SPEAKERS nurse (59%), INTERLOCUTOR (41%) NP nurse punitha franklin 0:02 I am one of the registered nurses working in this gastroenterology clinicIJ INTERLOCUTOR JISHA RAJ 0:10 I'm not wellnessNP nurse punitha franklin 0:14 Okay, what's bothering you? And can you tell meIJ INTERLOCUTOR JISHA RAJ 0:18 more suffering abdominal cramps and diarrhea? It's really embracing Could you please tell me knows what to do about the symptomsNP nurse punitha franklin 0:28 know anything about your conditionIJ INTERLOCUTOR JISHA RAJ 0:30 actually, doctor told me like that IBS but I had about that but I don't know anything about that now so could you please explain meNP nurse punitha franklin 0:44 I will explain your that is IBS may irritable bowel syndrome. Okay, before proceeding further I would like to ask some more questions regarding your symptoms. Yeah, what do you please tell me about your bowel habits?IJ INTERLOCUTOR JISHA RAJ 0:59 Sure, no, so actually most of them I prefer to eat the non vegetarian items and also mostly I take my foot outside noseNP nurse punitha franklin 1:21 and you have some problems you are experiencing Can you tell me how often it's getting this simpleIJ INTERLOCUTOR JISHA RAJ 1:28 actually just started about three months ago now sometimes like diarrhea and constipation. It has happened a few times I gave up food that I feel like bloated and uncomfortable it's very painful sometimes the pain is very low now it's manageable but sometimes it's very severeNP nurse punitha franklin 1:51 feeling any painIJ INTERLOCUTOR JISHA RAJ 1:53 yeah now also i little pain in that area and also abdominal partNP nurse punitha franklin 1:58 Can you describe your pain that is in the serum is not a mild to moderate to severeIJ INTERLOCUTOR JISHA RAJ 2:11 pain yeah sure no so I think my pain score ysabel six knowsNP nurse punitha franklin 2:19 I can understand your feelings. Yeah. I want to ask you notice anything about the conditionIJ INTERLOCUTOR JISHA RAJ 2:30 first yeah yes No, I have noticed that it was a worse a few months ago after starting the new job which is highly paid but very stressful nowNP nurse punitha franklin 2:43 reason Can you realize that symptoms after they immediately after the work startedIJ INTERLOCUTOR JISHA RAJ 2:55 Yeah, it's no so that's right after my work started is the symptoms is a severe noseNP nurse punitha franklin 3:04 Okay, okay. I will explain your about your idea system is a no brainer bigger highly sensitive all over and maybe it's due to barrier and concentration or sometimes both. Upon this following meIJ INTERLOCUTOR JISHA RAJ 3:36 yes nurse Could you please tell me about the dietary patterns and how to reduce my stress knowsNP nurse punitha franklin 3:45 that you should meet at the correct time you should make sure you have to take a break for lunch and dinner skip your mealIJ INTERLOCUTOR JISHA RAJ 3:59 Okay,NP nurse punitha franklin 4:00 it's a that's that will aggravate my pointIJ INTERLOCUTOR JISHA RAJ 4:05 yes no so I can understand that now.NP nurse punitha franklin 4:13 dyani yoga or anythingIJ INTERLOCUTOR JISHA RAJ 4:16 no no I don't know anything about that now Could you please explain me knowsNP nurse punitha franklin 4:22 I would like to suggest that you you can try yoga meditation and mild exercise also it will help to release your symptomsIJ INTERLOCUTOR JISHA RAJ 4:32 it's nice to hear knowsNP nurse punitha franklin 4:37 the conceptIJ INTERLOCUTOR JISHA RAJ 4:38 actually know knows it lady found my doubts and worries I'm really happy now knows for my better recovery. I will follow all yours. Suggestions now.NP nurse punitha franklin 4:51 Putting your dietary changes and lifestyle lifestyle modification valuable. Okay, okay. You will be Please look at me. I am here to help you. Thank you very much.IJ INTERLOCUTOR JISHA RAJ 5:09 Thank you.
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ENGLISH LANGUAGE PROFICIENCY TRAINING PROGRAMME
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