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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 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

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