Patient
Your preparation time is over. You can now start your role-play. Don’t worry if I stop you when the time is up.
Nurse
Good morning, Patience Patricia. My name is Narso Andrew. I will be your attending nurse here today. How are you?
Patient
Good morning, nurse. I’m good. Thank you for asking.
Nurse
We will be discussing your test result, which you have received today.
Patient
Okay, Nurse.
Nurse
Before going for the test result, could you please explain the symptoms you experienced?
Patient
I had some episodes of painful abdominal cramps. Beyond that, I experienced frequent wind problems, which are very embarrassing. Bowel problems were also noted. That’s why I decided to do the test.
Nurse
I’m sorry to hear that you have experienced these difficulties. Can you give me an idea about the onset of your condition, please?
Patient
Actually, it started about three months ago. I had bouts of diarrhea and constipation, which have occurred a few more times. As a result, I have been off my food several times.
Nurse
Do you think of any trigger factors for your condition?
Patient
I couldn’t specifically recall anything like that.
Nurse
During the time you experienced these symptoms. Were you under any stress or Have undergone any lifestyle changes?
Patient
Yes Nurse. There was such an incident. I had a lot of stress at that time as I had started a new job, which is highly paid but very stressful. Moreover, I have noticed that it was worse a few months ago. I felt bloated and was very uncomfortable. Also, it is excruciating when it happens.
Nurse
All right. You are diagnosed with irritable bowel syndrome, IBS. Do you have any idea about IBS?
Patient
Well nurse. I have heard the name IBS before, but I don’t know anything about it.
Nurse
It’s okay, Patricia. I will explain about IBS.
Patient
Okay.
Nurse
In simple terms, IBS has no apparent cause for its occurrence. However, the intestines are probably very sensitive at times, so the smooth muscle becomes overactive, resulting in spasms, cramps, etc. Due to IBS, either constipation, diarrhea, or both can be experienced.
Patient
I thought it meant that I would be allergic to fiber and food or something like that.
Nurse
Oh, I see. IBS is an intestinal disorder with no clear cause for its occurrence, but it results in stomach pain, diarrhea, and constipation.
Patient
So what can be done to cover my condition?
Nurse
Your concerns are reasonable, Patricia. I will outline some treatment options for you.
Patient
You may Please nurse.
Nurse
Patricia, you need to take the prescribed medications that have been supplied, which include medicines for pain, diarrhea, and constipation. These are the medications for your symptoms.
Patient
Okay. I will take them as prescribed.
Nurse
Nevertheless, you need to make diet changes and some stress management techniques to overcome your condition.
Patient
All right nurse.
Nurse
You can control your symptoms by managing your diet, lifestyle, and stress, along with medication and counseling for stress.
Patient
I will take care of it Nurse.
Nurse
Diet change mainly includes avoiding high-fiber foods and gas-producing foods like cabbage. Eating regular meals, etc.
Patient
Oh, okay.
Nurse
I can suggest activities like yoga, meditation, or gentle walks for stress management.
Patient
Nurse. I understand about tablets, but my concern is that I should only take the tablets if I have cramps, diarrhea, or vomiting isn’t it?
Nurse
Yes Patricia. Only when you experience these symptoms, you should consume them as prescribed. They are not meant for regular intake.
Patient
All right, I understand that.
Nurse
Do you have any other queries that I have to address?
Patient
Yes Nurse. If I am not wrong, the other suggestions for changes and stress management are things that I should do all the time to prevent future bouts of the condition.
Nurse
Your understanding is very true Patricia. IBS is mainly controlled by stress management and diet modifications. When you correct them, you can see your symptoms are well managed, and no such difficulties will be experienced.
Patient
Okay Nurse. Now I understand the things.
Nurse
Good to hear that, Paticia. If you have any more queries, feel free to contact us. I wish you a speedy recovery.
Patient
Thank you, nurse. That is the end of your old speaking role-play. All the best.
Thank you.