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um yeah that started recently like just uh um maybe yesterday and um its uh its dry for now its its not very painful but its sort of there all the time | um yeah that nine started recently like just uh um maybe yesterday and um its uh its dry for now its its not very sometimes but its sort of there all the time |
no its its um its sort of its sort of constant um i forgot to mention that um im also having uh night sweats | no its uh um its sort of its sort of constant um i forgot to mention that um im also having uh night sweats |
thats thats very odd actually makes me a bit tired um makes my uneasy | thats thats very odd mhm actually makes me a tired baba makes my uneasy |
alright so ive been feeling ive been feeling kind of uh under the weather for the past four days | alright ive been feeling ive been feeling kind of uh under anymore the weather for the past four days |
um i i had some some fever in the beginning but its now sort of uh going down i ive been taking some paracetamol and ibuprofen for that and uh they they help | um i family i had some some fever in the beginning but its now sort of uh going down i ive been emma taking some paracetamol and ibuprofen for that and uh they they help |
um so no pain in chest but uh i noticed that i um um so i feel a bit winded on exertion so if i i i havent been going going to the gym thus uh because of that | um so no pain in chest drinking but uh i noticed that i um um so i feel a bit winded on exertion so if i i i havent been going going to the gym thus uh because of that |
yeah yeah when when when im resting its ok so ive been actually going to work um sort of managing | yeah yeah when coughing when im resting its ok so ive been actually last to work um sort of managing |
no i dont think so | i feel dont think so abroad |
um yeah yeah that thats still thats still there | um yeah zine yeah that thats still thats still there |
um its sort of general uh and uh theyre not theyre not always there but you know every now and then they will come and go | um its sort of general uh and uh theyre not theyre not always there but you know every now and then they will come and go |
um it started with the um uh sore throat and runny nose and | um it started with the hi sore throat and runny nose and |
no i dont think so | no i dont think so |
no none of that | nope none of theatrical |
uh yeah yeah think so | uh yeah yeah think so |
yeah ive been ive been drinking a lot more than the usual but uh so other than that so | base ive been ive been drinking a lot more than the usual but uh so other than that so |
um maybe a bit less than uh than what i i would usually have | um maybe a bit now less am than uh than what i i would usually have |
yeah yeah yeah thats that sort of started in the past couple days | yeah yeah thats that sort of started in resting past implanon couple days |
um so otherwise that uh im im fine theres um there isnt anything that im taking or im being treated for | um dip otherwise that good uh im im forty fine theres um isnt anything s im taking or im being treated for |
its sort of um its sort of going into a cough now um the sort throat is kind of going away but um im starting to cough | its sort of g its sort of going into a now um the sort throat is kind of going away but um im starting to cough |
um yeah my grandma has diabetes um and my grandma | um yeah my grandma has diabetes um and my grandma |
i think i think its type two | i think i think its type two |
yeah i i think um one of my uh great grandads had an eczema | yeah i i think um one of my uh great n an eczema |
ohh um i live alone | ohh um i live alone |
im an im an accountant | im yo im an accountant |
um a little bit ive been a bit slower and you know its uh its its a bit of a stressful period just around the um end of the year right | um a little bit ive been a bit lasts slower and you know its uh its its a more of a stressful period just around am um end of the year right |
and uh kind of uh bad and tired | and kind definitely posture uh bad and tired |
um no i think i think its its the you know its the good kind of stress its um its good work | um no i think i think its its the you know its the good lasts of also stress its um its good work |
i dont know i i like my job its just you know its a bit more work than usual | i dont know i i like my job its just you saying taught its a bit more work than usual rec |
um yeah occasionally you know cigars and things on company parties | um u yeah occasionally you know cigars and things on company parties |
um occasionally yeah i would have some im im not a very big drinker | um occasionally started yeah i would have im im not a very big drinker |
yeah yeah thats thats it makes sense uh i think ill take a couple days off and see how it goes | yeah yeah thats ear thats makes sense uh i think ill take a couple days off and see how it goes |
yeah yeah i understand uh ill uh ill take care | yeah yeah i understand these ill uh ill take care |
thank you thank you you too bye bye | thank appetite you thank you throughout you too bye bye |
um so i i you know i think i it all started with uh this colleague of mine she just kept sneezing next to me all the time i think her kids are catching something from the | um so i i you met know i think guy it all started with uh this colleague of mine she just kept sneezing next to me all the come time i think her kids are catching something from the |
uh from their kindergarten or something and uh you know the it it started as normal sore throat and uh was quite painful for a couple days but then it was past | uh from their kindergarten or something and uh ever you know the it inside it started as normal clear sore throat and was quite painful for a couple days but then it was past |
um yeah yeah it was uh it was quite painful to swallow for one or two days | um yeah mo yeah it was uh it four was quite painful to swallow for one or two days |
um no not really | um no not really |
good morning tim um how can i help you this morning | good morning tim um how crap can mixed i help you this morning |
mm hmm ok um and with the pain have you noticed any other symptoms at all so for example lets lets focus first on your bowels are your bowels working ok | mm hmm ok um and with the pain have you noticed any other symptoms at all so for example lets lets focus first on inside your bowels are your bowels working ok |
ok so youve got no other symptoms like diarrhea or loose stools | ok so thousand, youve got no other symptoms like diarrhea or loose stools |
ok and what about your waterworks are you passing urine ok | ok and what about waterworks are you passing urine ok |
and when you mentioned pink urine do you was there any blood at all in your urine or was it difficult to say | and when you mentioned pink urine do you was there any blood at all in your on urine or was it difficult to say |
ok alright but otherwise it doesnt hurt uh or or or sting when you pass urine | ok alright but otherwise it doesnt hurt uh or or or sting when you pass urine |
ok um ok and um moving on to other symptoms have you noticed any vomiting or feeling nauseous at all | ok um ok and um family moving on to other symptoms have you noticed any vomiting or feeling nauseous at all |
no vomiting any temperatures or fevers | no vomiting any temperatures or fevers |
ok fine um uh uh and kim have to ask um uh all all all patients this this question is about your cycle if you dont mind me asking um are you currently um are you currently sexually active | ok fine um uh uh and kim have to ask um uh all all all patients this this question is about your cycle if you dont type mind me color um are you currently un um are you currently sexually active |
ok so youve had no other partner since then | ok so youve had no shy partner since then |
ok um uh and do you use any contraception at all | started um uh and do you use any contraception at all |
at the moment ok fine um are you still having periods | at the moment ok fine um are you still having periods |
when was your last period | when was your its last period |
two week scare ok so is there any chance you could be pregnant i know youve got an implement in there but is there any chance you could potentially be pregnant its something for us to think about | two week scare ok col is there any chance you could be are pregnant i know youve clear got an implement in there diarrhea but is there any chance you could potentially six be pregnant its something for us diur to think about |
yeah ok well its something for us to think about um uh maybe worth taking a pregnancy test later on just to confirm that um | yeah gonna well something for to think about um uh maybe worth taking a pregnancy test later on just to confirm that um |
ok and and so just to summarize so far if you dont mind its really for the last couple of days its tummy pain thats really affected you mainly lower down towards your belly button its quite burning you said its getting worse um you noticed some pink urine | ok and and so just sea to summarize so throughout far if you dont mind its really for the last couple of days its hundred tummy pain thats really affected sensation mainly lower down towards your belly button its quite to burning pe you said its controlled worse um you noticed some pink own |
um but no burning or stinging pain when you pass urine your bowels are working ok | um but we burning or stinging pain when you pass your bowels are back working ok |
right im sorry to hear that when when did your symptoms all start | right im sorry pee to hear that when when your symptoms all start but |
youve felt a little bit nauseous um and feeling hot and sweaty have i got that all right | youve felt a little bit nauseous um and feeling hot and sweaty have i got that all right |
is there anything else perhaps that you feel like you should share with me at this stage anything that might be important | is there anything else perhaps that you feel dinner like you should share with me at this stage anything that might be hypothyroid important |
yeah ok um tell me tell me a bit more about your um medical history otherwise are you normally fit and well | yeah ok um tell me tell me three a comes bit more about your um medical history otherwise are you normally fit and well |
ok um have you had anything like this before in the past any similar symptoms | ok um have you had anything like this before in the past any similar symptoms |
fine um any other family history i should be aware of anything relevant family uh related to bowels maybe related to history | fine um any other family history i should be aware of anything relevant family uh related to times bowels maybe five related to history |
ok alright um and socially just tell me a bit more about your home situation whos at home with you | booked alright um and socially just tell me a bit more about your home situation whos at home with you |
ok um and uh are you currently working | ok um and uh are ago test currently working |
what do you do for work | what do you do for work |
ok and whereabouts in your tummy is the pain exactly | ok and whereabouts in your at tummy is the pain exactly |
ok um do you smoke at all kim | ok um do you smoke at all kim |
no and do you drink much in the way of alcohol | no breathe do you drink much in seen way of alcohol |
ok um just before i go to the examination i just want to go through just some few screening questions if thats ok yes or no | have um just before your i go to the examination i just want to go through just or few screening questions if thats mhm yes or could no |
uh weve weve covered the majority of them already uh but i just want to make sure im not missing anything else | uh weve weve covered the majority of colored already uh but i just want to make sure im not missing anything else |
um hows your hows your chest hows your breathing um any | whats hows your hows ge your chest hows your breathing um any |
ok any uh funny heartbeats or rhythms palpitations | ok any uh funny heartbeats or rhythms palpitations |
ok any headaches any problems with your vision | ok any garity headaches problems with your vision |
no ok alright um | no ok alright um |
ok did the pain come on quite suddenly or was it more gradual | ok did the pain come act on quite suddenly or was it more gradual |
fine ok um so really just uh moving on um | fine ok um so really temperature just uh moving on um |
and so based based on your story really uh uh kim its its its difficult its its um you know youve got some tummy pain you dont exactly know whats causing it it could be a few different things that could be causing your pain | and so based based on your story really uh uh kim its ninety its its difficult its four its um you youve got some tummy pain you because dont hello know whats causing it it could be a few different mili could causing your pain |
could just be a you know could just be a urine infection for example could just be something related to your gut um could just be something related to your you know a pregnancy related cause um and so its probably worth doing some tests initially | could controlled be a you know could be a urine infection sometimes for example could just be something shortness related to your gut um could just be i something related to your you know a pregnancy related maybe cause rashes and so its medications worth doing some tests initially |
to try and rule out um whats going on here um which i can organize for you today | terms try and rule out um whats com going on here um which i can organize kinda you today |
um and basically those tests we well have a better idea in terms of how we should proceed but certainly it if its been going on for the last couple of days um | um used and basically those turn we well have a time idea in terms of how we should ut proceed but certainly it if its been going on for the last couple of days um |
uh you know its probably maybe worth empirically treating you for a maybe urine infection and so its an | uh someone you know its probably maybe worth empirically treating you for a maybe urine infection and so its an |
yeah absolutely so um i think its certainly worth you know covering you with some antibiotics today | yeah absolutely so um i think its certainly worth you know covering you with some antibiotics today |
uh but i still want you to bear in mind you know have a pregnancy test done to make sure were not missing anything else here | uh but i still want you to bear in mind apart know have a test done to make day were not missing anything else here |
and um and i want you to kind of really come back and see me in a few days time if your symptoms are not getting any better or indeed if theyre getting worse | and um and i want you to kind of really come back and see me in a few days time if your symptoms are not to any better or indeed if theyre getting worse as |
so things to look out for would be you know worsening tummy pain um if youre feeling really hot or sweaty your temperatures not coming down um vomiting et cetera does that make sense | so things to look diagnosis out for would be you know worsening tummy g um if emma youre feeling really hot or sweaty your temperatures not coming down um vomiting et cetera does that make sense |
ok ok and can you describe the pain to me | ok ok and can you describe the pain to me |
ok um you can try just regular painkillers uh paracetamol would be advisable um make sure you drink plenty of fluids | ok um can dribbled painkillers uh paracetamol would be advisable um make sure you drink plenty of fluids |
you can try some cranberry juice as well which uh can sometimes help with your urine symptoms | you can try some cranberry juice as well which uh can please absolutely help with your urine symptoms |
um take the antibiotics uh and give me a call you know if you are worried about anything else | take the antibiotics uh and give me a call you know if you are worried about anything else |
yeah if i send it straight to your pharmacy start the antibiotics today something called trimethoprim um you can take two tablets uh one tablet twice a day for three days | yeah if i quite it straight to your pharmacy eat start stopping antibiotics today something called trimethoprim um you can take two tablets uh one tablet twice th day for three days |
uh lets see how you get on | uh lets see how you get on |
great all the best | great all the best |
just in just below your belly button you uh mentioned | just in just below posture belly button you uh mentioned |
ok um and is the pain constant or does it come and go | ok um and is the pain constant or does it come and go |
no im im my bowel movements are normal now | no im im my bowel movements are normal now |
yeah im fine thats fine thats i did notice that i was a little the urine was a little pink in colour but i havent like it hasnt really been burning specifically or hurting when i pee and uh | im fine thats fine thats i did notice that i was a little the urine after was a little pink in colour but i havent like it hasnt really been burning specifically or hurting when i pee and uh |
and i did notice i was going to the i was peeing more regularly but i have been drinking lots of fluids so i wasnt sure um i wasnt sure um like you know if that was related to the pain | and breath did notice i was going to the i nor was drink peeing more regularly but i have been drinking lots of fluids so i wasnt sure um i wasnt sure um like you know if that was the pain |
i cant say i mean maybe | i cant say i mean maybe |
and i havent noticed that it really burns or anything like that um just that im peeing more than more regularly | and i havent noticed that it really burns or anything like that have um just that im feeling more than more regularly |
just a little nauseous um but no vomiting | just a little nauseous um but no vomiting |
i havent i felt a bit hot and sweaty but i havent really measured it so i cant really say | i havent kava felt a bit hot and sweaty but i really measured it so i cant really try say |
uh yeah ive i have had the same partner i am we were last sexually active about four days ago um my last std screen was normal which was about six months ago | uh yeah ive i have had the same partner i am we were last sexually active about four days ago um my last std screen was normal which was about six months ago |