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uh no i did uh i did uh a little bit ago or a couple of days ago try some uh over the counter bicarbonate to try and help with the pain but it wasnt it wasnt really helping | uh mi no i did uh i did uh a little bit ago or a couple of ceresin ago try some uh over the counter bicarbonate to try and help with the pain but it wasnt it wasnt really helping |
uh yeah im allergic to clindamycin | uh yeah im allergic family |
um i i get some like a a a swelling basically | um i i get month some like a a a swelling basically |
uh no i dont think so not that i not anything i know about | uh no i act dont think help so not that i not anything i know about |
um so i live in a live in a flat near my college with a a couple of like friends of mine uh so im im not like living at home or anything um | um so i live in a bites in a flat near my college with a a couple of like friends of mine uh so im im not like living at home or anything um |
um yeah so uh i mean this is this is a bit embarrassing but its its uh hurting when i when i use the bathroom when i pee and um its been going on for a few days so im a im a little bit worried about it uh not sure what to do | date yeah so uh i bp mean this is this is which a bit embarrassing but its its which uh hurting when i when i use the bathroom when i pee and ibuprofen um its been going on for a days so im a im hypothyroid a little bit worried about uh not sure what to |
um its good yeah its really its really interesting uh learning about learning about how uh how the world works yeah | um its good breathing yeah its really its really interesting uh learning about learning about how uh terms the works yeah |
uh i dont know maybe a doctor someday you never know | uh i dont know notes maybe a doctor someday you never know |
uh i dont i dont smoke uh i do drink like on the weekends yeah | uh i dont i dont smoke uh stuff i do drink like on the weekends yeah |
um its its not too bad its sort of like a stinging kind of pain um | um its its not too bad its sort of like a stinging kind of pain um |
ok so three days of the medication and then wait a little bit if it still doesnt go away call back that ok | ok so three days gyne of the medication and then crying a little bit if it still doesnt hay away call back that ok |
ok is there is there anything like like should i be worried about like like not having sex or anything within the next week or anything like this | ok is there bit is on there anything like like should i be and worried about like like not having sex or anything things understood next week or anything like this |
ok ok uh that that makes sense ohh ok thank you so much | ok ok uh stone that makes ohh ok thank you so much |
yeah thank you take care | yeah thank you take i |
its not like unbearable but uh its its definitely uh it definitely bothers me when i pee um | its not like unbearable but uh its its explain uh it definitely bothers me when i pee um talk |
and uh yeah i also maybe sometimes get some like pain kind of lower down in my tummy when i when i go to the bathroom uh yeah | and uh yeah i also maybe sometimes crying some like pain kind mid of lower down in my when void when i go to the bathroom uh traveling yeah |
yeah i dont know maybe uh sort of sort of cramping im not really sure but its not like its not like cramping like when i get when i have a period or something its like i dont know | yeah i dont know maybe uh sort of sort of summarize im not especially sure but its not fifteen its blocking not like cramping like when i get when i have a period or something its like i dont know |
um not i dont think so i havent noticed that | um not i dont think so i havent noticed that |
hello can you hear me ok | hello can you hear me ok |
right excellent before i go any further can i confirm your name and your age please | right excellent your before i go any further can i confirm times your name and your age please |
ok uh of any kind of frank blood i mean red blood at all in your urine | ok uh of any kind of frank blood i mean red blood at all in your urine |
ok um fine well well have to definitely explore that in a little bit or detail later on um you also mentioned some tummy pain as well can you tell me a bit more about that pain | ok um fine well well have to definitely explore that in a hold little bit or detail later on um you also mentioned some tummy pain as well can you tell me a low bit more about that pain skin |
ok um can you describe it crampy pain is it more of a burning pain | ok um can you describe set it crampy pain is it more of a burning pain |
an aching pain ok and does the pain move anywhere else does it move towards your back towards your sides | an aching pain ok back does the pain move anywhere else does it move towards your back towards your sides |
ok all right um any other symptoms nausea vomiting | ok all right um whats other symptoms nausea vomiting |
ok any temperatures or fevers | ok any temperatures or fevers |
ok all right and how are your bowels at the moment are your bowels working ok | ok all right and how are your bowels at the moment are your bowels working ok let |
ok and when when when you say you have problems what kind of problems do you normally have | ok and when when when you say you have problems what kind of problems do you moms have |
nineteen years old ok amanda and how can i help you this afternoon | nineteen years old ok bs how can i help you this afternoon |
ok all right but and youve noticed no new symptoms no no no new symptoms in your bowels | ok all right but and youve noticed no new symptoms no no no new symptoms in your bowels |
uh ok all right um and amanda sometimes we have to ask quite sensitive questions as you can imagine um uh can i ask are you currently uh are you currently sexually active at the moment | realize ok all nausea right um and micro amanda sometimes we have to ask diro quite sensitive questions past as you can imagine um uh can i ask are you currently uh are you currently sexually active can at the moment |
ok and um have you noticed any other discharge from down below so from from the front passage | ok and um have you noticed any other discharge name from down below so from from the front passage |
ok have you do you use any form of contraception | ok have you do you use any form of contraception |
the pill what kind of pill is it is it combined pill or the mini pill | the pill what kind of pill is it is it combined love or the liters pill |
ok fine um when was the last time you had um unprotected sex | ok fine um when was the last time o you had um unprotected sex |
if you dont want me asking | if you mili want about me hm |
yep a week ago ok all right | yep a week stool ok all right |
what im trying get at is whether um uh theres any chance you could be pregnant at all uh i know youre on the pill but um were we nonetheless we do have to ask um when was your last when was your last period | what im trying get at is whether um uh theres any you could be pregnant at all uh i know youre on the pill but um were she we nonetheless we do mm have to ask um was your last when was your last period |
two weeks ago ok all right just something for us to bear in mind if your symptoms dont get any better ok um | two weeks ago ok all mainly right just something for us to bear in mind if your symptoms dont get any better ok um |
fine in terms of your general health otherwise at the moment are you uh eating and drinking ok | fine in terms of your general health otherwise at the moment are you uh eating and through ok |
sure well thanks for sharing with me um so i i dont think its is related to your symptoms i think it probably just pure pure coincidence um | sure well thanks for sharing with me um so i i dont think its is related to your symptoms i think diarrhea adrianne probably just pure pure coincidence um |
but uh you know i do strongly advise you to you know um make it a regular habit if you can um just for your just for your general health moving forwards ok | but uh you know i do honest strongly advise you to you met know um make it a regular meds habit if beats you can um just for your just for your general moving forwards ok |
um fine moving on in terms of your health otherwise do you have any other medical conditions apart from the ibs is there anything else i should be aware of | um fine moving on in terms of ww your health otherwise do you have any other medical conditions apart the ibs is anything else i should be aware of |
no ok great and what about any medications that you take on a regular basis apart from the um combined pill | no ok great and what about any medications that you take on a regular apart from the um combined pill |
was it yeah ok | was it yeah ok |
ok and is that for the cramps the crampy pain | ok and is that for the cramps the crampy pain |
yeah ok and do you have any allergy to any medications | yeah nonblanching and do you have any allergy to any medications |
ritib ok sure ill make a note of that um in terms of family history any history of problems with the bladder or the kidneys | ritib ok sure ill make a note of that also um in terms of family history any history of sas with bladder or the kidneys |
no or generally anything else good and socially tell me a bit more about your home situation whos at home with you | no or generally anything else good and socially tell me a bit more about your home whos at home with you want |
great and what are you studying at university | great and what are you studying at university |
english ok good and how are you enjoying your course | english ok good and how are you enjoying noticed your course |
very good very good good um in terms of smoking and alcohol do you do you participate in either | very good very good good um in terms of smoking and alcohol do allergies do yeah participate in either |
right ok im sorry to hear theres a lot going on there and i can see why its affecting you um so you mentioned its been going on for last three days mainly the burning pain when you pass urine um you said youre going to the toilet more often as well that right | right attention im sorry to hear theres a lot going on there and i can see things why its affecting you symptom um so you mentioned its been going on for last three super days mainly the burning pain when you pass urine um you said youre going always toilet often as well that right |
ok what whats made you have your first joint last week was | ok what whats made you have your first joint last week was |
sure uh and obviously as your doctor im here to look after you so yeah i i would strongly recommend you you know to avoid if you can great um fine so at this stage i wouldnt normally examine you but i think based on your story i think um you know uh im reassured | sure uh quick obviously fitting your doctor im here to look after you weight so yeah i i three would strongly recommend you you know lefthanded if you can two um fine so at this stage i ha wouldnt normally examine you headache but i think based trans on your story i think um you know uh im reassured work |
but the fact that i i i think its um probably just a simple what wed say a uti or a cystitis bladder infection | but the fact that i i i think its um probably just a simple tie what urine wed let say a uti or a cystitis bladder infection |
uh you know you havent got any other symptoms that suggest to me that theres anything to worry about so things like fevers and back pain | uh you know you phone got any other symptoms that suggest to me that theres anything to worry about nine so way like fevers and back pain |
um would be more worrying for me to hear um so its something we can treat quite readily with antibiotics um so weve got a choice of two antibiotics something called trimethoprim or nitrofurantoin which is a three day course | um be more worrying for wait to hear um so its something we can treat believe readily with antibiotics um so weve jock got a choice of two antibiotics something called trimethoprim or nitrofurantoin hot is three day course |
and normally theyre usually quite effective um for your symptoms its probably worth giving us a urine sample today as well if you can so we can send it off to the lab | and normally theyre usually worry quite effective um with for your symptoms its probably worth giving us shake a urine sample today as well if vars can so we can send it off to the lab |
and see exactly whats going on there um start the antibiotics make sure youre well hydrated drink plenty of fluids | mea see exactly whats going on there um start antibiotics make sure youre well hydrated drink plenty of program |
ohh and a week sorry my ok uh | ohh and a week sorry my ok uh |
um if you are having some pain simple paracetamol um would probably be advisable | um if you are having some pain simple paracetamol um banta probably sea be advisable |
um well see what the urine sample shows um and if it is indeed positive well know which antibiotics are the right ones | um well see what right the urine sample shows um and if it is indeed positive well know which o2 antibiotics are the right |
um but if things still are still not getting any better next week come back and see me and we can have another look again | um but if things still are still not getting any better next week come back and see me and we can fo another tie look again |
so if ill give yeah no its a well uh so yeah good question so i will give you i will organise uh for you to come in and drop off a sample at one of our practices um which we can test there and then at the urine and send it off to the lab uh we can back in touch with you with the results | so if ill give allergies no its a well uh so yeah good question so i will give you i will organise uh for you to come in and drop off a sample at one of our practices um which we can there thanks and then at the urine and send it off to the lab uh we weight back in touch with you with the results |
ok do bear in mind those symptoms i mentioned about the fever and the back pain and vomiting if you have any of those give me a call ok | ok bear in mind those symptoms i mentioned about the fever and the back pain and vomiting if correct have any of those me lightheaded call ok |
all right ok have a good day thank you bye bye | all right ok have a good day thank you bye persistent |
are you noticing any anything in your urine predominantly blood or um discolouration of urine | are you noticing any anything in your urine predominantly blood or um discolouration of urine had |
yeah i can hear you hi | yeah i can hear you hi |
um i think well today i noticed um that it was like a bit pink | um i think well today i noticed um that it was like a bit pink |
yeah i think just today | yeah i think just today |
um i think it was probably but i dont know it was pink so | um i think it was probably but i dont know b it was pink so |
yeah its kind of at the bottom of my tummy um uh mainly when i go to the loo i think thats when its worse | yeah its kind of at the bottom my tummy um uh mainly when should i go to the loo i think when its flash |
um i wouldnt describe it as crampy i dont think its like a period pain its a bit different its its hard to say an achey pain i suppose | um i wouldnt describe it as crampy i dont think its like a period pain its a bit different its its to say an achey pain i suppose she |
no no nausea vomiting | no no nausea vomiting |
um no no not that ive noticed | um no no not that ive noticed |
uh i i usually have a bit of problems with my bowels anyway so i dont think its any different from what it usually is | uh i i usually have a bit of problems with my bowels roughly anyway so i dont think bolt any different from what it is |
sure um im amanda jackson and im nineteen years old | sure um im dosage jackson and im nineteen years old |
um i think i have um ibs um so i just kinda pass uh my bowels like quite quite a lot | um i think i have um my um my general i just kinda pass uh my bowels like quite quite a lot |
um and sometimes its quite its quite variable like sometimes its a bit softer sometimes its a bit sorry if its a bit disgusting but like sometimes its a bit uh harder and kind of hard to predict | um and zero sometimes its traveling quite its quite variable like sometimes its a bit softer sometimes its a bit sorry if its a bit disgusting weight but like sometimes its a bit harder and kind of hard to cause predict |
uh uh yeah um i have a a long term um boyfriend | uh uh yeah um i have a a long term um boyfriend |
hmm no i dont think so nothing unusual | hmm no someone tests dont fantastic slept nothing unusual |
uh yeah uh im um on the pill | uh yeah uh im yet um on the pill |
um uh i mean mean unprotected as in like no no condoms or anything | um uh i mean should unprotected as in like no no condoms or anything |
um i i guess cause um i dont really use condoms with my boyfriend like | um i i guess cause um i he dont really use condoms my boyfriend like |
um so its being going on for a few days now um its not happened before and im bit worried ive uh it quite hurts when i kind of pee | um so its being going on for a few days now um its not happened before and im bit worried ive uh it quite hurts when i kind of pee |
i dunno weve just kind of agreed uh so um i guess a week ago two weeks ago quite quite | i dunno weve just kind of agreed basically uh so give um i guess a week ago december two weeks ago quite chaplin |
um two weeks ago | um two bell weeks ago ques |
uh yeah yeah eating drinking ok um i did have one kinda concern i dunno | uh yeah yeah eating drinking ok i um i did have one kinda concern i dunno |
so i i smoked uh this is quite bad but i smoked weed for the first time | i i smoked uh this is quite bad but i weed for the first time |
uh like a week and a half ago i i just wondered whether its related at all probably not but i just thought id get some advice from you | uh like a week and a half pee ago i i just wondered whether its related at all probably not question i just thought id get zig advice from you |
um and yeah its like im going to the toilet a lot more um | um and yeah like im generally going to the toilet a lot more um |
apart from the pill um i take um something for the ibs as well um it begins with an m its pretty hard to pronounce like something maybe | apart from the pill um i take um something the ibs as well it begins with an pool pretty hard to clear pronounce like something maybe |
yeah yeah thats it yeah yeah thats right | yeah say yeah thats it yeah yeah thats right |
um yeah i think there was an antibiotic um called clindamycin mycin | um zine yeah i think there was an antibiotic um called clindamycin mycin |
then i took like something and yeah that that didnt go too well with me | then i took like something treat and yeah that that didnt go too well food with me thank |
um so i am living in halls at the moment uh at uni um so uh uh im just living with a flatmate i suppose um | um so i where am living in halls at the moment uh at uni um so uh uh im just living with pi north lowered i suppose um |
but my family uh live kind of outside of london not too far away um so yeah the my family are fine and i see them now and then uh yeah things i think i think theyre ok generally | but towards family uh give kind of outside of london not jock too far away um th yeah bathroom the my family are fine and i see n them now and then yeah a things i think i think theyre ok generally |
and its really like i cant like go to uni properly im just like constantly looking for the toilet | and its really like i cant like go to uni properly im just someone constantly looking for the toilet |
im studying uh english | im studying uh english |
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