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Dialog medic-pacient

P: Buna ziua , domnule doctor.


D: Buna ziua . Ce problema aveti ?
P: Domnule doctor nu ma simt bine deloc. Ma doare foarte tare
stomacul . Au inceput aceste dureri acum 2 luni.
D: Ce anume simtiti ?
P: Simt o durere puternica care persista. Dupa fiecare masa , simt
arsuri la nivelul pieptului , chiar si pe timp de noapte acesta durere
persista.
D: Spune-mi , in ultimele 2 luni ati mancat alimente grase sau ceva
diferit ?
P : Nu
D: Exista anumite alimente care va afecteaza mai mult ?
P : Da , alimentele care contin o cantitate mare de lipide .
D: In afara de aceste dureri , ati mai spus ca aveti si arsuri la stomac ?
P : Da , simt un gust acru in gura.
D: Pe langa alimentele grase , mai exista alte tipuri de alimente care
va irita stomacul ? Cum ar fi alimente picante ?
P : Nu , nu consum alimente codimentate.
D: Spune-mi cat de des aveti un scaun ?
P : Este regulat.
D: Ati observat vreo schimbare in consistenta scaunului ?
P : Da ,este un pic mai moale.
D: OK. Ce putem face este sa verificam prima data abdomenul pentru
a putea vedea de unde vine durerea.
D: Ati avut varsaturi , greturi in acesta perioada ?
P : Da
D: Ce medicamente luati atunci cand aveti dureri de stomac ?
P: Uneori eu iau Maalox sau dicarbocalm.
D : OK. Asa cum va spuneam , am de gand sa va examinez. Vreau mai
intai sa examinez materiile fecale , pentru a verifica daca aveti vreun
parazit .Ati venit de la tropice sau ati calatorit oriunde in aceasta
perioada ?
P : Da ,am fost in Africa.
D: Aici , in Romania ,precum si in alte tari , se pot gasi paraziti. Acestea
pot afecta stomacul . As dori de asemenea , sa examinez si sistemul
gastro- intestinal superior , prin raze X. Este un lucru foarte simplu si
nu doare . Veti bea o substanta groasa. Radiologul va vedea cum se
digera substanta si va vedea modificariile ale reliefului mucoasei .
Pentru moment nu mancati alimente grase . E bine ca atunci cand
mancati sa mestecati suficient alimentele . Sa aveti o dieta echilibrata
care sa cuprinda carne de pui , legume , fructe , lactate , insa fara a
face exces de unul din aceste tipuri de alimente. Evitati sa mancati
foarte rece sau foarte fierbinte.
De indata ce primesc rezultatele testului medical , voi vorbi cu tine.
P : Va multumesc .
D: Bine . Ne vedem saptamana viitoare . La revedere
P : La revedere.

Doctor-patient dialogue

P: Hello, doctor.
D: Hello. What is the problem?
P: Dr I do not feel good. My stomach hurts so much. The pain began two
months ago.
D: What do you feel?
P: I feel a sharp pain that persists. After every meal I feel a burning in my
chest which pain persists even during the night
D: Tell me if in the last two months have you eaten fat food or something
different?
P: No
D: There are certain foods, which affects you more?
P: Yes, foods that contain large amounts of fat.
D: Apart from the pain, you said that you have heartburn?
P: Yes, I feel a sour taste in my mouth.
D Besides fat food, there are other types of food that irritates your stomach?
Like spicy food?
P: No, I do not eat spicy food.
D: Tell me how often do you have a seat?
P: It is regular.
D: Have you noticed any change in the consistency of the seat?
P: Yes, it is a bit softer.
D: OK. What we can do is to check first the abdomen to see where the pain
comes.
D: Have you had vomiting and nausea during this period ?
P: Yes
D: What medications do you usually take when you have stomach pain?
P: Sometimes I take Maalox or dicarbocalm.
D: OK. As I said, I would like to examine you .I want first to examine the
faeces to check if you have parasites. Did you come from tropics recently or
did you traveled anywhere during this period?
P: Yes, I was in Africa.
D: Here, in Romania and other countries, parasites can be found. These may
affect the stomach. I would also like to examine your upper gastrointestinal
system by X-ray, it is a very simple procedure and it does not hurt. You
drink a thick substance. The radiologist will see how you digest the
substance and he can see the landscape changes of your mucosa. For the
moment do not eat fat foods. It's good when you eat to chew very well the
food. Have a balanced diet which includes chicken, vegetables, fruits, dairy
products, but without making too much of these foods. Avoid eating very
hot or very cold.
As soon as I receive the medical results I will call you to discuss about them
P: Thank you.
D: Okay. See you next week. Goodbye
P: Goodbye.