SPEAKERS NURSE (65%), INTERLOCUTOR (35%) IJ INTERLOCUTOR JISHA RAJ 0:00 Okay, maybe you missed out no INJ NURSE JINCY 0:04 didn't I made a one of the addition of working this will help you.IJ INTERLOCUTOR JISHA RAJ 0:10 Oh nurse. Um, I'm Maggie I'm 25 years old and I'm just I have just been just diagnosed as I'm having irritable bowel syndrome recently underwent the colonoscopy procedure also been worse condition right now notice I'm feeling exhausted.NJ NURSE JINCY 0:31 Okay, I'm sorry to hear about that. Don't worry. We will be where we are helping you put your mind to if I'm asking a few questions regarding your condition.IJ INTERLOCUTOR JISHA RAJ 0:46 Yes, yes please, please ask.NJ NURSE JINCY 0:49 Can you describe in your own words what are the symptoms you are adding now?IJ INTERLOCUTOR JISHA RAJ 0:56 Oh, symptoms regarding recently yes I have been noticing I started noticing it since three years I have been experiencing abdominal cramps flatulence so frequent when problems with a bubble other bubble problems then diarrhea and constipation may accompany these will occur even when after taking these foods several food items like milk and milk products then spicy foods then sausages also mess potatoes don't these make me gassy also flat lens or I'm very much disturbed with this condition. You know my barbers always get irritating.NJ NURSE JINCY 1:43 Okay, I can understand your condition. But the only you're you're suffering from this winterIJ INTERLOCUTOR JISHA RAJ 1:50 since treaments.NJ NURSE JINCY 1:54 Then what are the servers your condition?IJ INTERLOCUTOR JISHA RAJ 2:00 Sorry.NJ NURSE JINCY 2:05 Using session can reduce your symptoms?IJ INTERLOCUTOR JISHA RAJ 2:07 Yeah, the trigger a triggering factor. Yeah, the food is the main factor but it says that I have recently noticed stress as a triggering because I have recently hired in a company as a computer assistant. So it's a stressful job there it's a long hover job also from 9am to 7:30pm. So that I'm be going through long stressful situations there. So when I am exposed to experiencing these stressful situations my abdomen gauze was and the irritation startsNJ NURSE JINCY 2:47 Could you tell me what you know about this condition? The idea about theIJ INTERLOCUTOR JISHA RAJ 2:56 tracklisting and doesn't have any clear image about this condition but I have read it on some health magazine also seen it on some movies that sold so could you please clarifying about conditions condition?NJ NURSE JINCY 3:09 Okay, man, yeah, I'm glad to explain your ideas. Irritable bowel syndrome is a common disorder which occurs in the interest of time and other costs due to this the causes are unknown. And there are some factors which causes this maybe due to a more sensitive time same words which causes are more sensitive. So, that either causes like my voice will be saturated and it maybe causes symptoms and also the food will want to eat more or more spicy foods and all the causes and and also the maybe the school activities because your condition if you are having the most enjoyable triggers your condition and also you may be in past poisoning or any any infection in the bar and demand this also may be causing you troubleIJ INTERLOCUTOR JISHA RAJ 4:26 okay, but are you concerned about one thing could you be able to clarify that? Yes, you can turn any complication for this disease like any deadly diseases like birthplaceNJ NURSE JINCY 4:41 complication, but it will only occur if not treated. Like cancer colon cancer No. This this is we can manage more people that are having this disease they are managed with lifestyle modification and for dietary patterns, this will ensure that the symptoms will not be more severe this will puncture if you are following some advisors and there is more treatment options I can hire a I am very glad to explain for to you if you are accepting that can I proceed with that?IJ INTERLOCUTOR JISHA RAJ 5:22 Yes yes you may please proceed with that because I do want to get out of this condition as soon as possibleNJ NURSE JINCY 5:30 Thanks Maggie the treatment options we have before going for treatment we can take ourselves without going for a treatment if you are following some remedies like lifestyle changes and in your participating in trigger exercises and when it changes we have to avoid the byproducts day for a day to dairy products and also spicy foods which are triggers your condition and you can notify if you're using some foods like a gas producing foods and level three which will worsen your condition that when you have to make a note of it and you can mark in a diary so that it will be elsewhere in future you can avoid the types of things for you. And if it is all managed by this and we can go for the treatment options like we mentioned you and your symptoms of constipation and diarrhea or constipation and for diarrhea, anti diarrheal medication and acetone is full job it can involve directional activities or you can involve in yoga exercise so that it reduces your stress into one with the keyboard you're AliciaAre youIJ INTERLOCUTOR JISHA RAJ 7:11 yeahNJ NURSE JINCY 7:15 okay, Maggie. Any other concerns? And are there any doubts?IJ INTERLOCUTOR JISHA RAJ 7:23 No, not actually. Could you please make an appointment arrangement with the gastroenterologist asking me in the near future?NJ NURSE JINCY 7:33 Okay, sure. I will arrange an appointment I will give the contact number you can just call this number and make an appointment before coming to the cleaning.IJ INTERLOCUTOR JISHA RAJ 7:45 Yes, it's very pretty much okay for me.NJ NURSE JINCY 7:48 Thank you, Maggie. If you have any other dogs you can contact us. We are amenable to explain.IJ INTERLOCUTOR JISHA RAJ 7:56 Okay, okay. Thank you very much. Thank you.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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