SPEAKERS INTERLOCUTOR (58%), NURSE (42%) IJ INTERLOCUTOR JISHA RAJ 0:00 Okay, Ramadan, you can start off.NJ NURSE JINCY 0:04 Okay. Good morning sir. My name is Jamila. I am the registered nurse in the gastroenterology cleaning. How may I help you?IJ INTERLOCUTOR JISHA RAJ 0:16 Good morning nurse. I'm Mr. Beecher X Currently I'm NJ NURSE JINCY 0:22 a little bit what a little bit yeah, exhausted because I'm recently diagnosed with irritable bowel syndrome. How already underwent the colonoscopy procedure IJ INTERLOCUTOR JISHA RAJ 0:35 early this week. You know, I'm very much disturbed with this conditionNJ NURSE JINCY 0:44 Oh, I'm sorry to hear about this. How can I address youMr. PeterMr. Peter it's okay to be worried because this condition anybody canIJ INTERLOCUTOR JISHA RAJ 1:01 have it can be caused the worry, but don't worry, we will give you all the information and what to do. So it will make you comfortable before we will explain you regarding your condition IBSS you told me that doctor told you I will just ask you a bit of questions. Are you able to explain me yes is that how Hello? Oh your condition started what are the signs symptoms?Yeah, you know, I have have started noticing a noticing age since three months. Very take the food several food items, my stomach is unable to tolerate thatNJ NURSE JINCY 1:52 . For example, I can't eat milk and milk products then spicy foods and also some carbohydrate rich foods such as a quota to I'm tubers. But even now, even a water is intolerable to my stomach. What can I do?IJ INTERLOCUTOR JISHA RAJ 2:11 Okay, I see it is really the condition that youYeah, it's these abdominal cramps that I'm experiencing is ready intensive. And also, I can't even tolerate that and last for from 10 minutes to almost one hour.NJ NURSE JINCY 2:38 Okay, so I will just explain you about the IBS actually what are the symptoms you are telling? That is all related to your diagnosis,IJ INTERLOCUTOR JISHA RAJ 2:48 like IBS is the digestive condition which causes uncomfortable bowel symptoms. Some people have or the other people might they have hearts pools, and when they will,yeah, the toilet Yeah, I'm currently experiencing I'm currently experiencing flatlands of the abdomen and some vend problems and also abdominal cramps that is followed by diarrhea or other ways constipation these occur simultaneously right?NJ NURSE JINCY 3:25 So as you know that these symptoms all are related to the IBS and this condition is really awful. Especially when you cannot do anything you IJ INTERLOCUTOR JISHA RAJ 3:37 cannot eat you and you are experiencing with the diarrhea or constipation so I will just ask you which type of you are eating?Yeah, I'm I'm using some sort of spicy foods and mashed potatoes, sausages, non veg items and also some cheese and butter these are my everyday routine food I thinkNJ NURSE JINCY 4:06 okay, no problem. Actually, you need to cut off some certain foods like some foods are creating the gases. So you need to part of the fiber and it is better to drink plenty of water which you are doing as you told. So putting this is from the gas producing foods like cabbage. So try to IJ INTERLOCUTOR JISHA RAJ 4:35 reduce the fiber from your diet slowly because at once definitely you cannot change the passion of your food. But just to eliminate a condition really to do that. I hope you can make itNJ NURSE JINCY 4:53 yes I surely do that but nerves. I have a concern about that because I'm people And so I love these foods, spicy foods, mashed potatoes and sausages and everything. So it just seems to be, you know, I can't it's a difficult task for me to suddenly stop these food items consuming these food items. So, is it possible for me to slowly slowly cut down the amount of food I check and eventually abstain from it?IJ INTERLOCUTOR JISHA RAJ 5:27 Yes, yes, sure, I will explain you, I can understand that really, this is difficult. Even then it is difficult for them. But you can slowly reduce and change the pattern of your food like you can reduce the fiber from your diet, and you can modify your diet slowly, it will help you in this condition.NJ NURSE JINCY 5:52 Okay. Yeah, I will definitely try to do that. Other than that, I would like to talk to Dr. Especially a gastroenterologist with regarding my current situation. Could you be able to arrange an appointment with him as soon as possible? If you don't mind?IJ INTERLOCUTOR JISHA RAJ 6:15 Yeah, sure, I will do but before doing this one, I will just ask you that. Do you have any stress in the work or? Because you mentioned usually it is a triggering from the stress? Yeah,IJ INTERLOCUTOR JISHA RAJ 6:30 I totally forgot to do chawl told you tell you that. Recently I have I'm go I have got a higher chair work in a company. I'm working as a computer engineer there. It's a long duration job which starts from 9am to 7:30pm. I'm not having any time to eat food correctly that means at the time I will eventually skip some thing or I will eat lately on also I have been noticed that as it is a stressful job these stress triggers my abdominal cramps and also these conditionNJ NURSE JINCY 7:14 Oh, okay. Okay, I see, I understand that this condition may be because of job related stress, you know, such type of stress, everybody have it. But you can easily cope with the stressIJ INTERLOCUTOR JISHA RAJ 7:30 by doing the yoga, or take some medication or meditate on the things which is positive and pleasant for you. And I believe truly that it would be helpful, helpful for you for your condition, which I will surely I hope you can do that. When changesNJ NURSE JINCY 7:54 in your schedule, schedule, routine work, it will be beneficial for you.Yes. Definitely. Did I do that?Okay. Very nice. Very nice to listen IJ INTERLOCUTOR JISHA RAJ 8:08 about this. I hope I explained NJ NURSE JINCY 8:10 you everything.IJ INTERLOCUTOR JISHA RAJ 8:11 Do you have? Do you want to know any additional thing?NJ NURSE JINCY 8:16 No, I'm satisfied. We're pretty much satisfied with your advice. And I'm grateful for your kindness towards me.IJ INTERLOCUTOR JISHA RAJ 8:25 Okay, great. So I will give you one patient information leaflet which will help you about the date, which NJ NURSE JINCY 8:36 you can choose and about all the information about the IBM results. Great. There is also a phone number anytime you can call if you have any query and you want to know something.Yes, definitely do that.Okay, okay. Mr. Peter.IJ INTERLOCUTOR JISHA RAJ 8:59 Thank you. Thank you. Nice. Thank you.Okay, as you told me earlier to book an appointment, I'll do that one. And we'll let youso kind of Thank you very much.Thank you so much.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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