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0 | hello hi um should we start yeah ok hello how um good morning sir how can i help you this morning | hello hi um should we start yeah ok hello how um good morning sir i help you this morning |
1 | 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 | sorry to that um and and you say diarrhea whatd you mean by diarrhea do you mean youre going to the toilet more often or are your stools more loose |
2 | 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 you mentioned youve feeling quite weak and shaky well what you mean shaky do you mean youve been having uh have you feeling feverish for |
3 | you measure your temperature then | you measure your temperature then |
4 | ok ok any other symptoms like sweating or um night sweats no and uh any vomiting at all | ok ok any symptoms like sweating or um night sweats no and uh vomiting all |
5 | 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 a nice thing to about but was it just normal food colour yeah there no blood in your vomit right |
6 | 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 | ok um and um any other symptoms at all so you mentioned tummy pain you mentioned diarrhea mentioned uh anything else that comes to mind |
7 | ok | ok |
8 | 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 have you managed eat if anything |
9 | 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 sir these started three days ago the symptoms are you aware of any triggers which may have caused symptoms uh to kick on so for example like takeaway foods or eating or being around people with similar symptoms |
10 | ok | ok |
11 | do you remember where you ate | you remember where you ate |
12 | ok anyone else unwell with similar symptoms | ok else unwell with similar symptoms |
13 | 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 alright and uh terms of your your overall health are you normally fit and well or uh |
14 | ok and is your asthma well controlled | ok and is your controlled |
15 | fine and you dont have any other tummy problem bowel problems i should be aware of | fine and you dont have any other problem bowel problems i should be aware of |
16 | no ok um and apart from the inhalers do you take any other medications | no ok um and apart from the inhalers do you any other medications |
17 | 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 day to day life you said its been affecting your life um in what way has it been affecting life |
18 | ok | ok |
19 | yeah | yeah |
20 | and have you are you currently working at the moment | and have you are currently working the moment |
21 | ok and how many times a day are you going lets say in the last couple of days | ok and how many times day are you going lets say in the last couple of days |
22 | would would work | would would |
23 | ok have you been going into work the last three days or have you been at home | ok have you been going into work the last three days or you been at home |
24 | ok that must be difficult for you then | ok that must be difficult for you then |
25 | fine and you said you mentioned you live with your wife and two children is that right | fine you said you mentioned you live with your wife and two children is that right |
26 | right alright um just a couple of other question we need to ask sir um do you smoke at all | right alright um just a couple of other question need to ask sir um do you smoke at all |
27 | and do you drink much in the way of alcohol | and do you drink much in way of alcohol |
28 | 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 er normally at this stage i like to um examine you if thats ok but um but but having listened to your story sir i think um just to recap for the last three days youve been loose stool a bit of tummy pain uh mainly on the left side um and vomiting and fever and youre quite weak and lethargic 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 |
29 | 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 called gastroenteritis which essentially just a bug or infection of your uh of your tummy |
30 | uh mainly caused by viruses but there can be a possibility of bacteria uh causing its symptoms um | uh mainly caused by viruses but there can a possibility bacteria uh causing its symptoms um |
31 | 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 say conservative management so um i dont anything like antibiotics its really just um making sure youre well so drinking fluids |
32 | six seven times a day and you mention its mainly watery have you noticed any other things like blood in your stools | six seven times a day and you mention its mainly watery have you noticed any other things like blood in |
33 | 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 there are like dioralyte you can get from the pharmacy which uh its um it helps helps replenish your and vitamins |
34 | um and if you are having vomiting diarrhea i would say recommend that in the first you know first couple of days | um and you having vomiting i would say recommend that in the first first couple of days |
35 | 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 | if you are feeling feverish weak eh taking some paracetamol uh two tablets up to times a day for the few days can also help |
36 | 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 | i will certainly advise you to take some time off work actually i know youre quite keen to work but would say the next two two to three days as infection clears your system to take some time off and rest |
37 | 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 ill admit if your symptoms havent got better you know in in three to four days id like to come see you again |
38 | 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 something else caused your symptoms |
39 | uh and we may need to do further tests like um taking a sample of your stool so we can test that | uh and we may need to do further tests um taking a sample of your stool so we can test that |
40 | um etcetera etcetera | um etcetera |
41 | hows that sound | hows that sound |
42 | do you have any questions for me | do you have any questions for me |
43 | ok and you mentioned youve had some pain in your tummy as well whereabouts is the pain exactly | and you youve had some pain in your tummy as well whereabouts the exactly |
44 | ok and is uh is the treatment plan clear | ok and is is the plan clear |
45 | great well i wish you all the best | great well i wish you all the best |
46 | thank you bye bye | thank you bye |
47 | one side and what side is that | one side and what is that |
48 | left side ok and can you describe the pain to me | left side ok and can you describe the pain to me |
49 | ok and is the pain is that is it there all the time or does it come and go | ok and is the pain is is it there the time or does it come and |
50 | come and go does the pain move anywhere else for example towards your back | come and go the pain move anywhere else example towards your |
51 | hello how are you | hello are you |
52 | 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 | 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 affecting my to day activities |
53 | uhno just maybe my stomach | uhno just maybe my stomach |
54 | 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 it just makes me weak i had a fever um at the moment but i did notice um temperature when the symptoms started so um yeah around about three or four days ago |
55 | yeah i uh i didnt mention my temperature no but i felt um just a bit hot and yknow | yeah i uh i mention my no but i felt um just a bit hot and yknow |
56 | uh no | uh no |
57 | yeah so um i vomited at the start of the symptoms but now um ive stopped vomiting | so um i vomited at the start of the now um ive stopped vomiting |
58 | yeah yeah just normal vomit yeah no no blood no yeah | yeah yeah just normal vomit yeah no no blood no yeah |
59 | yep um i had a loss of appetite um so i havent been eating as much but ive been able to hold down fluids | yep um i had a loss of appetite um so i havent eating as much but ive been to down fluids |
60 | yep | yep |
61 | um just soups and uh yeah light foods like smoothies and yeah liquid foods mainly | just soups and uh light like smoothies and yeah liquid foods mainly |
62 | 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 like loose and watery stool going to toilet quite often uh and pain in my like |
63 | 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 unusual here |
64 | um yeah i ate at a chinese restaurant with friends yeah | um yeah i ate at a chinese restaurant with friends yeah |
65 | 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 no one else in the family so a wife and two kids and one um child was vomiting but they havent got theres no one with the same |
66 | 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 under control |
67 | no | no |
68 | yeah | yeah |
69 | 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 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 |
70 | um probably like six or seven times a day yeah | um probably like or times a day yeah |
71 | uh yes yeah i i work er um im an accountant | uh yes yeah i i work er um im an accountant |
72 | 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 |
73 | yes yeah | yes yeah |
74 | uh no i dont smoke | uh no i dont smoke |
75 | uh no i i dont drink alcohol no | uh no i i dont drink no |
76 | yeah | yeah |
77 | ok | ok |
78 | yeah | yeah |
79 | no no blood yeah just watery and loose stool | no no blood yeah just watery and loose stool |
80 | yeah | yeah |
81 | mm hmm | mm hmm |
82 | ok | ok |
83 | yep | yep |
84 | yep | yep |
85 | ok | ok |
86 | yeah | yeah |
87 | ok sure | ok |
88 | yep | yep |
89 | yep sure yep | yep sure yep |
90 | that sounds great yeah yeah | that great yeah yeah |
91 | um no no further questions no | no no further questions no |
92 | uh yes yeah thats thats very clear thank you | uh yes yeah thats thats very clear thank you |
93 | uh on the left side | uh on the left side |
94 | yeah it feels um like a cramp like a muscular cramp and um yeah i feel a bit uh weak and shaky | yeah feels um like a cramp like a muscular cramp and um yeah i feel bit uh weak and shaky |
95 | uh it comes and goes | uh comes and goes |
96 | hello | hello |
97 | 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 bit its not very lets continue anyway |
98 | did it help | did it help |
99 | ok | ok |