stay close to the toilet and um yeah its been affecting my day to day activities
uhno just maybe my stomach
um no just mainly my stomach
um yeah it doesnt feel like yeah it just makes me feel weak i havent had a fever um at the moment but i did notice um a temperature when the symptoms started so um yeah around about three or four days ago
um yeah it doesnt feel like uh yeah just make me feel weak i havent had a fever um at the moment but i did notice um a temperature when the symptoms started so um yeah around about three or four days ago
yeah i uh i didnt mention my temperature no but i felt um just a bit hot and yknow
yeah ii i didnt mention my temperature no but i felt um just a bit hot yeah yeah
uh no
uh no
yeah so um i vomited at the start of the symptoms but now um ive stopped vomiting
yeah so um i vomited at the start of the symptoms but now um ive stopped vomiting
yeah yeah just normal vomit yeah no no blood no yeah
yeah yeah just normal vomit yeah you know but no yeah
yep um i had a loss of appetite um so i havent been eating as much but ive been able to hold down fluids
yeah um i had a loss of appetite um so i havent been eating as much um but ive been able to hold down fluids
yep
yeah
um just soups and uh yeah light foods like smoothies and yeah liquid foods mainly
um just soups and uh yeah light foods like smoothies and yeah liquid foods mainly
yeah so its like loose and watery stool going to the toilet quite often uh and like some pain in my like lower stomach
yeah so its like loose and watery stool going to the toilet quite often um and like some pain in my like lower stomach
yeah so i had takeaway about four days ago um uh but other than that ive yeah been uh eating normally nothing unusual here
yeah so i had takeaway about four days ago um uh but other than that ive yeah been uh eating normally nothing uh unusual yeah
um yeah i ate at a chinese restaurant with friends yeah
um yeah ir at a chinese restaurant with friends yeah
um so no one else in the family so a wife and two kids and one um child was vomiting but they havent got diarrhea theres no one with the same symptoms
um so no one else in the family so i have a wife and two kids and one child was vomiting but they havent got diarrhea theres no one with the same symptoms
uh yeah thats fine i just yeah use an inhaler and uh thats under control
uh yeah thats fine i just yeah use an inhaler and uh thats under control
no
no
yeah
yeah
uh so i need to stay close to the toilet cause i go quite frequently during the these past three days um yeah other than that its uh yeah the main concern
uh so i need to stay close to the toilet cause i go quite frequently during the these past three days um yeah other than that its uh yeah the main concern
um probably like six or seven times a day yeah
um probably like 67 times a day yeah
uh yes yeah i i work er um im an accountant
uh yeah i i work um um im in accounts
uh yeah ive been going to work yeah yeah its been quite difficult
uh yeah ive been going to work yeah yeah its been quite difficult
yes yeah
yes yeah
uh no i dont smoke
uh no i dont smoke
uh no i i dont drink alcohol no
uh no i i dont drink alcohol no yeah
yeah
yeah
ok
ok
yeah
yeah
no no blood yeah just watery and loose stool
no no blood yeah just watery and loose stool
yeah
yeah
mm hmm
mhm
ok
ok
yep
yeah
yep
yeah
ok
like
yeah
yeah
ok sure
ok sure
yep
yeah
yep sure yep
yeah sure yeah
that sounds great yeah yeah
that sounds great yeah yeah
um no no further questions no
um no no further questions no
uh yes yeah thats thats very clear thank you
uh yeah yeah thats thats very clear thank you
uh on the left side
uh on the left side
yeah it feels um like a cramp like a muscular cramp and um yeah i feel a bit uh weak and shaky
yeah it feels um like a cramp uh like a muscular cramp and um yeah i feel a bit weak and shaky
uh it comes and goes
uh it comes and goes
hello
hello
uh uh yes i think its a bit better its a bit its a bit its not very clear but lets continue anyway
uh uh yes i think its a bit better its a bit its a bit its not very clear but let lets continue anyway
did it help
did it help
ok
ok
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