Question

Write conversation between doctor and students about digestive system

Answer 1

Answer

Shan Min:Good Afternoon, doctor.Shan Min:Good afternoon. What is your problem?P:I have a stomachache.Shan Min:What do you feel?P:I have a stron pain and heartburn.Shan Min:!o" lon have you had this pain and acidity?P:#or $ months no". It does not o "ay% I eat and after every meal my stomach hurts. &ven at niht the pain persists.Shan Min:'ell me, in the last $ months, have you eaten any (ind of heavy food, or somethin different?P:)o.Shan Min:!o" stron is the pain. *ets say in a + to + scale, ho" "ould you describe the intensity of the pain?P:-et"een /0Shan Min:Is the pain continuous or does it come and o?P:It come and oes.Shan Min:1oes the pain come after meals?P:'hat2s possible because it hurts everytime after eatin.Shan Min:Is there a (ind of food that affects you more?P:Greasy food.

Answer 2

Answer:

The word 'P' denotes for Patient and 'D' for Doctor.

P: Good Afternoon, doctor.

D: Good afternoon. What is your problem?

P: I have a stomachache.

D: What do you feel?

P: I have a strong pain and heartburn.

D: How long have you had this pain and acidity?

P: For 2 months now. It does not go way! I eat and after every meal my stomach hurts. Even at night the pain persists.

D: Tell me, in the last 2 months, have you eaten any kind of heavy food, or something different?

P: No.

D: How strong is the pain. Lets say in a 1 to 10 scale, how would you describe the intensity of the pain?

P: Between 4-5

D: Is the pain continuous or does it come and go?

P: It come and goes.

D: Does the pain come after meals?

P: That's possible because it hurts everytime after eating.

D: Is there a kind of food that affects you more?

P: Greasy food.

D: Greasy food affects you?

P: Yes. At home we eat a lot of greasy food.

D: Where in the abdomen does it hurt? Point please! Does the pain travel to your chest, shoulder, back or across your abdomen?

P: It hurts in the middle. Sometimes, the pain travels across my abdomen.

D: Besides the pain, you said you have heartburn?

P: Yes, after a burp, I feel a kind of sour taste.

D: Do you feel like this more during the day or in the evenings?

P: Both. I feel the acidity during the day and at night.

D: Is it worse when lying down?

P: Yes, I taste the acid in my mouth?

D: Besides greasy food, is there any other kind of food that irritates your stomach? Like spicy food?

P: No, at home we don't eat spicy food.

D: And tell me, how often do you regularly have a bowel movement? Has that changed since you have been having these problems?

P: It is regular. It hasn't changed since the problem.

D: Have you noticed any change in the consistency of the bowel movement?

P: Yes. It is a bit softer.

D: Have you noticed any change in color?

P: Yes, it is greener.

D: Greener, not darker? Any blood in your bowel movement or black coloring to bowel movement?

P: No, not darker. I do not see any blood in my bowel movement, either.

Begin examination of the patient

D: Ok. What we can do first is check your abdomen to see where the pain comes from. You said the pain comes from the middle-part of your abdomen?

P: Correct.

D: And does the pain move somewhere else, or does it stay there?

P: It usually stays there.

D: But with the pain, do you always feel acidity?

P: Correct.

D: Do you have nausea or vomiting?

P: No, not now.

D: Tell me, what did you eat today?

P: I ate meat with tomato sauce.

D: Do tomatoes give you any trouble?

P: No, I have always eaten tomato sauce.

D: What about orange juice, does it affect your stomach?

P: Sometimes.

D: What do you feel?

P: It gives me a strange metallic taste.

D: But it does not you any acidity?

P: No, it doesn't.

D: And what do you do when you have stomachaches?

P: Sometimes I take Alkaselzer. It helps a bit.

D: Yes, it helps. Do you take any Tums, Mylanta, Maalox?

P: No.

D: Are you taking or have you been taking now or before this problem any medication on a consistant basis, like aspirin, Advil, Motrin, etc.

P: No, usually Tylenol.

D: And if you take aspirin, or any other kind of anti-inflammatory medicine, do you think it could affect your stomach?

P: No, I can't really tell you.

D: Ok. As I was telling you before, I am going to examine you. I want to examine your feces to check if you have any kind of parasite. Do you come from the tropics, or have you traveled anywhere recently such as the tropics, or overseas?

P: Yes.

D: Good. We will see each other next week. Good bye.

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