SPEAKERS NURSE (51%), INTERLOCUTOR (49%) NJ NURSE JINCY 0:03 Hello, good afternoon.Good afternoon.My name is Angela. I'm one of the registered nurses working in this gastroenterology clinic. Please take your seats.Thank you.Okay, could you tell me a name for my information?IJ INTERLOCUTOR JISHA RAJ 0:22 Yes, I'm Mr. Peter. I'm 24 years old.Okay.NJ NURSE JINCY 0:27 Okay, Mr. Peter, how can I help you?I'm IJ INTERLOCUTOR JISHA RAJ 0:31 nervous. I'm just diagnosed with irritable bowel syndrome. How recently underwent colonoscopy earlier this week, I'm always having symptoms such as abdominal cramps, flatlands, then frequent wind, then sometimes nausea and vomiting also accompany then sometimes the I will fear I will experience diarrhea, then other times I will experience constipation that fluctuates between and you know, now my stoma control rate with several food NJ NURSE JINCY 1:14 items such as milk and milk products, also fiber rich fruits, then some productive like roots and tubers. And also this surprising factor is that I can't even drink water and that even irritates IJ INTERLOCUTOR JISHA RAJ 1:29 my abdomen stomach right now.Okay, Mr. Peter, could you tell me regarding the type and duration of the PE that when it happened and how much duration you are experiencing in Spain? Regarding that, yeah, you know, I'm I'm a little bit exhausted with this condition. This frequently occurs when a when I take some food in my stomach, it occurs suddenly after the ingestion of food. And also now you know, I recently noticed that I have I'm doing a jobNJ NURSE JINCY 2:13 right now and it is pretty stressful. I recently noticed that the stress also caused me irritated my abdomen irritated and also it results in diarrhea also, then bloating and abdominal cramps occurring.IJ INTERLOCUTOR JISHA RAJ 2:33 Okay, don't worry, Mr. Peter, I can help you out for this. And stress is one of the triggering factors for this disease. And actually, it's not a no techie goes on. NJ NURSE JINCY 2:45 So it's actually do you know anything regarding this or should I explain that?Actually, I don't know regarding this condition doctor has just told me about the disease affecting your stomach in the same irritation will occur rather than that. No, no, I think could you please clarify? Okay, nobody, actually you told me that you have a stressful job. Can you tell me regarding that is stressful means what kind of job are you dealing with?IJ INTERLOCUTOR JISHA RAJ 3:22 Yeah, I'm a computer assistant software engineer right now and I'm having a long duration work that starts from the 9am to 7:30pm so I can't even take a meal correctly. time so I even skipped that all I went at late times.Okay, he told me that you have experiencing pain after taking that food items and can you tell me what kind of food are you taking daily? Yeah, morning, taking bread, some eggs and some stick NJ NURSE JINCY 4:03 with some peas and for lunch, I'm checking some rice, rice and other condiments. Then for night we'll be taking some non veg items with sausages and mashed potatoes Okay, okay, actually I'll explain your regarding the disease naturally there is no clear cause and the understand that your stomach ache get irritated during that time and that muscles inside your stomachs may overactive and it may pain it may get to your pain and either constipation or diarrhea may occur also as Botox explained these things. Am I right? Yes, yes, you're right. Actually and one more thing try to reduce your stress. If you can get the time, try, try to participate in some of the yoga or meditation that may help you to reduce your stress. Am I clear to you? Yes, yes, you're clear and I will definitely try to do that.Okay, one more thing I have to tell you that you told me that you are taking some food items, actually, some of the food items that may that may upset your stomach. SoIJ INTERLOCUTOR JISHA RAJ 5:29 our high fiber food sets our gas forming foods such as cabbage and likes, it's a gas forming food and trying to take means that carrot Tang if you take care long duration gap that may also lead to trigger your condition might lead youyes, you're clear. But problem is there, it seems a little bit difficult to abstain from specific food items, because I am a person who NJ NURSE JINCY 6:02 loves to eat food. And also I love these spicy foods in this porticoes IJ INTERLOCUTOR JISHA RAJ 6:08 and also fried items, so, it will be difficult for me to stop it suddenly.NJ NURSE JINCY 6:14 So, is it possible to stop it eventually, by reducing the consumption? Actually, I told you that during some extent, you have to stop these items. I already told you that these are the triggering factors. If you are taking continuously during this time, that may lead to further complications. So in order to reduce IJ INTERLOCUTOR JISHA RAJ 6:40 your current situation and overcome from current situation, youNJ NURSE JINCY 6:44 can reduce these food items from your diet until later if you're okay with that you can go with that and make DFGIJ INTERLOCUTOR JISHA RAJ 6:52 Yes, I'm clear.NJ NURSE JINCY 6:58 All these measures ifIJ INTERLOCUTOR JISHA RAJ 7:00 I'm having a query regarding the medication, the doctor have given me some some medication for diarrhea and constipation. He gave me laxing he gave me laxatives and also some anti diarrheal medications. So I have that doubt that do we have? Do we have to take it in a regular basis? Or do I have to take it in when the symptoms areNJ NURSE JINCY 7:28 is you have to take it a regular basis because your condition is triggered right now and you have to follow the strictly doctor's order. And if you have a if you have any other further complication, you can come and meet us. Don't worry, we are here to help you. Okay, make clearIJ INTERLOCUTOR JISHA RAJ 7:45 to you. Yes. Very much clear. And thank you for your Miss can. Can you do me a favor?NJ NURSE JINCY 7:56 I couldn't hear you.IJ INTERLOCUTOR JISHA RAJ 7:57 Can you do me a favor? Please? If you don't mind?NJ NURSE JINCY 8:00 Yeah. Yeah, telling me please.IJ INTERLOCUTOR JISHA RAJ 8:03 I want I want to talk with the doctor about this and discuss some matters regarding the treatment. Would you please help me would you please arrange me an appointment as soon as possible?NJ NURSE JINCY 8:16 Yes, I will do that. And I will call you accordingly. I'll do the necessary arrangements. Since that time you have to follow these orders, right. I changed your diet pattern and continue the medication and try to do yoga or meditation.IJ INTERLOCUTOR JISHA RAJ 8:32 Yeah. Yeah. I will do that. And I will follow your base. Thank you. Thank you.NJ NURSE JINCY 8:41 Thank you. Thank you.IJ INTERLOCUTOR JISHA RAJ 8:43 Thank you very much.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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