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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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