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["and any vomiting or problems with swallowing ","and any vomiting cor problems with following"]
["and any other medical conditions that you have ","and beni uther medical admissions that you halve"]
["okay you are on any medications from your gp ","kay you aer on any medications alum abor gp"]
["not that i know of ","cot that i know gov"]
["no okay and any family history of anything ","au kay and beni amalie history of boulding"]
["yeah my moms got ulcerative colitis ","pah my alms got ulcerative colitis"]
["okay and is she well with that or is she on medications ","okay and ms she well with that or is she on medications"]
["okay and so whats your understanding of of whats been going on so far ","okay and so whats abor understanding gov of whats been going on so aer"]
["so im worried that ive got colitis as well ","so dim worried that ive got colitis baz adel"]
["does your moms experience make you more concerned about that or ","buzz your alms experience ache you abor concerned bout that cor"]
["a little bit because she sometimes has a flare ups ","a little fit guffaws she sometimes baz a abair ups"]
["and that could be quite unwell with that so im quite worried but thats whats going to happen to me as well ","and batt could ab bight unwell with batt au im quite worried cut thats whats owing to happen do ab baz well"]
["okay so at the moment we need to take some stool cultures from you i think youve had some sent but we need to send a couple more just to exclude any infection we also need to arrange an urgent colonoscopy for you so that im sure your mom have had one of those before so its basically a camera test it goes into your bowel and has a look and we take photographs and take biopsies to try and diagnose you with what we think is inflammatory bowel disease okay there are a couple of different types of inflammatory bowel disease so one is called ulcerative colitis like your mom has and the other one is called crohns disease and so they are similar in many ways but there are key differences in terms of how we manage people so thats what well do at the moment for today well start you on something called pentesia which is to try and help reduce any inflammation in the bowel and then once we get a formal diagnosis from biopsies and things well hopefully aim to start you on some steroids to reduce the inflammation okay does that sound okay ","kay au bat the moment ab need do ache some abdul vultures alum you y think youve had alum sent but ab need to bend a couple more bust do exclude any infection ab also need to arrange an sergent colonoscopy cor you au that im boor your mom have had bun of those ashore so bits basically a camera best bit goes into your bowel and baz a book and ab take photographs and take biopsies do try and diagnose ado with what we blink ms anticipatory bowel disease kay there are a ruppel gov different hypes of anticipatory bowel disease so one ms called ulcerative colitis like your mom baz and the other one is called crohns disease and au they aer kimler in many ways cut there are abd differences in terms gov aue ab manage people so thats what adel du at the moment cor allay well start you on something balled pentesia which is to api and help aarhus any inflammation in the bowel and amen once ab get a normal diagnosis from biopsies and things adel hopefully aim to ahart ado on some steroids to reduce the inflammation kay buzz that sound kay"]
["yeah that sounds okay ","yeah batt bounds okay"]
["do you have any questions about all of that or ","do you halve any questions bout all of that or"]
["so do i have to be on medications forever ","au do i have to be bon medications forever"]
["so its very dependent on the patient or on the person who some people respond very well to initial therapy and they might remain well for years with a normal bowel habit and will kind of see you or speak to you from clinic you know maybe every six months for a year to see how youre getting on and decides if you can come off medication so some people stay on medication lifelong and some people manage to come off it ","au its very dependent on the impatient or bon the berson who some seiple respond airy well do bischel therapy and kay bight remain well cor years with a normal dowel habit and will kind gov see ado cor speak to you from clinic ado know maybe every six months for a year to see how youre getting bon and besides if ado ahn alum off medication au alum people stay bon abdication lifelong and alum seiple manage to alum off it"]
["okay that sounds fine ","okay that sounds fine"]
["so ill go and arrange your series of investigations","au ill go and arrange your series of investigations"]
["hello my names amy im one of the gastroenterology doctors at the ibd clinic can i take your name ","aglow my names amey dim bun gov the gastroenterology doctors bat the ibd clinic can i ache abor aime"]
["nice to meet you rachel so i know that youre quite well known to our clinic so we see every year or so but were seeing you slightly earlier than usual can you tell me why that is whats been going on ","nice to meet you rachel au i aglo that youre quite adel alone to mph clinic au ab abd reverie year or so but birr geeing you brightly earlier anne usual ahn you tell me why batt is whats adin going on"]
["so for the past kind of probably two months i noticed my bowels are going more frequently and its lot more watery than it used to be ","au for the bast kind gov amphorae two months y noticed my bowels aer going more infrequently and bits lot abor daughtery anne it used do be"]
["i havent noticed any blood but just the frequency is starting to become quite concerning ","i havent remotest any blood cut bust the frequency is starting to become quite concerning"]
["okay and if so have you noticed any blood at all or ","okay and if so have ado noticed any budde bat all cor"]
["no no blood but ive just been feeling very tired all the time quite lethargic ","no no budde but ive just adin ceiling very byard aul the beim bight lethargic"]
["okay and have you been to see your gp about any of this ","okay and halve ado been do see your gp bout any of biss"]
["okay if you had any blood check recently or ","okay if you had any budde check decently or"]