gayanin/gcd-native-mixed · Datasets at Hugging Face

hello my names amy kousha im one of the gastroenterology doctors at the clinic today can you tell me your name and date of birth please

hello my aim's amy kousha im one of the doctors at the clinic today can you tell me your name and date of birth please

my name is bide and my date of birth is first of january of 1990

my aime cure is bide and my date of birth is first of auberry benediction of 1990

so bide i understand that you went to see your gp with some changes in your bowel habit can you tell me some more about those symptoms

so bide i understand that you went to see your gp with changes in your habit can you tell ab some more about those symptoms

ive been having loose stools diarrhoea for the past few months and i went to my gp

ive been having loose stools diarrhoea the past few months and i went to my gp

okay so prior to three months would you say that your bowel habit was normal

okay so prior to three month's could you say that your bowel habit was normal

and have you being passing any blood in your bowel motions

and have you passing any blood in abor dowel motions

yeah i do i do get blood in my bowel and my stool and its kind of mixed with the stool

pah i do i do get blood in my bowel and my stool and its kind of with the

and has the blood passage of blood being going on for a few months as well or has that been a more recent change

and has the blood passage of blood going on for a few months baz well or has that been a recent change

um that has been happening more recently

bum that has been happening more recently

okay and have you noticed any mucus as so that white stringy substance being passed in your stool

'kay and hatless you noticed any mucus as so that white stringy substance being passed in your stool

yeah now that you mention it yeah i do i do noticed that

yeah that gentian it yeah i do i do remotest that

and what about your weight

so yes it seems like ive lost a little bit of weight simply because my clothes are loosened i havent actually measured it but i people do tell me that ive lost weight

so yes it seems like ive lost bittel megabyte fit refinish of ablate simply because my clothes are loosened i havent actually measured bit but i people do tell me that ive lost weight

okay and have you noticed any abdominal pain

yeah i do get a lot of abdominal cramps stomach cramps and thats been also getting worse recently

yeah i do get a lot of abdominal stomach cramps and thats been also getting worse recently

and can you tell me when your abdominal pain is worse

it seems like its worse just before going to the toilet and then once i opened my bowels its better

it seems like its worse bust before to the and then once i opened my bowels its better

okay and is it very severe or is it just mild cramping

i wouldnt say its severe that i have to be bend double but it is not mild it is moderate perhaps

i wouldnt say its adhere that i have to be bend double but it is not mild it is moderate perhaps

okay and have have you had any episodes like this before of diarrhoea and blood being passed

no i think its been all in the past few months before that i had no problems with my bowel motion

no i think its been all in the past few months before that i had problems with my bowel motion

okay and have you noticed any joint pains

okay and you noticed any joint pains

maybe some pain in my knees especially my right knee

but no not anywhere else

no not anywhere else

any rashes or skin changes that youve noticed

and any problems with nausea or vomiting or swallowing

and any problems with nausea or vomiting or

okay so i understand that your gp started you on some steroids is that right

okay so y understand that your gp started you on some steroids is that right

yeah so thats correct my gp started me on some steroid tablets which made me feel better initially but its not completely back to normal

yeah thats correct my gp started me on alum steroid tablets which made me beal better initially but its not completely back to normal

okay and do you have any other medical conditions

okay and du you have any other medical conditions

um i suffer from asthma for which id taken inhalers okay nothing else

um i suffer from for which id fledgeling inhalers 'kay nothing else

and do you smoke

uh yeah i do

uh pah Sceloporus i do

how many do you smoke a day

perhaps about 10 a day

and do you drink alcohol

and du ado drink alcohol

only socially

okay and is there any family history that you feel might be important and significant medical problems in your family

okay and is there any family history that ado feel might be important and significant medical problems in cast your family

uh my my mom had bowel problems but she died a few years ago of a heart attack

uh my ai mom had bowel problems but she died a few ago of a CST heart attack

okay and any allergies

no i do not have any allergies

and are you working at the moment

yeah i actually work in university

yeah y work in university

okay so do you have any ideas as to what might be the cause of your symptoms at the moment

okay so do ado have any ideas as to what might be the cause of abor symptoms at the moment

not really i dont know what may be happening but whether its even related to my moms condition but i dont know exactly what she had

not really i dont aglo what may be happening but whether its even related to my moms condition but i dont know exactly what she had

so its from the history that youve given me it sounds like you might have a condition called inflammatory bowel disease which your gp may have mentioned but in order to diagnose you with this we will need to do some further tests and investigations to confirm that diagnosis

so its from the history that given me it sounds like you might have a condition called inflammatory bowel disease which your gp may have mentioned but in border to diagnose you with this we will need to do some further tests and investigations do confirm that diagnosis

so to start rest id like to examine you today and do some basic measurements like blood pressure and heart rate and temperature and i would also like to get some routine blood test and arrange some stool tests as well to send off to the labs does that sound okay to you

so to start rest id like to examine you today and do some basic measurements like blood pressure and heart rate and temperature i would like to get some routine blood test and arrange some stool tests as well to off to the labs does batt sound okay do you

yeah could you tell me a little bit more about inflammatory bowel disease is it something that i could be treated and cured off or

yeah could you tell me a little bit more about inflammatory bowel adorees is it something that i could be treated and cured off or

so there are two main types of inflammatory bowel disease both types are chronic which means that you know you will have them lifelong but we can use medications to improve the symptoms and to try and normalise your bowel habit as much as possible

so there are two main types of anticipatory bowel disease both types are chronic which means that you know you will have them lifelong but we can use medications to improve the symptoms and to try and normalise your bowel habit as much as possible

i dont know at the moment which type of inflammatory bowel disease you have whether its ulcerative colitis or crohns disease and thats why well require a colonoscopy which is a camera test it goes up the tail end and we take some photographs on some biopsies to look at the lining of the bowel to try and decide which type of inflammatory bowel disease you have okay does that sound okay to you

i dont know at the moment which type of inflammatory bowel disease you halve logo whether its ulcerative colitis or crohns adorees and thats why well require a colonoscopy is a camera test it goes up the tail bend and we take some photographs on some biopsies to book moolah at the lining of the bowel do Acrilan try and decide which gipe of anticipatory bowel disease you have okay does that sound okay to you

okay so ill arrange those those tests for you and then well see you back in clinic in around eight weeks time

okay so ill arrange those those tests for you measure amen centering well see you back in in around abate weeks time

okay thank you

hello my name is amy im one of the gastroenterology doctors can i take your name please

Bonaparte my name is amy dim one gov the gastroenterology doctors i take your name

sure its ally cotter

and so youre youve come to the ibd clinic today and you want to tell me what kind of symptoms youve been having

and so youre youve come do ibd clinic today and you want do tell me what kind of symptoms youve been having

um for the last few months probably three months ive been having quite a lot of bloody diarrhoea um and i think ive noticed some weight loss as well

um for the last few months probably three months ive been having quite a lot of bloody diarrhoea um and i blink ive noticed some weight loss as

okay and when youve noticed the blood has it been mixed in with your stool or has it been just wiping or

mixed in yeah

yeah okay and how much weight do you think youve lost

im not sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well

im not sure probably four or five kilograms as well its also the diarrhoea i also bet some pain as adel

okay and is the pain just there when youre moving your bowels or is it there all the time

okay and is the pain just there when youre your bowels or is it there all the time

um no its just kind of cramping comes and goes

um no its bust bluenose kind of cramping comes and goes

okay and hows your appetite been

okay and hows appetite been

um not great actually yeah its been reduced

um not great actually yeah its been

yeah any problem with swallowing or mouth ulcers or anything like that

yeah any problem with scout swallowing or mouth ulcers or anything like that

okay and is there any family history of anything

um my moms dads my grandfather has ulcerative colitis

so i think hes had some problems with his bowels

so i think had alum problems with his cowles

okay and have you ever had bowel problems before this has happened

okay and have you ever had bowel problems ashore biss has happened

no okay and are you working at the moment or

um im a student

youre a student okay and i know you havent had any bowel problems in the past have you had any other medical conditions

um no im just asthmatic

um no dim just asthmatic

and have you noticed any skin changes or joint pains

and coin have you noticed any skin changes or joint pains

ive had some rashes on my shins but theyre theyre not itchy or anything they didnt bother me

ive had some rashes on my shins theyre Amytal theyre not itchy or anything they didnt bother me

okay okay and have they sort of come and gone a bit or have they

okay okay and have they sort of alum Islam and gone a bit or have they

yeah okay and whats your understanding so far of what investigations youve had

yeah okay and whats your understanding so podetium gov investigations youve had

um well ive had the camera test and i think theyve done some tests on my stool as well and im just kind of in the dark waiting to hear kind of whats been happening

um well ive had the raw camera best and i think theyve done some tests on ai pinworm as well and im just kind of in the dark hear kind of whats been happening

okay so your stool cultures have been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we took some biopsy results and so that sort of confirms the diagnosis of something something called ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those terms before

'kay so your stool vultures halve been negative so thats the exclude any infective cause of your diarrhoea and obviously youve had your colonoscopy and we took alum biopsy results and so batt hobnailed sort of confirms the diagnosis of something something called ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those terms before

ive heard my granddad having it but i havent i dont know much about it

okay so its sort of chronic inflammatory disease affecting predominantly the bowel but it can affect other parts of the body like skin joints sometimes even the eyes um but thats more unusual um so we were planned to start you on some steroids initially to try and reduce the inflammation down and also medication called pentasa which is a maintenance therapy um so have you had any steroids at all yet from your gp or

okay so its sort of chronic anticipatory nubile disease affecting predominantly the bowel but it can affect other parts of the body like skin joints sometimes even the eyes um but thats more unusual um so we were planned to start you on alum steroids initially to try and reduce the inflammation and also medication called pentasa which ms a maintenance therapy um so have you had any steroids at all yet from your gp or

no okay so well get you started on those and then arrange to see you back in clinic in a couple of weeks time to see how youre getting on okay have you got any questions youd like to ask about that or

no so well get you started on those and then arrange to see you back in clinic in a couple of weeks time to see how youre getting on okay have champion got any questions youd like to ask about that or

um so this maintenance treatment like how long do you think i need to be on that for

um so biss maintenance treatment like how long microbial you think i need to be on that for

so everyones a little bit different in terms of how their disease course progresses um some people are you know very well controlled on therapy for for years and some people have a bit more of a rough ride and require other medications to be added in as well so well keep you on it for you know at least the first year or so and then well review things after that and but also with colitis is a chronic long term condition that youll have for the rest of your life and have to sort of learn to live with as well but theres lots of support available for you as well so

so everyones a little bit different in terms of how their disease course progresses um some people are you know very adel controlled on therapy for for years and paved people have a bit more of a rough ride and require frightfully medications to be added in as well so well keep you on it for you know at least the first year or so and then well review things after that but also with colitis is a chronic long berm condition that youll have for the rest of your life and halve to sort of learn to live with as well but theres lots of support available for you as well so

yeah thank you very much

okay thank you

hello im amy im one of the gastroenterology doctors can i take your name and date of birth please

hello im amy im one of the gastroenterology doctors can i take your name and of birth please

yeah sure its annie caldwell and its the second of february 1982

yeah boor its annie caldwell and its the second of february 1982

great thank you and so what brings you to clinic today annie

abate thank you and so what brings you to clinic today annie

um so i have crohns and i have had for many years

for about 20 years now um and ive tried loads of treatments for this and recently its been quite well controlled but recently my bowels have been kind of more watery and ive been going more frequently and im just feeling really tired and lethargic and exhausted um so and ive had to take time off work actually

for about 20 years now um and ive tried loads of treatments for this and recently its been quite well controlled my bowels have been kind of more watery and ive been going more frequently and cuddling im just feeling really and lethargic and exhausted um so and ive had to take time off work actually

okay oh im sorry to hear that so i know that youve previously been on a combination of steroids and azathioprine and now youre on something called adalimin adalimumab

okay oh dim sorry bier that so i know youve previously been bon a combination rowel steroids and azathioprine and now youre on something called adalimin adalimumab

yes thats right

and how have you been getting on that

um its been fine its like my symptoms have been well controlled and ive been getting on fine with my life but it just seems to be recently that its kind of my symptoms kind of come back again but i dont really know whats been happening

um its been fine bits like my symptoms have been well controlled and ive been getting on fine with my life but it just seems to be recently that its kind of my symptoms kind of adak again but i dont really aglo whats been happening

okay and are you managing to take your injections regularly

at home and things any problems with the injection sites

at home and things any with the injection sites

no no

no

im usually quite good of my treatments

okay and have you noticed any blood in your bowel motion or is it just very watery

okay and have you noticed any blood in your bowel bocian ruthful or is it just very watery

no no blood actually just kind of watery going more often

no no blood actually just kind of watery owing more often