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gayanin

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babylon-native-v8-noise-op-wise

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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

hi um should start ok hello how um good morning how can i help you 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

to that um and and when you say whatd you mean by diarrhea do you youre going to the toilet more often 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 weak and shaky as what do you mean by shaky you mean youve been uh have you been feeling feverish for example

you measure your temperature then

you measure temperature then

ok ok any other symptoms like sweating or um night sweats no and uh any vomiting at all

ok ok 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 ok and was your vomit know its not a nice thing to talk about but was it just normal food colour yeah and there no blood your vomit 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 any any other symptoms at all so you mentioned tummy pain you diarrhea you mentioned your uh anything else that comes to mind

ok so youre drinking fluids um what kind of foods have you managed to eat if anything

ok so youre drinking fluids um what of foods have you managed to eat if 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 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 foods or or being around other people with similar symptoms

do you remember where you ate

do you remember where you

ok anyone else unwell with similar symptoms

ok anyone else unwell symptoms

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 alright and uh in terms of your your overall health are you normally and well or uh

ok and is your asthma well controlled

ok and is your asthma well controlled

fine and you dont have any other tummy problem bowel problems i should be aware of

fine and you dont have any other tummy problem bowel i should aware of

no ok um and apart from the inhalers do you take any other medications

no ok um and apart from the 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 and in of just your to day life you said its been affecting your life um in what way has it been affecting your life

and have you are you currently working at the moment

and have you are currently working at the moment

ok and how many times a day are you going lets say in the last couple of days

ok and how many times a day are you going lets say in the last couple 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 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 and you said you mentioned you live with your wife and two 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 couple other question we need to ask sir um do you smoke at all

and do you drink much in the way of alcohol

and you 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 at this stage i like to um examine you if thats ok but um um but but having listened to your sir i think uh um just to recap for the 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 quite weak and lethargic um you mentioned had this 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 have uh called which essentially just a tummy bug or infection your uh of your tummy

uh mainly caused by viruses but there can be a possibility of bacteria uh causing its symptoms um

uh caused by viruses but there can be possibility of bacteria uh causing its symptoms 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 conservative management so i dont think you need like antibiotics its really just um making sure youre well hydrated so fluids

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 have you noticed any other things blood in your stools

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 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

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 and weak eh taking some paracetamol two to times a day for 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

i will certainly advise you to take some time off work i know youre quite keen to work but i would say the next two two three as the infection clears from your system to take some time 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 admit if symptoms havent got better you know in in three to four days id like to come and see again

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 something else caused 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 need to 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

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 pain exactly

ok and is uh is the treatment plan clear

ok and is uh is the treatment clear

great well i wish you all the best

great well i wish you all the best

thank you bye bye

thank you bye

one side and what side is that

one side and what side is that

left side ok and can you describe the pain to me

left 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 the time 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 else for example towards back

hello how are you

hello how 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 some diarrhea for the 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

uhno just maybe my stomach

uhno 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 yeah it just me feel weak i havent had fever um at the moment but i did notice um a 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 mention my temperature but i um just bit hot and yknow

yeah so um i vomited at the start of the symptoms but now um ive stopped vomiting

yeah so i vomited at the start of the symptoms but now ive stopped vomiting

yeah yeah just normal vomit yeah no no blood no yeah

yeah yeah just normal vomit no no blood no 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

um i had a loss appetite um so i havent been eating as much but ive been able to hold down fluids

um just soups and uh yeah light foods like smoothies and yeah liquid foods mainly

um just soups and uh yeah light foods smoothies and yeah 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 its like loose and watery 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

yeah so i had takeaway four ago um uh but other than that ive yeah been normally nothing unusual here

um yeah i ate at a chinese restaurant with friends yeah

um yeah i at a chinese 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 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

uh yeah thats fine i just yeah use an inhaler and uh thats under control

yeah thats fine i just use 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 close to the toilet cause i go quite frequently during the these three days um yeah other than that its uh yeah the main concern

um probably like six or seven times a day yeah

um like or seven times a day yeah

uh yes yeah i i work er um im an accountant

uh yes yeah i i work er um im an accountant

uh yeah ive been going to work yeah yeah its been quite difficult

yeah ive been going to work yeah yeah its been quite 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 alcohol no

no no blood yeah just watery and loose stool

no no blood yeah watery and loose stool

that sounds great yeah yeah

that sounds great yeah yeah

um no no further questions no

um no no 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 it feels um like a cramp like a muscular cramp and 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 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 cream you bought

no well ok thats so you mentioned the itchiness um you also mentioned its been quite sore

no well ok so you mentioned the itchiness um 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 uh bleeding or discharge from your skins

uh ok lets start again so how can i help you sir

uh ok lets start again so how i help you sir

youve not havent uh seen any other uh pus or blood coming out of your skin

youve havent uh seen any other uh or blood out of your skin

no and you mentioned it all started three days ago

no and you mentioned all started 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

are you days ago are you aware of any triggers anything that you done that may have caused symptoms to start

so for example have you changed your uh shower gel any clothing

so for example have you changed your uh shower gel any clothing

have you been around anyone else

have you around anyone else

mm no no ok thats ok um

mm 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 for the last four days youve had very skin very sore skin all over your mainly your chest and did you also mention your arms 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 apart from this any other symptoms have you noticed example have you noticed any or fevers

itchy ok so your your bowels are working ok

ok so your your are working ok

your chest is ok no cough no breathing difficulties

your chest is no cough no breathing difficulties

youre passing urine ok

youre passing urine

its always good to know so i mean do you have any ideas as to what could be causing your symptoms

its good to know so i mean do you have any ideas as to what could 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 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 normally at this stage i like to 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 see exactly what type of rash it is but from youve told me you mentioned its got some dry skin and some uh cracked skin as well

uh and has been very itchy and so would your um

and been very itchy and would your um

uh your your background of eczema um

uh your your background of 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 say theres a 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

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 moment

no ok do you have any allergies to anything

no do you have any allergies to anything

sorry i said do you have any allergies to anything

i said do you have any allergies to anything

can you hear me thats alright i think it uh do you have any allergies at all

can you hear thats alright i think it uh do you have any allergies at all