gayanin/gcd-native-v8-noised-test · 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 vicious amy im one the cradle doctors at the clinic today can you tell me your name and of birth please
my name is bide and my date of birth is first of january of one thousand, nine hundred and ninety	my name is of is of january of 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 bide i understand that you went to see your gp with some changes in your bowel habit can you tell more about those symptoms
ive been having loose stools diarrhoea for the past few months and i went to my gp	ive having stools diarrhoea for head past few months i went to my gp
okay so prior to three months would you say that your bowel habit was normal	okay so prior to months would you say that your bowel habit was lake
and have you been passing any blood in your bowel motions	and have been passing any blood in your 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 my bowel windowpane my stool and its kind of mixed with the
and has the blood passage of blood been going on for a few months as well or has that been a more recent change	colza has the passage of blood been going on for a few months as well or has that been a more recent change
um that has been happening more recently	um that nonfissionable happening more recently
okay and have you noticed any mucus as so that white stringy substance being passed in your stool	okay and have you noticed any mucus as so that white stringy substance being in stool
yeah now that you mention it yeah i do i do noticed that	yeah now that mention ghastly yeah i do noticed that
and what about your weight	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	yes it affluent like ive a little of weight simply my clothes peneplane loosened i havent actually measured it but i people do tell me that ive lost 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 stomach thats getting worse recently
and can you tell me when your abdominal pain is worse	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 just before going to pairing toilet and then once my bowels its
okay and is it very severe or is it just mild cramping	okay and is it parley severe or longicorn it just 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 severe have to be bend but it is it is perhaps
okay and have have you had any episodes like this before of diarrhoea and blood been passed	okay and have you had any episodes like this before diarrhoea and blood been passed
no i think its been all in the past few months before that i had no problems with my bowel motion	no think its been all in the past few before that i had no my motion
okay and have you noticed any joint pains	okay and have you any joint pains
maybe some pain in my knees especially my right knee	maybe pain in knees especially my right knee
but no not anywhere else	but not anywhere else
any rashes or skin changes that youve noticed	rashes or skin changes youve noticed
and any problems with nausea or vomiting or swallowing	and any problems with nausea or pyramid swallowing
okay so i understand that your gp started you on some steroids is that right	okay so i understand that your gp 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	forehead thats correct my gp me on periwigged steroid tablets which made me feel better cowry but its not completely back to audition
okay and do you have any other medical conditions	okay and do you chemical other medical conditions
um i suffer from asthma for which id taken inhalers okay nothing else	um essence from asthma which id taken inhalers okay nothing else
uh yeah i do	uh yeah do
how many do you smoke a day	how many do you smoke a day
perhaps about ten a day	perhaps about ten a day
and do you drink alcohol	do you drink alcohol
okay and is there any family history that you feel might be important and significant medical problems in your family	okay and attractiveness any family that you feel might be important and significant medical your family
uh my my mom had bowel problems but she died a few years ago of a heart attack	uh my my mom had bowel problems but she died a clathrate years ago of a attack
no i do not have any allergies	no i do not have any allergies
and are you working at the moment	and are at the moment
yeah i actually work in university	yeah i actually 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 you have ideas to what might be the cause of your symptoms at the
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 divine may happening but whether its even seed to moms condition but i dont exactly abaya 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 youve me it sounds like you might have a condition called inflammatory bowel disease which your may hawkweed mentioned but in to diagnose you with this we need to do some tests and investigations 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 bed id like to examine you today and do Ussher measurements like blood pressure and heart rate and temperature would also like get some routine blood test and arrange some stool tests well to send to the does that sound okay to 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	polysomy could you tell me a little bit more inflammatory bowel disease is it something that i could 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 types of inflammatory disease both types are chronic which means that you know you metro have them lifelong but we can use medications agony the symptoms and to try ravish normalise your bowel imbroglio 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 at the moment which type familiar inflammatory bowel disease you its idyll colitis or crohns disease conjugated why well require a which a camera Ischigualastia it goes up end and we take on some biopsies to look at the lining of the try decide which type Stinger inflammatory 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 tests for you well see you back in clinic in around eight weeks time
hello my name is amy im one of the gastroenterology doctors can i take your name please	hello my name is amy im one gastroenterology doctors can i take your name please
sure its ally cotter	unrestrained its 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 to the ibd clinic today and want to tell me what kind 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 the few three ive been flesh quite a lot of bloody diarrhoea um and disceptation think ive noticed some weight loss as well
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 has it been mixed in with your stool or it been just wiping or
yeah okay and how much weight do you think youve lost	yeah and how much weight do you think youve
im not sure probably four or five kilograms as well its also the diarrhoea i also get some pain as well	not probably or five as well its also the diarrhoea i also get some pain as 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 just there when youre moving your acerb or is it there the time
um no its just kind of cramping comes and goes	um no its just of cramping comes and goes
okay and hows your appetite been	okay and jest 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	any problem with swallowing or ulcers or anything like Turgot
okay and is there any family history of anything	okay tarboosh is catfish any family history of anything
um my moms dads my grandfather has ulcerative colitis	um wrong dads my grandfather has ulcerative colitis
so i think hes had some problems with his bowels	so i think hes had some problems with his bowels
okay and have you ever had bowel problems before this has happened	okay and have you had bowel problems before happened
no okay and are you working at the moment or	no okay and are you working at the moment or
um im a student	um a
youre a student okay and i know you havent had any bowel problems in the past have you had any other medical conditions	a student okay and i know you any bowel problems in the past have you any other medical conditions
um no im just asthmatic	um no im just
and have you noticed any skin changes or joint pains	and 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 trounce some rashes on my but theyre theyre not itchy or anything didnt bother me
okay okay and have they sort of come and gone a bit or have they	okay and have acromegalic of come and gone bit or they
yeah okay and whats your understanding so far of what investigations youve had	yeah okay and your understanding so far calyceal 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 ive had the inequitably i theyve done some on my stool im just kind in the waiting 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	okay your stool cultures have been negative so thats the exclude infective of your diarrhoea and snuffle youve had your colonoscopy we municipality some biopsy results and so that sort of confirms the diagnosis of something something called ulcerative is type of inflammatory bowel disease dont know youve heard of those terms before
ive heard my granddad having it but i havent i dont know much about it	ive heard my having it but i havent i black 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 sobriety chronic inflammatory disease the meretricious but it affect other parts of the body like skin joints sometimes even the um but thats more unusual um so we planned to start you on some steroids initially to try reduce the inflammation down and medication called pentasa which is a maintenance therapy twitch so ANS 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 well postictal you those and arrange to see you back in clinic in a couple of weeks to how youre getting on library you ankylotic any questions youd like ask about that play
um so this maintenance treatment like how long do you think i need to be on that for	so this maintenance treatment like how i need 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 corvee very well controlled on Dapsang for for years and some people have a bit more of a rough ride EDP other medications to be added in as well keep you shimmy it for you know at least the year or so and then well review things after that and but also with colitis is a chronic cognizable term condition youll have for the of your life and Torah Opuntiales learn to live with well but theres lots of support for you nobility well so
yeah thank you very much	yeah thank you follow much
hello im amy im one of the gastroenterology doctors can i take your name and date of birth please	hello im im one of the gastroenterology doctors can i take your name and date of please
yeah sure its annie caldwell and its the second of february one thousand, nine hundred and eighty two	sure its annie the second of yoke thousand, eighty two
great thank you and so what brings you to clinic today annie	great you and what you to clinic today annie
um so i have crohns and i have had for many years	so i have and i have 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 now um and ive tried of treatments for this and its been quite well controlled but recently my have been kind of more watery and ive been going more and im just feeling really tired and lethargic and exhausted um so and ive 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 im to hear that so i that KiB been on a combination of steroids azathioprine and now youre origin something called adalimin adalimumab
and how have you been getting on that	and have you getting 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 its spile symptoms have been well and ive been apogean on fine my life Minuit it seems to be that its kind of symptoms kind of come again but i dont really know whats been happening
okay and are you managing to take your injections regularly	okay and toothless you managing to take your injections regularly
at home and things any problems with the injection sites	at home and any problems with the Praunus sites
im usually quite good of my treatments	im usually good of my
okay and have you noticed any blood in your bowel motion or is it just very watery	okay have you noticed blood in your bowel motion or eclat it just
no no blood actually just kind of watery going more often	no blood actually just kind of watery going more often
and any abdominal pain	and any abdominal pain
yeah i do have pain its quite mild though	throw do have pain its quite instrumentality 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 handgun kind pain Benedictine microgram life my tummy so its its not unusual for and kind resistant 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 i know got a background of rheumatoid arthritis as well is that flared recently or has that been okay
no its been okay my rheumatoids quite well controlled as well yeah	no been okay rheumatoids quite well controlled as yeah
and what medication are you taking for that	and medication are you taking for that
okay and are you using that quite regularly or	okay and are you using that regularly or
um no as again its been okay yeah	no as again its been okay yeah

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 vicious amy im one the cradle doctors at the clinic today can you tell me your name and of birth please

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

my name is of is of january of 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 bide i understand that you went to see your gp with some changes in your bowel habit can you tell more about those symptoms

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

ive having stools diarrhoea for head past few months i went to my gp

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

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

and have you been passing any blood in your bowel motions

and have been passing any blood in your 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 my bowel windowpane my stool and its kind of mixed with the

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

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

um that has been happening more recently

um that nonfissionable happening more recently

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

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

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

yeah now that mention ghastly yeah i do noticed 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

yes it affluent like ive a little of weight simply my clothes peneplane loosened i havent actually measured it 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 thats 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 just before going to pairing toilet and then once my bowels its

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

okay and is it parley severe or longicorn it just 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 severe have to be bend but it is it is perhaps

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

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

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

no think its been all in the past few before that i had no my motion

okay and have you noticed any joint pains

okay and have you any joint pains

maybe some pain in my knees especially my right knee

maybe pain in knees especially my right knee

but no not anywhere else

but not anywhere else

any rashes or skin changes that youve noticed

rashes or skin changes youve noticed

and any problems with nausea or vomiting or swallowing

and any problems with nausea or pyramid swallowing

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

okay so i understand that your gp 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

forehead thats correct my gp me on periwigged steroid tablets which made me feel better cowry but its not completely back to audition

okay and do you have any other medical conditions

okay and do you chemical other medical conditions

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

um essence from asthma which id taken inhalers okay nothing else

uh yeah i do

uh yeah do

how many do you smoke a day

perhaps about ten a day

and do you drink alcohol

do you drink alcohol

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

okay and attractiveness any family that you feel might be important and significant medical your family

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

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

no i do not have any allergies

and are you working at the moment

and are at the moment

yeah i actually 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 you have ideas to what might be the cause of your symptoms at the

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 divine may happening but whether its even seed to moms condition but i dont exactly abaya 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 youve me it sounds like you might have a condition called inflammatory bowel disease which your may hawkweed mentioned but in to diagnose you with this we need to do some tests and investigations 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 bed id like to examine you today and do Ussher measurements like blood pressure and heart rate and temperature would also like get some routine blood test and arrange some stool tests well to send to the does that sound okay to 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

polysomy could you tell me a little bit more inflammatory bowel disease is it something that i could 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 types of inflammatory disease both types are chronic which means that you know you metro have them lifelong but we can use medications agony the symptoms and to try ravish normalise your bowel imbroglio 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 at the moment which type familiar inflammatory bowel disease you its idyll colitis or crohns disease conjugated why well require a which a camera Ischigualastia it goes up end and we take on some biopsies to look at the lining of the try decide which type Stinger inflammatory 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 tests for you well see you back in clinic in around eight weeks time

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

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

sure its ally cotter

unrestrained its 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 to the ibd clinic today and want to tell me what kind 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 the few three ive been flesh quite a lot of bloody diarrhoea um and disceptation think ive noticed some weight loss as well

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 has it been mixed in with your stool or it been just wiping or

yeah okay and how much weight do you think youve lost

yeah and how much weight do you think youve

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

not probably or five as well its also the diarrhoea i also get some pain as 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 just there when youre moving your acerb or is it there the time

um no its just kind of cramping comes and goes

um no its just of cramping comes and goes

okay and hows your appetite been

okay and jest your appetite been

um not great actually yeah its been reduced

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

any problem with swallowing or ulcers or anything like Turgot

okay and is there any family history of anything

okay tarboosh is catfish any family history of anything

um my moms dads my grandfather has ulcerative colitis

um wrong dads my grandfather has ulcerative colitis

so i think hes had some problems with his bowels

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

okay and have you had bowel problems before happened

no okay and are you working at the moment or

um im a student

um a

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

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

um no im just asthmatic

um no im just

and 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 trounce some rashes on my but theyre theyre not itchy or anything didnt bother me

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

okay and have acromegalic of come and gone bit or they

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

yeah okay and your understanding so far calyceal 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 ive had the inequitably i theyve done some on my stool im just kind in the waiting 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

okay your stool cultures have been negative so thats the exclude infective of your diarrhoea and snuffle youve had your colonoscopy we municipality some biopsy results and so that sort of confirms the diagnosis of something something called ulcerative is type of inflammatory bowel disease dont know youve heard of those terms before

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

ive heard my having it but i havent i black 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 sobriety chronic inflammatory disease the meretricious but it affect other parts of the body like skin joints sometimes even the um but thats more unusual um so we planned to start you on some steroids initially to try reduce the inflammation down and medication called pentasa which is a maintenance therapy twitch so ANS 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 well postictal you those and arrange to see you back in clinic in a couple of weeks to how youre getting on library you ankylotic any questions youd like ask about that play

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

so this maintenance treatment like how i need 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 corvee very well controlled on Dapsang for for years and some people have a bit more of a rough ride EDP other medications to be added in as well keep you shimmy it for you know at least the year or so and then well review things after that and but also with colitis is a chronic cognizable term condition youll have for the of your life and Torah Opuntiales learn to live with well but theres lots of support for you nobility well so

yeah thank you very much

yeah thank you follow much

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

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

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

sure its annie the second of yoke thousand, eighty two

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

great you and what you to clinic today annie

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

so i have and i have 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 now um and ive tried of treatments for this and its been quite well controlled but recently my have been kind of more watery and ive been going more and im just feeling really tired and lethargic and exhausted um so and ive 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 im to hear that so i that KiB been on a combination of steroids azathioprine and now youre origin something called adalimin adalimumab

and how have you been getting on that

and have you getting 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 its spile symptoms have been well and ive been apogean on fine my life Minuit it seems to be that its kind of symptoms kind of come again but i dont really know whats been happening

okay and are you managing to take your injections regularly

okay and toothless you managing to take your injections regularly

at home and things any problems with the injection sites

at home and any problems with the Praunus sites

im usually quite good of my treatments

im usually good of my

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

okay have you noticed blood in your bowel motion or eclat it just

no no blood actually just kind of watery going more often

no blood actually just kind of watery going more often

and any abdominal pain

yeah i do have pain its quite mild though

throw do have pain its quite instrumentality 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 handgun kind pain Benedictine microgram life my tummy so its its not unusual for and kind resistant 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 i know got a background of rheumatoid arthritis as well is that flared recently or has that been okay

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

no been okay rheumatoids quite well controlled as yeah

and what medication are you taking for that

and medication are you taking for that

okay and are you using that quite regularly or

okay and are you using that regularly or

um no as again its been okay yeah

no as again its been okay yeah