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