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["and any vomiting or problems with swallowing ","and any or problems with swallowing"]
["and any other medical conditions that you have ","and other medical that you"]
["okay you are on any medications from your gp ","are on medications your"]
["not that i know of ","that know"]
["no okay and any family history of anything ","okay and any of anything"]
["yeah my moms got ulcerative colitis ","moms colitis"]
["okay and is she well with that or is she on medications ","okay is she with that or is she on"]
["okay and so whats your understanding of of whats been going on so far ","so your been on so far"]
["so im worried that ive got colitis as well ","so im that ive colitis as well"]
["does your moms experience make you more concerned about that or ","your moms make about that"]
["a little bit because she sometimes has a flare ups ","little bit she sometimes ups"]
["and that could be quite unwell with that so im quite worried but thats whats going to happen to me as well ","that could so quite worried whats going to happen to me"]
["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 ","okay so at the moment we need to from you i youve had but we need to a couple more any infection need to arrange urgent colonoscopy for you so that your mom have had one of before so its basically a camera bowel and a look take biopsies to try what inflammatory bowel disease okay there are a couple of different types disease one ulcerative colitis like your mom has the other one is and they are similar many ways but are differences in of manage people thats what well do the today well start you is to and help reduce in the bowel then once get formal diagnosis hopefully aim start on some steroids the inflammation okay does that okay"]
["yeah that sounds okay ","yeah that"]
["do you have any questions about all of that or ","do you have any questions about all that"]
["so do i have to be on medications forever ","so do i have be 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 ","so its very on the patient or on the person who respond to initial and they remain well for years with a bowel habit and kind of see or speak to you from clinic you know every for a year to how youre getting on and you come off medication so people on lifelong some manage to come off it"]
["okay that sounds fine ","sounds fine"]
["so ill go and arrange your series of investigations","so go and arrange your"]
["hello my names amy im one of the gastroenterology doctors at the ibd clinic can i take your name ","names amy im of gastroenterology doctors the clinic can your"]
["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 ","meet i know that youre well our so year or so but were you slightly earlier usual can you that is whats going"]
["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 ","so for past of probably two months noticed more its lot more watery it to be"]
["i havent noticed any blood but just the frequency is starting to become quite concerning ","noticed any blood but frequency starting to quite concerning"]
["okay and if so have you noticed any blood at all or ","okay and you any blood at all or"]
["no no blood but ive just been feeling very tired all the time quite lethargic ","ive just been feeling tired all the time quite lethargic"]
["okay and have you been to see your gp about any of this ","okay been to see your any of this"]
["okay if you had any blood check recently or ","okay if had any check"]