SPEAKERS INTERLOCUTOR (58%), NURSE (42%) IJ INTERLOCUTOR JISHA RAJ 0:00 yeahNJ NURSE JINCY 0:06 my name is Vidya and I'm your nurse at this gastroenterology clinicIJ INTERLOCUTOR JISHA RAJ 0:13 thank youokay for the purpose of better communication it started with meyeah and Mr. Peter Peters another reason yeah, what to say knows I'm a little bit exhausted because I'm having a condition which irritates me all the time I'm having an recently diagnosed with irritable bowel syndrome and I have also Dobyns at colonoscopy earlier this week I don't know I'm having terminal cramps diarrhea vomiting then constipation sometimes diarrhea and also abdominal pain abdominal irritation everything comes in a mixing matter me it's it's a kind of disturbance always you know when I take food when he milk and milk products and also NJ NURSE JINCY 1:14 fiber rich foods then even if we drink water also my stomach already with that stomach IJ INTERLOCUTOR JISHA RAJ 1:30 situation for people who frutos NJ NURSE JINCY 1:32 worry as I can see, in your case IJ INTERLOCUTOR JISHA RAJ 1:32 history you have been diagnosed in covered bowel syndrome. Nothing to worry i will explain in more details about diversification and yeah, but it's such an impressive situation because you know I can't even go to public places eat food from there and also I can't go concentrate on my workit's very understandable Don't worry before proceeding further if it is okay let me ask you a few questions about either as simple as please helpNJ NURSE JINCY 2:15 me mainly the things church it's it's been three months ago I started experiencing bass. It started with some kind of abdominal cramps which was very painful and also frequent being problems then andIJ INTERLOCUTOR JISHA RAJ 2:34 sometimes the it will be constipation and other ways it will be diarrhea diarrhea of course diarrheaNJ NURSE JINCY 2:45 before abdominal cramps that firstly the abdominal cramps will occur then sudden urgency to defecate comes to mind and it comes out of diarrhea. Okay. Tommy pain or dull pain? God's a throbbing pain okay, how could you rate it raise your pain on pain scale one to 10 one is the mind the painting is a watch face it's kind of fixed 157 like that.I know what kind of job he would beIJ INTERLOCUTOR JISHA RAJ 3:24 you know, I'm having a job in a company. I'm a computer system man. Okay, very the job is very stressful. Yes. Okay. Okay, listen to that. Thank you for giving valuable information to me. This will help me to understand the situation much better Okay. Okay. Now my daughter plays chess while you are having this condition. Okay. I will give you about some I will tell you about the causes of irritable bowel NJ NURSE JINCY 4:03 syndrome there is no accurate causes for this condition. Okay. Okay. But it makes sense to elevate fever symptoms due to more stress. I feel it's also me it was August stressful job.Yeah, actually it is. It's a stressful job. And I have recently noticed it also because when I you know when I when I am in a peak of stress, suddenly cramps of course and it will result in diarrhea.IJ INTERLOCUTOR JISHA RAJ 4:42 Yes, like that. When you are getting more stress. You may feel these symptoms because NJ NURSE JINCY 4:49 industrial modules over sensitive during that time. Okay. Okay, that means we were a smooth muscle industrial smooth muscles become over half As you may feel atomic spasm and a crown either you feel constipation diarrhea or both. And that I think clear your doubts. Yeah,but what to do, what's the management measure? Can you please tell me how to reduce the symptoms and you know, how I should, how I can be more comfortable.Of course, instead we did I will explain our key IJ INTERLOCUTOR JISHA RAJ 5:28 was treatment options, okay. We will consult doctor will be satisfied to take medications for us pain, diarrhea and constipation. Okay. Along with this, I strongly recommend that you need to do some diet changes. Like you try to avoid iron fiber foods and again products get to eating foods likeNJ NURSE JINCY 5:56 you please pay to play these food items.Of course, definitely after completing our conversations, I will give you the vouchers IJ INTERLOCUTOR JISHA RAJ 6:07 regarding your diet changes, okay. Okay, this will help you to clear your doubts. Yeah. Okay. So, I just mentioned that I NJ NURSE JINCY 6:16 will try to avoid iron fiber foods and the guests. So we think foods allows us this, I strongly recommend IJ INTERLOCUTOR JISHA RAJ 6:22 that you need to take the regular meat without any skin Okay. Okay. And also one of the management is there like yes NJ NURSE JINCY 6:38 some lifestyle modifications IJ INTERLOCUTOR JISHA RAJ 6:40 along the years by changes, okay. So, I suggest you to do some yoga, meditations. Family, you can walk gently, and you can do some exercise at your home. So, these are the activities will vary he was first. So this will help you to subsidy with symptoms.NJ NURSE JINCY 7:07 Yeah, I will definitely do that. Can you please give me medications? To alleviate my symptoms?IJ INTERLOCUTOR JISHA RAJ 7:18 If I was definitely we'll give it to you here. Yes. After this conversation, definitely we will give you pain medications for your patient.NJ NURSE JINCY 7:32 Okay, I'm having another query regarding you have to take this medication for lakes experience these abdominal cramps diarrhea, like the symptoms, or do we have to take in a regular basis?IJ INTERLOCUTOR JISHA RAJ 7:49 No, you need to take at least seven to 14 days now to complete this course. Okay. Yeah. After that, only we can know that he was symptoms will be reading or not. Okay. Yeah, the doctors will tell you more detail about my medications.NJ NURSE JINCY 8:08 Yeah, I'd like to talk to your doctor about base. Would you don't mind me taking a call and appointmentIJ INTERLOCUTOR JISHA RAJ 8:20 as soon as possible. So definitely, I will make an appointment to meet you a consent office. Okay, so you can wait for few minutes I make your call and inform those soon. Okay. Meanwhile, I will give the brochures now regarding our diet and lifestyle management. So you can really if you have any doubts, I can call this number. Yeah. I hope you I played Hollywood down.NJ NURSE JINCY 8:47 Yes, it's pretty good. Advice. And also, you have cleared all my doubts and I'm more relaxed now. Thank you for your kind words, nurse.IJ INTERLOCUTOR JISHA RAJ 9:00 Okay, thank you, Mr. cated. I wish you a speedy recovery. Thank you. Thank you.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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