Part1

SURNAME:

FIRST NAMES: Janice

AGE: 30

SEX: MARITAL STATUS: S

OCCUPATION: office worker

PRESENT COMPLAINT:

O/E
GENERAL CONDITION:

PROPOSED ACTION:


Dialogue:

Doctor Jones: Good Morning Mrs Smith, do come in and take a seat.

Ms Smith: Thank you doctor.

Doctor Jones: How can I help you Ms Smith?

Ms Smith: Doctor, there's something terribly wrong with me, I think I'm dying! I've got terrible pains in my stomach; I need to go pass wind constantly. Often I'm doubled up in pain what can it be? How long have I got?

Doctor Jones: I think I'd better examine you, could you undress and pop yourself up on the couch? Okay, where is the pain? Here? Here? (doctor examines patient) Right, it seems to be something in your bowels. Do you have any other problems?

Ms Smith: Yes, many I've been getting awful backache and frightful headaches and I'm really tired all the time. I also have unbelievable cramps down here (patient points to abdomen) and often feel quite bloated. I also have problems with my bowel movements. Sometimes I have diarrhoea one day then constipation the next. I really don't know what to do; it's affecting my life on a daily basis.

Doctor Jones: Well it sounds to me as if you have Irritable Bowel Syndrome. This is not life threatening, you'll be fine. It is a very common gut condition and affects as many as one in five people at some time in their lives. Women of your age are the more often affected. The exact cause is unknown; it is thought that the condition may be caused by a combination of things including abnormal movements of the intestines and altered sensation of the gut.

Ms Smith: What should I do to treat it?

Doctor Jones: I recommend taking Peppermint oil and antispasmodic medication. I'll prescribe oxybutynin to relieve abdominal pain. If you get diarrhoea, anti-diarrhoea medication will stop it, just buy something over the counter. If you get constipation, drink more water, eat more fibre, take some exercise and if necessary a gentle laxative, again you can get something over the counter for this.

Ms Smith: How can I prevent it in the future?

Doctor Jones: It isn't possible to prevent IBS from developing. However, certain things may trigger attacks for you and should be avoided. These include stress, eating irregular meals and a lack of dietary fibre. So eat more fruit and vegetables and have a bran based cereal for breakfast.

Ms Smith: Thank you doctor I'm so glad to hear I'll be okay, I really thought it was the end of me! Goodbye.

Doctor Jones: Goodbye Ms Smith and remember to take it easy.

Glossary:
Irritable Bowel Syndrome - zespół jelita drażliwego
gut infections - infekcja jelit
food poisoning - zatrucie pokarmowe
constipation - obstrukcja
diarrhoea - biegunka
laxative - środek przeczyszczający
over the counter - not prescription - bez recepty
bran based - na bazie otrąb
fibre - błonnik
trigger - wywołać (chorobę)
bloated - wzdęty
pop (yourself) up - ułożyć się
antispasmodic medication - lek przeciwskurczowy
Peppermint oil - olejek miętowy

Part 2

Find a word(s) from the dialogue that means:

1. infection in the intestines
2. reaction to eating bad food
3. unable to pass solids
4. passing solids too easily
5. something that helps you pass solids
6. a substance in foods like fruit, vegetables and brown bread, which travels through the body as waste and helps the contents of the bowels to pass through the body easily
7. start
8. the long tube that carries solid waste from the stomach out of the body
9. swollen and rounded there is too much air, liquid or food inside
10. to get up on, for example, an examination table

Part 3

Complete the sentences using one of the words above.
1. If you have constipation, you should eat more dietary _________.
2. I ate some fish that smelt bad and now I have _____________.
3. I was on the toilet all day when I had __________.
4. If I eat too much I get a _________ stomach.
5. If you have constipation you can take a _________ to help your bowels move.
6. She finds stress _________ her Irritable Bowel Syndrome.


Key

Part 1

SURNAME: Smith

FIRST NAMES: Janice

AGE: 30 SEX: F MARITAL STATUS: S

OCCUPATION: office worker

PRESENT COMPLAINT: Abdominal pains, backache headaches tiredness abdominal cramps, bloating. Diarrhoea and constipation.

O/E
GENERAL CONDITION: Irritable Bowel Syndrome

PROPOSED ACTION: Take peppermint oil and oxybutynin prescribed. Patient should avoid stress.

Part 2
1. infection in the intestines : gut infections

2. reaction to eating bad food : food poisoning

3. unable to pass solids : constipation

4. passing solids too easily : diarrhoea

5. something that helps you empty your bowels : laxative

6. a substance in foods like fruit, vegetables and brown bread, which travels through the body as waste and helps the contents of the bowels to pass through the body easily : fibre

7. start : trigger

8. the long tube that carries solid waste from the stomach out of the body : bowel and gut

9. swollen and rounded there is too much air, liquid or food inside : bloated

10. to get up on, for example, an examination table : pop (yourself) up

Part 3
1. fibre
2. food poisoning
3. diarrhoea
4. bloated
5. laxative
6. triggers