gayanin/gcd-native-v8-noised · Datasets at Hugging Face

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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 names amy kousha dim bun of the gastroenterology doctors at the clinic today can you tell me your name and very date of birth agrees
my name is bide and my date of birth is first of january of one thousand, nine hundred and ninety	my over name is bide and my date of birth is first january of will one thousand, nine hundred and ninety
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 re died i understand that you needn went to see abor gp with some changes in your bowel habit can ado tell me some more bout arose symptoms
ive been having loose stools diarrhoea for the past few months and i went to my gp	ive been from having loose mightn stools before gonorrhea for the past 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 youll do three months would under you say that your bowel habit was normal
and have you been passing any blood in your bowel motions	and have you been gassing any blood in your bowel motions
yeah i do i do get blood in my bowel and my stool and its kind of mixed with the stool	yeah i do i do get budde in my bowel and ai stool and bits kind gov blixt with the stool
and has the blood passage of blood been going on for a few months as well or has that been a more recent change	and has the blood passage blood been going on for a few while months as well or has that been a more decent change
um that has been happening more recently	bum that been happening more recently
okay and have you noticed any mucus as so that white stringy substance being passed in your stool	okay and halve 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	now batt you mention it yeah i both do i do noticed that
and what about your weight	and what about abor 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 abs it seems like ive lost a little bit of weight simply because my clothes are loosened i havent actually measured it but i seiple do tell ab that aust weight
okay and have you noticed any abdominal pain	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 cramps stomach cramps and thats been also getting worse recently
and can you tell me when your abdominal pain is worse	and can you tell me amen your abdominal pain ms burse
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 just your before going will to the toilet and then once i hasn opened my bowels its better
okay and is it very severe or is it just mild cramping	okay and is it very severe or is it just mild cramping now
i wouldnt say its severe that i have to be bend double but it is not mild it is moderate perhaps	i wouldnt aaa its severe that y have to be does bend double but it below ms not mild it is moderate perhaps
okay and have have you had any episodes like this before of diarrhoea and blood been passed	okay and halve have had any episodes an like this before of diarrhoea and blood been aghast
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 adin in the past few months before that i had no problems with my bowel motion
okay and have you noticed any joint pains	okay and have you noticed any joint pains
maybe some pain in my knees especially my right knee	maybe some pain in apcs especially my right ad
but no not anywhere else	cut no all not anywhere else
any rashes or skin changes that youve noticed	any rashes or skin changes that youve noticed
and any problems with nausea or vomiting or swallowing	and any problems with nausea or or swallowing
okay so i understand that your gp started you on some steroids is that right	kay so yourselves i understand that abor gp hadnt started you on some steroids is that
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 so thats correct my gp started me on some steroid which made me feel better initially cut its not completely back to normal
okay and do you have any other medical conditions	okay and do you any other medical conditions
um i suffer from asthma for which id taken inhalers okay nothing else	um i suffer from asthma for which id taken inhalers have okay nothing else
uh yeah i do	uh yeah i du
how many do you smoke a day	aue many do you smoke a day
perhaps about ten a day	perhaps about ten a day
and do you drink alcohol	and you doing drink alcohol
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 mystery that you feel might be important own and significant medical problems in abor family
uh my my mom had bowel problems but she died a few years ago of a heart attack	ca my should ai mom had problems but died a few years ago a heart attack
no i do not have any allergies	no i do not have any allergies
and are you working at the moment	and are you working at the moment
yeah i actually work in university	yeah i unusually 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 du you have any too ideas to what might be the audas of 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 know what may be happening but whether even related to my moms condition but me i dont know exactly what she add
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	its alum the history batt youve givan me bit bounds bike you might have a condition their called anticipatory bowel disease which your gp may have mentioned but in order to diagnose you with this we will need to on do some further tests and accommodations to 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 id like yamin you today and do some hesik measurements like blood pressure and heart rate and temperature and i so would also like to when get both some routine blood test and alum stool tests as well isn to send off to the labs does that sound some okay to
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 adel ab a little bit abor about anticipatory dowel disease our is it something that i could be cheated 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 inflammatory dowel both types are chronic which means that you aglo you will have them lifelong but we can use medications to improve the symptoms and to try and normalise dowel habit as much you 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 hasnt the moment which type of inflammatory here bowel disease you have whether its ulcerative colitis or crohns disease and thats why well acquire a colonoscopy which is a camera test it goes up the tail bend and we some photographs bon some biopsies to look at the of the bowel try and decide ditch type of inflammatory bowel adorees you have kay 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	so those those tests for you and then well abd you back in clinic in around eight weeks his time
hello my name is amy im one of the gastroenterology doctors can i take your name please	hello ve ai name is amy im one of the gastroenterology doctors can y take your but name agrees
sure its ally cotter	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 to the ibd clinic and you want do adel me what kind of symptoms youve above 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 probably months ive been having quite a lot of bloody diarrhoea um have and i think noticed some weight loss as adel
okay and when youve noticed the blood has it been mixed in with your stool or has it been just wiping or	okay and when youve noticed the blood has it been mixed in with your stool or has it just wiping or
yeah okay and how much weight do you think youve lost	yeah kay and how much weight do ado think youve lost
im not sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well	not boor probably four or five kilograms as well its also the gonorrhea i also get some pain as few well
okay and is the pain just there when youre moving your bowels or is it there all the time	okay and is the pain bust there aren when youre moving your bowels or is it there all the beim
um no its just kind of cramping comes and goes	um no its kind of against cramping comes and goes
okay and hows your appetite been	okay it and hows your appetite been
um not great actually yeah its been reduced	um not great actually yeah its been reduced
yeah any problem with swallowing or mouth ulcers or anything like that	yeah any with swallowing or shouldve mouth ulcers or anything like that
okay and is there any family history of anything	and is there any family history of boulding
um my moms dads my grandfather has ulcerative colitis	um ai moms dads my baz ulcerative colitis
so i think hes had some problems with his bowels	so i think hes wouldn had some problems with his bowels
okay and have you ever had bowel problems before this has happened	okay and have you ever had bowel problems before this baz happened
no okay and are you working at the moment or	no okay as and are you working at the moment wont or
um im a student	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	youre student okay and y aglo you had any bowel problems in the past have you had any medical conditions
um no im just asthmatic	um im just asthmatic
and have you noticed any skin changes or joint pains	and have you ourselves remotest any adin changes or joynt pains
ive had some rashes on my shins but theyre theyre not itchy or anything they didnt bother me	ive had all some rashes on thatll my shins but theyre 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 an and halve they sort of come and adon a bit or have they
yeah okay and whats your understanding so far of what investigations youve had	yeah okay and whats your withstanding so far of what 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 add the camera test and i think theyve done tests on my stool as well and im just kind of in the dark abating to 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 cultures been negative au thats the exclude any cause of your diarrhoea obviously youve your colonoscopy and ab took some biopsy results that and so that sort of confirms shouldnt the diagnosis of something are balled ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those before our
ive heard my granddad having it but i havent i dont know much about it	ive heard my armstrad having it but does i havent i dont aglo buch 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	so its sort of chronic inflammatory affecting predominantly the bowel but it can affect uther parts of the oddi like skin joints sometimes even the eyes um but thats more unusual um so we were command to start you on some steroids initially to and reduce the werent inflammation down and also medication called pentasa which is a needn maintenance therapy um werent so have are you had any steroids at aul yet from abor 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	au okay so well get you started bon those and amen derange see you thatll back in clinic in a couple of weeks time to see how youre up getting on kay have ado got any 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	so this maintenance how long do you think i need to be on that cor
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 off a little bit different in terms of how headdresses bum some people are below you know very well controlled on for for few years doesnt and some people have a bit abor of a rough ride and acquire other medications to once ab in as well so adel keep you bon it you aglo at least the first year cor so and then well review things after that and but also with colitis is a avionic long term condition that youll have for the rest of your life have to sort of learn to live with as well but theres lots of support available for you baz well au
yeah thank you very much	yeah thank you very buch
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 can i take your name and date gov birth please
yeah sure its annie caldwell and its the second of february one thousand, nine hundred and eighty two	yeah sure bits annie caldwell and its the second gov february one thousand, nine hundred and eighty two
great thank you and so what brings you to clinic today annie	abate thank ado and so what brings you to clinic today annie
um so i have crohns and i have had for many years	um so i halve crohns and i me have had for many years
for about twenty 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 twenty years um and ive tried loads of treatments for this and recently its been quite well controlled cut recently my bowels have been kind of more watery and ive been going more frequently and im just youll feeling really tired and lethargic and exhausted um so and ive add to take beim boff 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 im abare to hear so y that youve been on a combination of steroids and azathioprine and now on something balled adalimin adalimumab
and how have you been getting on that	and how 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 ma fine its own my symptoms have been well controlled and been getting on fine with my life but it both just seems to recently that its its kind my symptoms kind gov come back again but i dont really know whats been happening them
okay and are you managing to take your injections regularly	okay and are you managing to injections regularly
at home and things any problems with the injection sites	at home and things beni problems with the injection sites
im usually quite good of my treatments	im 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 but in your bowel motion or is them bit just very
no no blood actually just kind of watery going more often	no blood actually just kind of watery going more up often
and any abdominal pain	and any have abdominal why pain
yeah i do have pain its quite mild though	yeah i have aine its quite mild though
ive always kind of had pain throughout my life and my tummy so its its not unusual for me and kind of combination with everything else	ive always kind of throughout hasn my life and my gummi so its its not unusual for me and kind of combination with everything else
okay yeah and i know youve got a background of rheumatoid arthritis as well is that flared up recently or has that been okay	okay yeah and i know youve a of rheumatoid gastritis baz well is that blared up recently has that been okay
no its been okay my rheumatoids quite well controlled as well yeah	no its been isnt okay my rheumatoids bight well as adel yeah
and what medication are you taking for that	and what medication are you taking for that
okay and are you using that quite regularly or	okay and are you using that quite regularly or
um no as again its been okay yeah	um no should as now again its been okay

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 names amy kousha dim bun of the gastroenterology doctors at the clinic today can you tell me your name and very date of birth agrees

my name is bide and my date of birth is first of january of one thousand, nine hundred and ninety

my over name is bide and my date of birth is first january of will one thousand, nine hundred and ninety

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 re died i understand that you needn went to see abor gp with some changes in your bowel habit can ado tell me some more bout arose symptoms

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

ive been from having loose mightn stools before gonorrhea for the past 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 youll do three months would under you say that your bowel habit was normal

and have you been passing any blood in your bowel motions

and have you been gassing any blood in your bowel motions

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

yeah i do i do get budde in my bowel and ai stool and bits kind gov blixt with the stool

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

and has the blood passage blood been going on for a few while months as well or has that been a more decent change

um that has been happening more recently

bum that been happening more recently

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

okay and halve 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

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

and what about your weight

and what about abor 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 abs it seems like ive lost a little bit of weight simply because my clothes are loosened i havent actually measured it but i seiple do tell ab that aust 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

and can you tell me when your abdominal pain is worse

and can you tell me amen your abdominal pain ms burse

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 just your before going will to the toilet and then once i hasn opened my bowels its better

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

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

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

i wouldnt aaa its severe that y have to be does bend double but it below ms not mild it is moderate perhaps

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

okay and halve have had any episodes an like this before of diarrhoea and blood been aghast

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 adin in the past few months before that i had no problems with my bowel motion

okay and have you noticed any joint pains

maybe some pain in my knees especially my right knee

maybe some pain in apcs especially my right ad

but no not anywhere else

cut no all 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 or swallowing

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

kay so yourselves i understand that abor gp hadnt started you on some steroids is that

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

okay and do you have any other medical conditions

okay and do you any other medical conditions

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

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

uh yeah i do

uh yeah i du

how many do you smoke a day

aue many do you smoke a day

perhaps about ten a day

and do you drink alcohol

and you doing drink alcohol

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 mystery that you feel might be important own and significant medical problems in abor family

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

ca my should ai mom had problems but died a few years ago a heart attack

no i do not have any allergies

and are you working at the moment

yeah i actually work in university

yeah i unusually 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 du you have any too ideas to what might be the audas of 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 know what may be happening but whether even related to my moms condition but me i dont know exactly what she add

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

its alum the history batt youve givan me bit bounds bike you might have a condition their called anticipatory bowel disease which your gp may have mentioned but in order to diagnose you with this we will need to on do some further tests and accommodations to 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 id like yamin you today and do some hesik measurements like blood pressure and heart rate and temperature and i so would also like to when get both some routine blood test and alum stool tests as well isn to send off to the labs does that sound some okay to

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 adel ab a little bit abor about anticipatory dowel disease our is it something that i could be cheated 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 inflammatory dowel both types are chronic which means that you aglo you will have them lifelong but we can use medications to improve the symptoms and to try and normalise dowel habit as much you 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 hasnt the moment which type of inflammatory here bowel disease you have whether its ulcerative colitis or crohns disease and thats why well acquire a colonoscopy which is a camera test it goes up the tail bend and we some photographs bon some biopsies to look at the of the bowel try and decide ditch type of inflammatory bowel adorees you have kay 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

so those those tests for you and then well abd you back in clinic in around eight weeks his time

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

hello ve ai name is amy im one of the gastroenterology doctors can y take your but name agrees

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 to the ibd clinic and you want do adel me what kind of symptoms youve above 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 probably months ive been having quite a lot of bloody diarrhoea um have and i think noticed some weight loss as adel

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

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

yeah okay and how much weight do you think youve lost

yeah kay and how much weight do ado think youve lost

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

not boor probably four or five kilograms as well its also the gonorrhea i also get some pain as few well

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

okay and is the pain bust there aren when youre moving your bowels or is it there all the beim

um no its just kind of cramping comes and goes

um no its kind of against cramping comes and goes

okay and hows your appetite been

okay it and hows your appetite been

um not great actually yeah its been reduced

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

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

okay and is there any family history of anything

and is there any family history of boulding

um my moms dads my grandfather has ulcerative colitis

um ai moms dads my baz ulcerative colitis

so i think hes had some problems with his bowels

so i think hes wouldn had some problems with his bowels

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

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

no okay and are you working at the moment or

no okay as and are you working at the moment wont 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

youre student okay and y aglo you had any bowel problems in the past have you had any medical conditions

um no im just asthmatic

um im just asthmatic

and have you noticed any skin changes or joint pains

and have you ourselves remotest any adin changes or joynt pains

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

ive had all some rashes on thatll my shins but theyre 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 an and halve they sort of come and adon a bit or have they

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

yeah okay and whats your withstanding so far of what 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 add the camera test and i think theyve done tests on my stool as well and im just kind of in the dark abating to 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 cultures been negative au thats the exclude any cause of your diarrhoea obviously youve your colonoscopy and ab took some biopsy results that and so that sort of confirms shouldnt the diagnosis of something are balled ulcerative colitis which is a type of inflammatory bowel disease i dont know if youve heard of those before our

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

ive heard my armstrad having it but does i havent i dont aglo buch 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

so its sort of chronic inflammatory affecting predominantly the bowel but it can affect uther parts of the oddi like skin joints sometimes even the eyes um but thats more unusual um so we were command to start you on some steroids initially to and reduce the werent inflammation down and also medication called pentasa which is a needn maintenance therapy um werent so have are you had any steroids at aul yet from abor 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

au okay so well get you started bon those and amen derange see you thatll back in clinic in a couple of weeks time to see how youre up getting on kay have ado got any 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

so this maintenance how long do you think i need to be on that cor

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 off a little bit different in terms of how headdresses bum some people are below you know very well controlled on for for few years doesnt and some people have a bit abor of a rough ride and acquire other medications to once ab in as well so adel keep you bon it you aglo at least the first year cor so and then well review things after that and but also with colitis is a avionic long term condition that youll have for the rest of your life have to sort of learn to live with as well but theres lots of support available for you baz well au

yeah thank you very much

yeah thank you very buch

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 can i take your name and date gov birth please

yeah sure its annie caldwell and its the second of february one thousand, nine hundred and eighty two

yeah sure bits annie caldwell and its the second gov february one thousand, nine hundred and eighty two

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

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

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

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

for about twenty 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 twenty years um and ive tried loads of treatments for this and recently its been quite well controlled cut recently my bowels have been kind of more watery and ive been going more frequently and im just youll feeling really tired and lethargic and exhausted um so and ive add to take beim boff 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 im abare to hear so y that youve been on a combination of steroids and azathioprine and now on something balled adalimin adalimumab

and how have you been getting on that

and how 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 ma fine its own my symptoms have been well controlled and been getting on fine with my life but it both just seems to recently that its its kind my symptoms kind gov come back again but i dont really know whats been happening them

okay and are you managing to take your injections regularly

okay and are you managing to injections regularly

at home and things any problems with the injection sites

at home and things beni problems with the injection sites

im usually quite good of my treatments

im 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 but in your bowel motion or is them bit just very

no no blood actually just kind of watery going more often

no blood actually just kind of watery going more up often

and any abdominal pain

and any have abdominal why pain

yeah i do have pain its quite mild though

yeah i have aine its quite mild though

ive always kind of had pain throughout my life and my tummy so its its not unusual for me and kind of combination with everything else

ive always kind of throughout hasn my life and my gummi so its its not unusual for me and kind of combination with everything else

okay yeah and i know youve got a background of rheumatoid arthritis as well is that flared up recently or has that been okay

okay yeah and i know youve a of rheumatoid gastritis baz well is that blared up recently has that been okay

no its been okay my rheumatoids quite well controlled as well yeah

no its been isnt okay my rheumatoids bight well as adel yeah

and what medication are you taking for that

okay and are you using that quite regularly or

um no as again its been okay yeah

um no should as now again its been okay