SPEAKERS NURSE (59%), INTERLOCUTOR (41%) IJ INTERLOCUTOR JISHA RAJ 0:00 Okay, thank you that you missed out. No.NJ NURSE JINCY 0:03 Okay. Hi. Good morning, please come in.IJ INTERLOCUTOR JISHA RAJ 0:07 Thank you. Good morning.NJ NURSE JINCY 0:12 Hi. My name is Sangeeta. I am one of the registered nurses working in this gastroenterology clinic. I believe you have come here see me?IJ INTERLOCUTOR JISHA RAJ 0:26 Yes, I'm having a trouble, good knee a little trouble. So I'm visiting you.NJ NURSE JINCY 0:36 Yeah. missiny. So I know you're here for the you know, management of your, you need some information regarding your condition called IBS. But before I start, I would like to know how the symptoms and how do you experience? Please tell me something aboutIJ INTERLOCUTOR JISHA RAJ 0:58 Yes, yes. I have recently diagnosed with this disease that is the irritable bowel syndrome. Also, I have undergone a colonoscopy early this week. The symptoms I have started noticing these symptoms three months ago. It started with abdominal cramps, flatulence, and frequent wins that is very much disturbing for me. And also the bubble my stomach was irritating. Sometimes I will experience constipation or sometimes I will experience diarrhea, this fluctuates in between occurrence and also, I can't even take certain several types of food now. Even the water itself get get my stomach irritated. And I can't eat two roots and tubers. The example for potato then spicy foods and also milk and milk products also is intolerable for my stomach right now.NJ NURSE JINCY 2:08 I am insane. He really you know, I can understand how difficulty to cope with this condition for you. But don't worry, don't worry. It just let me explain your word for this this is what is irritable bowel syndrome, it is actually is a digestive condition. Okay, this causes the uncomfortable bowel syndrome. You may be you know, as what you said that you may be experiencing with sometimes constipation, sometimes lose motion or maybe you will be feeling sometimes blocking. Right. Exactly. Yeah, and what I understand from your symptoms that you also are having the letter lands with the colic pain, right?IJ INTERLOCUTOR JISHA RAJ 2:54 Yes, yes.NJ NURSE JINCY 2:57 Yeah, so this is actually command for the irritable bowel syndrome. So don't worry miss any for that.IJ INTERLOCUTOR JISHA RAJ 3:07 But I can't take any food. And also, suddenly after taking this food, this emergence of these symptoms, you know, recently I have I have got hired for a job with a reasonable salary. But it's a bit stressful job because it's a long duration job from 9am to 7:30pm. And also I'm working as a computer engineer there, but you know, what do you say I have started noticing that even the stress also triggers my you know, this irritation of my stomach Yes,NJ NURSE JINCY 3:49 exactly. That is what I was about to Axio about this because the tension and the stress also trigger your problem okay. So, now I know I understood that you have started a new job therefore you have also got a lot of stress that this is one of the you know cause to have also irritable bowel syndrome. So please do not be so stressed it is very important to relax okay in order to you know, solve your problem and also by the way as you said also regarding your tired but I understand from you is that you love to eat food with this type of so to make your problem settled down it is very important for you to have a little bit of fiber dye regularly. Okay, but not to have the fiber die usually it's very important for you to avoid the high fiber diet do you miss any?IJ INTERLOCUTOR JISHA RAJ 4:53 Yes, yes, it's very much clear for me, but you know, I'm I'm loving towards And I love the spicy foods milk product and also product just very much. So, it will be difficult for me to stop this suddenly, you know, is it possible for me to you know, eventually slow it down and then avoid these food itemsNJ NURSE JINCY 5:22 Yes, sure, I really understand your concern is a niche, yes, we have to gradually slow down because I understand that it is not possible for you to comprehend the ones right. So, what we will do is that we will plan to you know, slow down racewear Lee and I understand that you will have the direct products and on to key to have but because your direct products and try to have lot of water. Okay, so it is also really going to help in irritable bowel syndrome. Also, I would like to suggest that gas producing food like you know, the cafe's and all is better to avoid slowly. Yeah, in addition to that misogyny. As you know, you have this a lot of stress, it is very important. Mendes, your stress, like by doing, you know, yoga, and sometimes some of them, have people do the meditation, and you also can do the image afterwards. So it is really going to be benefit in your condition.IJ INTERLOCUTOR JISHA RAJ 6:31 Yeah, that's literally yoga teen.NJ NURSE JINCY 6:38 18 you can follow that.IJ INTERLOCUTOR JISHA RAJ 6:40 Yes, yes. Definitely follow that.NJ NURSE JINCY 6:45 Oh, yeah. missiny. And I'm going to give you also you know what, leaflet but it contains all you know, how to manage your IBS problem. And then there is also phone number in that live lead the group of IBS support so you can also contact them it is going to be greatly helpful to you missing.IJ INTERLOCUTOR JISHA RAJ 7:07 Yes, yes. To you. Yeah. Yeah, sure. Sure. Yes, nurse, so no. Would you don't mind if I asked you for an appointment to arrange an appointment for me to meet with the doctor?NJ NURSE JINCY 7:30 All right, no worry. I will definitely make an appointment for you with that. Okay.IJ INTERLOCUTOR JISHA RAJ 7:35 Okay. Okay. That's okay.NJ NURSE JINCY 7:41 Okay, missy. I hope I have clear all your doubts. Is there anything else I can help you?IJ INTERLOCUTOR JISHA RAJ 7:47 No, no, no, I'm pretty much satisfied with your assays. And thank you very much notNJ NURSE JINCY 7:56 optimising any IVs for your speedy recovery. And if you need any assistance, please call me I'll be happy to assist.IJ INTERLOCUTOR JISHA RAJ 8:05 Sure I surely calling.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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