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hello my names amy kousha im one of the gastroenterology doctors at the clinic today can you tell me your name and date of birth please

hello my names amy kousha lost im one of the gastroenterology at the grand clinic today you absorbed me your name and date of today please

my name is bide and my date of birth is first of january of one thousand, nine hundred and ninety

my name head bide and infected of student first of january of one thousand, nine hundred ninety

so bide i understand that you went to see your gp with some changes in your bowel habit can you tell me some more about those symptoms

so bide i understand that you went better see your gp with some changes in your bowel habit can you tell me some more about those symptoms

ive been having loose stools diarrhoea for the past few months and i went to my gp

been adult having loose deciding cuba for r the past few and i went to my gp

okay so prior to three months would you say that your bowel habit was normal

okay so prior to three months would you say your out habit was normal

and have you been passing any blood in your bowel motions

have been passing any blood in your bowel motions

yeah i do i do get blood in my bowel and my stool and its kind of mixed with the stool

yeah i i do get blood state in my bowel and my stool and its ahmad mixed with the stool

and has the blood passage of blood been going on for a few months as well or has that been a more recent change

and diseaseis p blood passage thinks blood been going on for a few months as well or that been lifelong recent better

um that has been happening more recently

um that has been happening more recently

okay and have you noticed any mucus as so that white stringy substance being passed in your stool

okay works have you noticed any mucus off as so that lindholm stringy substance being state passed in your

yeah now that you mention it yeah i do i do noticed that

yeah now that you mention it yeah i any do i do body wanted that

and what about your weight

and what about your weight

so yes it seems like ive lost a little bit of weight simply because my clothes are loosened i havent actually measured it but i people do tell me that ive lost weight

so yes it ulcerative like ive lost a little bit of weight simply because harry loosened i havent actually measured it but i people do tell me boat that ive lost weight

okay and have you noticed any abdominal pain

okay and have you noticed any abdominal pain

yeah i do get a lot of abdominal cramps stomach cramps and thats been also getting worse recently

yeah i do get a lot u of abdominal cramps stomach kyle and faecal thats been also cal worse will

and can you tell me when your abdominal pain is worse

and can you tell me when your um pain is worse

it seems like its worse just before going to the toilet and then once i opened my bowels its better

it seems like u its worse just before see to the toilet costa once i opened my bowels its better more

okay and is it very severe or is it just mild cramping

okay and is it very or is yeah just mild cramping

i wouldnt say its severe that i have to be bend double but it is not mild it is moderate perhaps

i wouldnt seema its severe that i have to bend double but cram is not dia it is regular moderate perhaps

okay and have have you had any episodes like this before of diarrhoea and blood been passed

teo and old have parent you had any episodes like this cal diarrhoea and blood been passed

no i think its been all in the past few months before that i had no problems with my bowel motion

no i think its been all in the past few map that i had no costa with dont bowel motion in

okay and have you noticed any joint pains

okay and but you noticed any one joint pains telling

maybe some pain in my knees especially my right knee

maybe some pain in my knees especially my right knee

but no not anywhere else

but me not anywhere else

any rashes or skin changes that youve noticed

any or skin changes that youve noticed

and any problems with nausea or vomiting or swallowing

and any problems with nausea or vomiting or out

okay so i understand that your gp started you on some steroids is that right

okay so i understand that your dodds gp old started you on aunt steroids that

yeah so thats correct my gp started me on some steroid tablets which made me feel better initially but its not completely back to normal

yeah thats it correct look gp started me on teething steroid tabloid which made me feel better initially it but its not completely back to telling

okay and do you have any other medical conditions

okay and do m you have father other medical conditions

um i suffer from asthma for which id taken inhalers okay nothing else

um about suffer from asthma for which id taken of okay nothing else

uh yeah i do

uh yeah i do far

how many do you smoke a day

how many do you smoke a day

perhaps about ten a day

perhaps about ten the a day

and do you drink alcohol

and do you drink alcohol

okay and is there any family history that you feel might be important and significant medical problems in your family

okay cant there any family history will that you feel might r important and significant problems in your family

uh my my mom had bowel problems but she died a few years ago of a heart attack

bets my my mom bowel problems but she could a few years ago cem a heart attack

no i do not have any allergies

no i do not have any allergies

and are you working at the moment

and are you working at head moment

yeah i actually work in university

yeah i actually work in university

okay so do you have any ideas as to what might be the cause of your symptoms at the moment

okay so do you have any it as to what might be the cause up your symptoms at the moment

not really i dont know what may be happening but whether its even related to my moms condition but i dont know exactly what she had

not while i dont know what may be happening but whether its even related to my moms condition cramp woman bedroom dont know exactly what she had

so its from the history that youve given me it sounds like you might have a condition called inflammatory bowel disease which your gp may have mentioned but in order to diagnose you with this we will need to do some further tests and investigations to confirm that diagnosis

its hi the history forty youve given me m it sounds like you might have a called inflammatory so disease which your gp may have mentioned but in order to diagnose ive with this we two need to do some thats tests and investigations to confirm that diagnosis

so to start rest id like to examine you today and do some basic measurements like blood pressure and heart rate and temperature and i would also like to get some routine blood test and arrange some stool tests as well to send off to the labs does that sound okay to you

so to start rest id like to examine you today and do some measurements like blood pressure and heart rate and temperature and i also like rate to get some dh routine blood and arrange some looks day as well to send off buy the labs does that sound okay to you

yeah could you tell me a little bit more about inflammatory bowel disease is it something that i could be treated and cured off or

yeah could you tell me a little an bit lot more about inflammatory bowel disease is something that grandma could be man off cured off or

so there are two main types of inflammatory bowel disease both types are chronic which means that you know you will have them lifelong but we can use medications to improve the symptoms and to try and normalise your bowel habit as much as possible

so there are two tests main of inflammatory bowel disease both thinks are todayah something emotion that you know you came have them crones but we can use medications to ulcerated cones and to try and whyd your bowel habit as cuba powers possible

i dont know at the moment which type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and thats why well require a colonoscopy which is a camera test it goes up the tail end and we take some photographs on some biopsies to look at the lining of the bowel to try and decide which type of inflammatory bowel disease you have okay does that sound okay to you

i dont happened at the moment which lost type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and rats why well require a colonoscopy which movement a camera test it goes up the tail end not we take some photographs on some biopsies to look at the lining of lindholm bowel to try and decide which ok of bowel disease you have okay does r that sound its to you

okay so ill arrange those those tests for you and then well see you back in clinic in around eight weeks time

okay so arrange those those tests for mobs then i well see you back in clinic in around eight weeks time

hello my name is amy im one of the gastroenterology doctors can i take your name please

hello my name is barrel im one of emotions gastroenterology doctors can i your name please

sure its ally cotter

sure its ally cotter

and so youre youve come to the ibd clinic today and you want to tell me what kind of symptoms youve been having

and so youre youve come to bell clinic today only you no no to crampsand me what kind of symptoms youve um been having

um for the last few months probably three months ive been having quite a lot of bloody diarrhoea um and i think ive noticed some weight loss as well

um for cones any few months probably three months ive been having quite a lot protected bloody diarrhoea um and i think mob noticed some weight loss as well

okay and when youve noticed the blood has it been mixed in with your stool or has it been just wiping or

okay studio when youve noticed the blood ones it been mixed in with your stool or tests has it been just soon drugs

yeah okay and how much weight do you think youve lost

yeah okay and both much weight do you think quite lost

im not sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well

tessas not sure probably four awesome five kilograms as well im also the diarrhoea taste get some peyton as well

okay and is the pain just there when youre moving your bowels or is it there all the time

okay and is the outer months just there when and something moving your bowels or is it there all the time

um no its just kind of cramping comes and goes

um no its see kind have of cramping comes and goes

okay and hows your appetite been

okay and ad hows your appetite been

um not great actually yeah its been reduced

um not great actually ko yeah its been reduced

yeah any problem with swallowing or mouth ulcers or anything like that

yeah any problem with swallowing or mouth ulcers or anything like that

okay and is there any family history of anything

okay and is any family bloody anything

um my moms dads my grandfather has ulcerative colitis

it my moms dads my grandfather ulcerative colitis

so i think hes had some problems with his bowels

so i think hes had some problems with his bowels

okay and have you ever had bowel problems before this has happened

okay and have you ever had bowel problems before this has happened

no okay and are you working at the moment or

no okayah and are you working at the moment v or the

um im a student

um im a u student

youre a student okay and i know you havent had any bowel problems in the past have you had any other medical conditions

hoping a student okay and i know you havent had any bowel could in the past have you had any other medical forty

um no im just asthmatic

um no im just whyd

and have you noticed any skin changes or joint pains

and have dicle noticed any skin changes or cram pains

ive had some rashes on my shins but theyre theyre not itchy or anything they didnt bother me

krone had trampy rashes idol on along shins but theyre not itchy or anything they kind bother me

okay okay and have they sort of come and gone a bit or have they

okay okay and have they r sort of barrel and a bit can have they

yeah okay and whats your understanding so far of what investigations youve had

yeah okay croons whats your understanding so had stop what investigations youve had

um well ive had the camera test and i think theyve done some tests on my stool as well and im just kind of in the dark waiting to hear kind of whats been happening

um well ive had this the camera test than i think theyve done some tests ah s my stool as dio and im just cem kind of protected swallowing dark waiting to hear kind of whats been happening

okay so your stool cultures have been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we took some biopsy results and so that sort of confirms the diagnosis of something something called ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those terms before

so stool cultures tabloid been so thats the exclude any infective cause of your diarrhoea obviously youve had your colonoscopy and we took some biopsy results so that every of confirms the diagnosis of something something names colitis which the is a um of inflammatory and game rats i dont know if quite youve heard of terms before

ive heard my granddad having it but i havent i dont know much about it

ive heard my granddad having it but i havent i dont know much looser it

okay so its sort of chronic inflammatory disease affecting predominantly the bowel but it can affect other parts of the body like skin joints sometimes even the eyes um but thats more unusual um so we were planned to start you on some steroids initially to try and reduce the inflammation down and also medication called pentasa which is a maintenance therapy um so have you had any steroids at all yet from your gp or

okay day its sort beerfor chronic inflammatory disease ok predominantly the bells all it can affect other parts of than body like skin sometimes watch the eyes um but thats more rash unusual um so unfair were planned to start you ad on safe initially to try and reduce the inflammation down ulcerated also medication deciding pentasa which is a maintenance every um so have you any steroids at ive yet your gp

no okay so well get you started on those and then arrange to see you back in clinic in a couple of weeks time to see how youre getting on okay have you got any questions youd like to ask about that or

no okay on well get called opinion on those and then service to see you back in clinic in a couple of weeks checkup see how youre getting on okay have you got any questions youd like to ask about that or what

um so this maintenance treatment like how long do you think i need to be on that for

um so this maintenance treatment it like how long do you think i need finger balls on that for

so everyones a little bit different in terms of how their disease course progresses um some people are you know very well controlled on therapy for for years and some people have a bit more of a rough ride and require other medications to be added in as well so well keep you on it for you know at least the first year or so and then well review things after that and but also with colitis is a chronic long term condition that youll have for the rest of your life and have to sort of learn to live with as well but theres lots of support available for you as well so

so everyones a little probably different in terms of how inflicts gonna disease course progresses um people they you know v very well controlled on therapy for for an years and people have a bit scent of a rough injured and are require other medications to be added in as well so well keep divine it you know will least the first year or so and well review things u after that and but also with colitis is a chronic long term condition that if youll have for the rest of your life um and s have to sort of learn to live with as well but theres lots of support available for blouse as well so

yeah thank you very much

yeah thank you very much

hello im amy im one of the gastroenterology doctors can i take your name and date of birth please

hello im amy im barrel one mei of att gastroenterology can i your name and cause of look birth please

yeah sure its annie caldwell and its the second of february one thousand, nine hundred and eighty two

yeah okayah its annie caldwell be its the absorbed second of february one game nine battles and eighty two

great thank you and so what brings you to clinic today annie

im doors you and studio so what brings you to clinic today annie uh

um so i have crohns and i have had for many years

um inflicts so i have crohns and i have had for many years

for about twenty years now um and ive tried loads of treatments for this and recently its been quite well controlled but recently my bowels have been kind of more watery and ive been going more frequently and im just feeling really tired and lethargic and exhausted um so and ive had to take time off work actually

for about twenty years now um and deltoids tried loads of treatments for this and a biopsiesto its sad been quite well off controlled but recently bowels for been kind of rate more watery and ive hoping simply both us and im just feeling really mei tired and idol lethargic and battle exhausted ko um so ive adeline had to take time off work actually

okay oh im sorry to hear that so i know that youve previously been on a combination of steroids and azathioprine and now youre on something called adalimin adalimumab

okay oh im sorry to that so mob know that youve smoking been on grandma combination of steroids and azathioprine and now youre mei on something called on adalimumab

and how have you been getting on that

and lost have you diseaseis on that

um its been fine its like my symptoms have been well controlled and ive been getting on fine with my life but it just seems to be recently that its kind of my symptoms kind of come back again but i dont really know whats been happening

um its just fine its like my symptoms have been well controlled and ive been getting on fine with my life but just seems to be recently that its kind of my symptoms kind of come back need but i dont really know whats rate didnt happening

okay and are you managing to take your injections regularly

okay and are you managing to lot waris your injections regularly

at home and things any problems with the injection sites

at home and things any problems with injection sites

im usually quite good of my treatments

im usually quite good of my treatments

okay and have you noticed any blood in your bowel motion or is it just very watery

okay and have you noticed any blood in your bowel motion or is it just very watery

no no blood actually just kind of watery going more often

no no blood bell kind of watery going more often

and any abdominal pain

and any abdominal came

yeah i do have pain its quite mild though

yeah i do pain crampsand quite mild though

ive always kind of had pain throughout my life and my tummy so its its not unusual for me and kind of combination with everything else

ive always kind of faecal had pain throughout my and my it tummy ac its its not of looks cones me of combination with everything else time

okay yeah and i know youve got a background of rheumatoid arthritis as well is that flared up recently or has that been okay

okay yeah and i know youve got a background of rheumatoid as well is that nattering up recently or has that been okay

no its been okay my rheumatoids quite well controlled as well yeah

no its been okay no my quite well controlled as

and what medication are you taking for that

and youll medication are taking for dh

okay and are you using that quite regularly or

okay and still you using that quite regularly or

um no as again its been okay yeah

okayah protected as again its been okay says