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all right okay | okay okay |
it helps my pain | helps me |
are you taking that regularly | are you taking that regularly |
id say so | see so yeah |
have you noticed any stomach upset with that | have you noticed any stomach upset with that |
i mean well i suppose i have to have this abdominal pain in my tummy so i dont know could that be could be connected to that | i mean well i suppose i do you have this abdominal pain in my tummy so i dont know it could be could be connected to that |
yeah possibly so we do find people here on long term nonsteroidal medications like diclofenac that kind of upset your stomach especially if youre not taking omeprazole or a medication like that with it so we need to be might need to address that do you have any insight or ideas about what might be causing your symptoms preferably the diarrhoea and the weight loss | yeah possibly so we do find people here on long time non studio i dont medications that dick affair not can upset your stomach especially if youre not taking that medication like that with it we need to be might need to address that do you have any inside our ideas of what might be causing your symptoms lately the diet aeon |
and well i suppose i just assumed thats my crohns with that was being watery but i dont know about but do you think it could be anything else | well i suppose i just assumed thats my crones with that was being watched me but i dont know about but do you think it could be anything else |
so yeah i think theres a few different things it could be i noticed that youve not had a colonoscopy for quite some time in fact not said to you shortly after you were diagnosed so we might need to look at repeating that i think in the first instance will get some blood tests off to check in inflammatory markers and we need to send some samples of your stool off to make sure theres no infection and also send off a special stool test called fecal calprotectin and thats to look for inflammation in your bowel that might be related to the crohns disease i think depending on what those are well maybe decide on whether you need another camera test up up the tail end to have a look at the lining of the bowel so i think thats thats what we are doing just at that the moment how does that sound to you | so yeah i think theres a few different things it could be i noticed that you know had a colonoscopy for quite some time in fact know said teo shortly after you were diagnosed we might need to look att repeating that i think in the first instance well get some blood tests off to take inflammatory markers we need to send some samples of your stool off to make sure theres no infection and also send off a special student test called faecal cal protected on thats to look for inflammation in your babble that might be related to the crew is disease i think depending on what those are well maybe deciding whether you need another camera taste up up the tail and have a look at the lining of the boat no and so i think thats probably doing just the moment tigers outside you |
yeah i mean yes yeah thats thats all right yeah i just yeah i didnt really think could be getting all these tests and things quite a lot to take in | yes was yes thats thats all right i just i didnt really think youd be getting all these tests and things here quite looks taken |
of course | |
but yeah i understand | you understand |
any other questions | any other questions |
yeah do you think i need to change my medication to something else | you think i need to change my medication to something else |
so one of the things we can do is to check the level of the medication in your blood called the adalimumab profile or checking the antibodies and the level of the drug but at the moment i wouldnt change you from your adalimumab just until weve got a bit more information about whats going on | so one of the things we can do is cheque the level of the medication and your blood im called adeline a mob profile or checking antibodies and the level of the drug but at the moment i wouldnt change you from your tabloid just until weve got a bit more information about whats going on |
okay you think i might need more surgery | okay you think i might need more surgery |
well again it depends a little bit on the investigations we might you know depending on what they show we might need to go on and get mri scan of your bowel just to have a look and make sure there arent any other points of narrowing in the bowel like you had last time if thats the case then we might need to look at surgery but thats a lot further down the line for a moment okay | well again it depends a lot of it on the investigations we might you know depending on what they sure we might need to go on and get an m r i scan of your battle just to have a look and make sure there arent any other points of nattering and the guy will like you had last time if thats the case then we might need to look surgery but thats further down like a woman okay |
thank you | thank you |
hello my names amy i am one of the gastroenterology doctors can i take your name | hello my names am i am one of the gastroenterology doctors can i take your name |
its rachel brown | its rachel brown |
okay nice to meet you rachel so tell me why youve been referred to the gastroenterology clinic today | okay nice to meet you rate show so tell me and why have you been unfair to the gastroenterology clinic today |
so for the past three months ive had a lot of diarrhoea and sometimes its quite bloody as well and its scaring me now | so for the past three months ive had a lot of diarrhoea and sometimes its quite bloody a swell its scaring me now |
oh and have you ever had anything like that in the past | have you ever had anything like that in the past |
over the past few years id say its been a bit iffy and intermittently having diarrhoea but its been worse over the past three months | over the past few years that says being a bit faa um intermittently having diarrhoea but being waris over the past three months |
okay and that you are passing blood each time | okay and that youre passing blood each time |
most times and its mixed with the stool and sometimes i see clots and things as well | most times and its mixed with still sometimes i see clock some things |
okay have you noticed any mucus in your bowel motions | okay have you noticed any mucus in your bible moshe |
yeah theres a lot of mucus | has locked me on |
and does that been the case for quite a few months as well | that being the case for quite a few months as well |
okay and hows your weight been | okay and how is your weight being |
so ive lost quite a lot of weight recently my my parents are really worried about that | so ive lost quite a lot of weight recently my my parents are really worried about |
okay are you eating well | okay are you eating well |
id say im eating well but i just i just dont seem to keep my weight up | id say im eating well but i just i just cant seem to keep my game |
and any abdominal pain or discomfort | and any abdominal pain or discomfort |
yeah i get quite a lot of abdominal pain its quite crampy just before i need to open my bowels | yeah i get quite off abdominal pain is quite cramp you just before any from my bowels |
okay right and has the pain got worse do you think or stayed about the same | okay right andi has the pain got worse teething or stayed about the same |
i think its stayed about the same | thing that stayed about the same |
and how often are you moving your bowels each day | on dh how often are you moving your battles each day |
about six times a day id say | about six times a day id say |