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any any nausea vomiting | any any nausea |
and have you been eating and drinking ok | and have you been eating and drinking ok |
ok and normally do you get any headaches | ok and normally do you get any headaches |
ok and has it occurred at a particular term in your menstrual cycle | ok and has occurred at a particular term in your menstrual cycle |
right ok and how were you the before it came on have you had any other symptoms like feeling feverish runny nose sore ears | ok how were you the before it came have you had any symptoms like feeling feverish runny nose sore ears |
ok and at the moment how are you feeling | ok and at the moment how are you feeling |
have you had any changes in your skin | you had any changes your skin |
have you checked your temperature at all have you got a thermometer at home | have you checked your temperature at all have you got a thermometer at |
and any problems with weakness tingling numbness in your arms or legs | and any problems with weakness tingling numbness in your arms or legs |
and what have you been doing since it came on have you been able to go to work or have you been at home | and what have you been doing since it came on have you been able to go to work or have you been at home |
ok does it get worse with any position that youre on is it worse when you lie flat or when you bend forward | ok does it get worse with any position that youre on is it worse you lie flat or when you bend |
any problems if you cough or sneeze | any problems if cough sneeze |
ok and can you just tell me a bit about your medical history in the past have you had any significant medical problems any hospital admissions operations something like that | ok and can you me a about medical history in the past have you had any significant medical problems any hospital admissions operations something like that |
do you take any medication | you take any medication |
and which contraception do you take | and which contraception do you take |
and are you in a uh and your date of birth | and are in a uh your date of birth |
when did you start that one | when did you start that one |
do you get any side effects from it | do you get side effects from it |
ok and anyone in your family had any medical problems | ok and anyone in your had any medical problems |
and have you had your blood pressure checked recently | and have had your blood pressure checked recently |
have you had it checked when youve had the repeat prescription done | have you had it checked when youve had prescription done |
do you know if theres been any problems with it | do you know if theres been any problems with it |
ok um and whereabouts whereabouts do you live at the moment youve given me your address do who do you live with at home | ok and whereabouts do you at the moment youve given me your address do do live with at home |
ok and do you drink much alcohol day to day | ok and do you drink much alcohol day to day |
ok and do you smoke | ok and do you smoke |
do you take any other drugs of any sort | do you take any other of any sort |
um so what what tablets did you say youve been taking already yeah | um so what what tablets did you say youve taking already yeah |
what tablets have you been taking already for it | what have you been taking for |
what happens when you get a when you take aspirin | what happens when you get when you aspirin |
ok and have you ever taken any non steroidal anti inflammatories like ibuprofen naproxen anything like that | ok and have you ever taken any non steroidal anti like ibuprofen naproxen anything like that |
ok um so this headache is new to you and youve youve not had regular headaches before | ok um so this headache is new to you and youve youve not headaches before |
what i would suggest is taking uh um some anti inflammatories along with the paracetamol | what i would suggest uh um some anti inflammatories along with the paracetamol |
um as a uh you said youre eating ok | um as a uh you said youre eating ok |
i mean it from the sounds of it it does sound quite like a migraine but obviously if you had no history of that in the past | i mean it from the of it it does sound quite a but obviously if you no history of that in the past |
um and is anything changed recently or any anything youve done recently mightve triggered it | and is anything changed recently or any anything youve recently mightve triggered it |
ok and are you in a private place you can have a confidential consultation today | ok and are you in a place you can have a confidential consultation today |
yeah um well that would be the first thing to do is to take some anti inflammatories along with the paracetamol make sure youre really well hydrated | well that would be the thing to do is to take some anti inflammatories along with the paracetamol sure youre really well hydrated |
um and see how that goes and if it if it isnt settling or its getting worse or you get any other change in your headache um or youre unwell with it with a high temperature then we would certainly need to speak to you | um and see how that and if it if isnt or its worse or you get other change your headache um or youre unwell with it with a high temperature then we would certainly need to speak to you |
straight away about that the other thing is if you if youre getting persistent um headaches or headaches associated with your menstrual cycle or certain things seem to trigger these headaches | straight away about that the other thing is if you if youre persistent um headaches or headaches associated menstrual cycle certain things seem to trigger these headaches |
then it it would be worth having a further discussion about it to see whether we can work out if we can help the that longer term | then it it would be worth having a further about see whether we can work out if we can that longer term |
um i would try and arrange to get your blood pressure checked if you havent had it checked for a while | um i would try and arrange to get your blood pressure checked if you havent had it checked for a while |
uh and thing to do is to have a thermometer at home so you can make sure that your temperatures ok | uh and thing to do is to a at so you can make sure that your temperatures ok |
if you have a raised temperature or your headaches just getting worse or you develop any rashes or anything like that then wed need to speak to you straight away | you have raised temperature or your headaches just getting or you develop any rashes or anything like that wed need speak to you straight away |
ok so have you got any other questions | ok so have you got any other questions |
ok ok then well well well um speak to you again | ok ok then well well well um speak to you again |
what can i do for you today | what can i do for you today |
ok and can you just tell me about how it started what were you doing when it came on | ok and can just tell me about how it started what you doing when it came |
ok and whereabouts in your head is the pain | ok and whereabouts in head the pain |
ok what does it feel like | ok does it feel like |
uh yeah its uh um and five um kings place | uh yeah its um and um kings place |
uh no no been feeling fine actually | uh no been feeling fine actually |
uh no not really its not something ive ever had before | uh not really its not something ive had before |
um no not particularly and my period was about a week ago | um no not particularly and my period was about a ago |
no not really any sort of cold symptoms i seemed ok the day before | no not really any sort cold symptoms i seemed the day before |
um its still pretty bad um yeah still the kind of throbbing yeah | um its still pretty bad um yeah still the kind throbbing |
no skin feeling fine | no skin feeling fine |
um i havent um i dont feel like im feverish but i havent checked | um i havent um i dont feel like im feverish but i havent checked |
no not at all | no not at all |
uh its the twentieth of the fourth nineteen ninety | uh its the twentieth of the fourth ninety |
um taken some painkillers mainly been at home um yeah just kind of kind of seems to be worse when im in a light room or like sunlight so ive kind of just been staying in as much as possible | taken some painkillers mainly been at um yeah just kind of of seems to be worse when im in a light room or sunlight so ive kind of just been staying in as much as possible |
um no think ive generally been lying down seems to be better that way | um no think ive generally been down seems to be better that way |
uh no but i havent really got a cough or anything | uh no but i havent really got a cough or anything |
uh no not recently nothing | uh no recently nothing |
uh no just contraception | uh just contraception |
uh about six years ago | uh about |
um not really um no not too much | um not really um no not too much |
uh my mum had uh high blood pressure and shes got a history of migraines um but its not really affected me before | uh my mum had uh high blood pressure and shes got a of migraines um but its not really affected me before |
uh i havent actually no | i actually no |
yeah yeah so uh probably about six months ago | yeah yeah so uh probably about six months ago |
um its always been fine i think | um its always been fine i think |
uh just with housemates um just friends | uh just with housemates um just friends |
um id say a normal amount um probably you know a few drinks at the weekend | um id say a normal amount um probably you know a few drinks the weekend |
uh just paracetamol um im allergic to aspirin so i havent been taking that | uh just paracetamol um im allergic aspirin havent been taking that |
um i just feel really sick | um i just really sick |
um ive got a really bad headache had it for about a day now | um ive got a really bad headache had it for about a day now |
um i have in the past i havent been taking it last few days | um i have in the past havent been taking it last few days |
uh not that i can think of um may have been a bit stressed out at work that kind of thing but | not that think of have been a bit stressed out at that kind of thing but |
ok brilliant thank you | ok brilliant thank you |
yep ok thats brilliant ok so ill take some ibuprofen and ill um hopefully be a bit better in a day or two then so yeah | yep thats brilliant ok so ill take some ibuprofen and ill um hopefully be bit better in a day or two then so yeah |
uh no that was it today | uh no that was it today |
um yeah just ever since yesterday morning since i woke up really um just yeah kind of throbbing headache havent really wanted to leave the house much since then | um yeah just yesterday morning since woke up really um yeah kind of throbbing headache havent really wanted leave house since then |
ok brilliant thanks so much | ok thanks so much |
uh mainly on the left side | uh mainly on the left side |
um it just kind of feels like its throbbing its quite intense sort of comes and goes um yeah quite sensitive to light um but yeah quite painful | um it just kind of feels its throbbing its quite intense sort of comes and goes um yeah quite to light um but yeah painful |
uh just kind of fades so its still there a little bit but it kind of gets more or less severe | uh just kind fades so its there little bit but it kind of gets more or less severe |
uh no not at all | uh no not at |
good morning im doctor smith from babylon can you just confirm your name date of birth and the first line of your address please | morning im smith from babylon can you just confirm your name date of birth and the first line of your address please |
ok is it one sided or in the middle | ok is it one sided or in middle |
and how bad would you say that is on a scale of one to ten with ten being the worst pain | and bad would you say that is on a of to ten with ten being the worst |
and is it constant or does it come and go | and is or does it come and go |
ok and have you actually been able to pass water ok | and have you actually been able to pass water |
ok and is that just over the last six days | ok and is that just over the last six days |
right and have you been able to eat and drink ok | right and been able to eat and drink ok |