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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 been um good morning sir theyre how can i help you this morning
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 hear that um and and when you say diarrhea whatd you mean implanon by diarrhea do you mean youre going to the toilet more often or are your stools more loose
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 fine and you mentioned youve been feeling quite weak and shaky zig well what do you garity mean by shaky do you mean youve been having uh have you been feeling feverish for bathroom
you measure your temperature then
you turn your temperature then
ok ok any other symptoms like sweating or um night sweats no and uh any vomiting at all
ok ok any other symptoms like sweating or um night sweats no and uh any vomiting at all
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 mili nice thing talk about but was it just normal food colour yeah and there was no blood in methods vomit bit is that right
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
no ok um and um any any other symptoms at so you mentioned tummy pain you mentioned diarrhea you mentioned your vomiting uh anything iii comes to mind
ok so youre drinking fluids um what kind of foods have you managed to eat if anything
ok so youre traer fluids um what kind of remember have you managed to eat should anything
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 started three days ago the symptoms are you aware of worry any times triggers which may have caused really the symptoms uh to kick on so for example think like recent takeaway foods or eating out or being around other people want similar symptoms
do you remember where you ate
do you remember where you ate
ok anyone else unwell with similar symptoms
ok old else unwell with similar symptoms
ok ok fine um alright and uh in terms of your your overall health are you normally fit and well or uh
ok wait fine up ran alright come and uh in terms of your your overall health are you normally fit and well or uh
ok and is your asthma well controlled
ok and is decent asthma well low controlled
fine and you dont have any other tummy problem bowel problems i should be aware of
fine extent and you dont have any other tummy problem bowel problems i down should be aware of
no ok um and apart from the inhalers do you take any other medications
no ok um and apart from also inhalers do you take any other medications
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 test and in terms of just your ac day to day life you said its been affecting your life um in what way has it been affecting your generally
and have you are you currently working at the moment
and have say you are you currently working at the moment
ok and how many times a day are you going lets say in the last couple of days
ok phone time how back many times taste day are you going lets say understand in last couple com of days
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 have you nine been at home
ok that must be difficult for you then
ok that must be difficult for you then
fine and you said you mentioned you live with your wife and two children is that right
fine time and you said you mentioned you live ra with your wife and two just children is that right
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 say of other question we sto need to ask shortness these um do you smoke at all
and do you drink much in the way of alcohol
and do you drink much in the way of alcohol
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 best this stage i like to um examine you if thats ok but um um but but having listened to somewhere your story sir i think uh concerning just to recap for the sleep last three days youve been having loose stool diarrhea a bit accounts tummy pain uh mainly li the hand side um and engage 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
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 uh called gastroenteritis which essentially just come a tummy bug or infection of your uh of your tummy
uh mainly caused by viruses but there can be a possibility of bacteria uh causing its symptoms um
uh mainly by viruses but there can be a la possibility of bacteria uh causing its um
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 we say muffled concerns management so ive um i dont think you need anything like antibiotics its coincide just um making sure if youre well hydrated so drinking fluids jock
six seven times a day and you mention its mainly watery have you noticed any other things like blood in your stools
six be times a day and worry mention its mainly watery have you female noticed any other things like type blood number in your stools stil
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 jean there are things like dioralyte you can get from the pharmacy which uh its um it helps helps replenish your minerals and vitamins
um and if you are having vomiting diarrhea i would say recommend that in the first you know first couple of days
um and if you are having vomiting diarrhea i would say recommend that in the first you know first couple of days thanks
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 nothing eh taking some paracetamol uh two medi tablets up right to four times a day for the first few days can also help
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
will certainly anytime you to take some time off work actually i know youre quite keen couple comes work but i would say the next two two to three days as the occasion infection clears from your system to take some time off and rest
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 old if your symptoms havent got better you know in in three to four days id like to understand and see you again
because if it is ongoing then we have to wonder whether something else caused your symptoms
because if it is mm ongoing then we have to wonder whether something else caused constipation your symptoms
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 to wearing do further tests like um taking a sample of your stool so we can test that
do you have any questions for me
do you have any questions for me
ok and you mentioned youve had some pain in your tummy as well whereabouts is the pain exactly
ok and you mentioned youve had some pain in your tummy as well whereabouts is the pain exactly
ok and is uh is the treatment plan clear
ok and is uh is the treatment plan clear
great well i wish you all the best
great well i wish you near best
thank you bye bye
brought you bye bye
one side and what side is that
one side and what side is sixty that
left side ok and can you describe the pain to me
stop side ok and can you describe the pain to me
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 that is it there all going the time onco or does it come and go
come and go does the pain move anywhere else for example towards your back
come and go does the pain move anywhere ac else for example disease your back
hello how are you
hello how are you
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 pro some diarrhea for the last three days um bell and its been affecting me i need trans to stay close to the toilet and yeah its been affecting my day mid to shes day wha activities
uhno just maybe my stomach
uhno just maybe my stomach
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 like temperature yeah it just makes me feel uh weak i havent had a fever epo at bring moment but i did notice um a temperature when the symptoms started so um yeah around about three or four days
yeah i uh i didnt mention my temperature no but i felt um just a bit hot and yknow
yeah i uh i didnt mention mezza temperature no but i felt straight um just a bit hot and yknow
yeah so um i vomited at the start of the symptoms but now um ive stopped vomiting
yeah so phone um i vomited at colored start of the symptoms but now um ive stopped vomiting
yeah yeah just normal vomit yeah no no blood no yeah
yeah yeah hundred just normal vomit yeah no no blood no am yeah
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 pe had a loss of appetite um so i havent been eating as much but ive been able to hold down lowered
um just soups and uh yeah light foods like smoothies and yeah liquid foods mainly
um just soups and uh yeah light foods like smoothies and very liquid foods mainly
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 but its like loose absolutely and used stool going to the toilet quite often uh and like some pain in my like lower stomach
yeah so i had takeaway about four days ago um uh but other than that ive yeah been uh eating normally nothing unusual here
so i had takeaway about four days ago roughly uh but other than that ive yeah been uh eating normally nothing unusual here
um yeah i ate at a chinese restaurant with friends yeah
um yeah i ate at a w chinese restaurant with friends yeah
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 beats 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 just one with same symptoms
uh yeah thats fine i just yeah use an inhaler and uh thats under control
uh yeah thats fine i just use an partner inhaler and uh thats under control
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 to stay close to the toilet cause i go quite frequently sunny during the these past three days um yeah other than that dear uh yeah the main concern
um probably like six or seven times a day yeah
um probably like six dad seven times a day yeah
uh yes yeah i i work er um im an accountant
uh yes yeah i i work er dri im an accountant
uh yeah ive been going to work yeah yeah its been quite difficult
uh feel ive been going to work yeah its been quite from difficult
uh no i dont smoke
uh no i dont smoke
uh no i i dont drink alcohol no
uh no i i dont drink w alcohol no
no no blood yeah just watery and loose stool
no no blood yeah just watery and loose stool
that sounds great yeah yeah
that sounds great yeah yeah
um no no further questions no
um no no 1st further questions no
uh yes yeah thats thats very clear thank you
uh yes yeah thats thats very clear thank you
uh on the left side
uh on the left side
yeah it feels um like a cramp like a muscular cramp and um yeah i feel a bit uh weak and shaky
yeah hypothyroidism feels um like a cramp like a muscular cramp and hypo um yeah i feel a bit uh weak and shaky
uh it comes and goes
uh it comes and goes
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 hydration a bit its a bit its not very clear but lets continue anyway
do you remember the name of the cream you bought
do you remember the name of the cream you bought
no well ok thats so you mentioned the itchiness um you also mentioned its been quite sore
no well ok thats so hi itchiness um stolen you also mentioned its been quite sore
um have you have you noticed any uh bleeding or discharge from your skins
um have you have you noticed any uh bleeding mid or discharge from your skins
uh ok lets start again so how can i help you sir
uh ok lets start am again so how hypothyroidism i help you sir
youve not havent uh seen any other uh pus or blood coming out of your skin
youve not havent uh seen any other coughed uh fourteen pus or blood h coming out of your skin
no and you mentioned it all started three days ago
no and you mentioned it all started sweaty three days ago
are you four days ago are you aware of any triggers or anything that you may have done that may have caused your symptoms to start
you four days ago are you aware of any triggers or anything that you may have miller done that controlled have caused your symptoms to start
so for example have you changed your uh shower gel any clothing
so for example have you changed your joint uh shower gel any dinner clothing
have you been around anyone else
have you been around anyone else
mm no no ok thats ok um
mm potentially no no ok thats ok um
fine so just to resummarize for the last four days youve had very itchy skin very sore skin all over your body mainly your chest and did you also mention your arms and legs as well
fine so just to resummarize for the last four days youve had very itchy skin very sore skin when over your body mainly your chest and did you ac also mention your arms he and legs as well
ok anything on your face at all
ok anything on your face at all
no ok and apart from this any other symptoms have you noticed for example have you noticed any temperature or fevers
no ok and actually apart from any other symptoms have you noticed for example have you noticed any temperature or fevers
itchy ok so your your bowels are working ok
itchy ok so your your bowels are working cramping
your chest is ok no cough no breathing difficulties
your eaten chest is ok no cough no breathing difficulties
youre passing urine ok
youre passing urine spec ok
its always good to know so i mean do you have any ideas as to what could be causing your symptoms
its ground good to know poo i mean do implant you have any ideas as n to what around be causing your symptoms
any ideas as to what could be causing your symptoms
any ideas as what could be causing your symptoms
no no problem im happy to help um whereabouts in your skin is it affected
no no problem im happy to help um whereabouts in your skin is it affected
ok thats ok so um normally at this stage i like to examine you um
ok thats ok so um normally at this stage i like to what examine you um
to see the rash itself to see exactly what type of rash it is but from what youve told me you mentioned its youve got some dry skin and some uh cracked skin as well
to see the rash itself to see exactly eat what type weak of recurrently it is but from what oh youve told me you mentioned its youve got some dry skin and some uh cracked skin as well
uh and has been very itchy and so would your um
uh 22nd and has been very itchy and malaria so would your um
uh your your background of eczema um
uh your your called background of 1st eczema um
sorry to say theres a couple of questions i wanted to ask you which i completely forgot my apologies um apart from the eczema do you have any other medical problems i should be aware of
sorry to say theres a couple of questions i wanted to ask you which i completely forgot my apologies um void from own eczema mild you have any other medical problems i should be aware of
ok not anymore ok and do you take any regular medications at the moment
ok not anymore ok and do you take any regular medications at the
no ok do you have any allergies to anything
no ok do you have any allergies to
sorry i said do you have any allergies to anything
works i said do you have any allergies to anything skis
can you hear me thats alright i think it uh do you have any allergies at all
can you hear me thats alright i think it uh do you have any allergies at all
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