doctor chat log

12:45

Hello!

12:45

Hello!

12:46

do you have other symptoms, like nausea, vomiting, temperature?

12:46

Not that I've noticed.

Mostly normal life

12:47

do you have any other chronical illness?

12:47

I'm lactose intolerant

12:48

do you take any medications/food supplements regularly?

12:48

I started taking fiber supplements to deal with this, but they didn't really do anything

Besides that, not really, except lactase and occasional multivitamins

12:48

have you changed diet recently?

12:48

In the last few months I'm eating more pastries

and ordering out more

12:49

did the symptoms start after you changed your diet?

12:50

Kind of, diarrhea became somewhat more frequent, but this intensity is recent

12:50

do any person in your household have similar symptoms?

12:50

I live alone

12:51

is it the first time you have that kind of symptoms?

12:51

Yes, I was surprised that bright orange fatty poop exists in real life

pardon my french

12:51

do you have family doctor in Estonia?

12:52

No

12:54

i think that you need to take stool sample

where do you live?

12:54

Mustamäe, near TTÜ

12:55

do you have any stomach pain?

have you been recently abroad?

12:57

Yes, a dull pain, more like a discomfort.

The last time I was abroad was last August

12:57

where exactly is the pain?

12:58

Slightly to the left of center of the abdomen

12:58

have you tried for example loperamid, Smecta?

12:58

Never heard of these, should I?

12:58

sometimes these can help

have you had recently antibiotic treatment?

12:59

Very good, I will keep in mind

No.

13:00

before the symptoms started did you have any party?

13:01

Yes, but I do mostly all the time

13:01

when did you last consumed alcohol?

13:02

Last week wednesday

13:02

and ehat did you exactly consumed and how much?

sometimes pancreatitis may be the cause of diarrhoa

what

13:03

beer, gin, aperol, not very much

Usually I drink moderately

about 3 glasses in total

that night

maybe 4

13:05

do you study in Estonia?

13:06

I was, now I work

13:06

as I can see you have life insurance

13:07

Yes, I got haigekassa stuff

13:08

that is good

right now you should avoid gluten in your diet, you should avoid pastery and uncooked vegetables and sugar

13:09

Okay, makes sense

13:10

if you have gluten intolerance then the diet should help

13:10

How can I find out for sure?

I know I'm lactose intolerant, not sure about gluten

13:10

we usually take some blood tests also to dignose gluten enteropathy, we take transglutaminase tests

13:11

Okay, I don't suppose you could refer me somewhere for a test?

13:11

if you don´t have family doctor you have to seek one and he/she can take the test

or if your condition gets any worse you can go to emergencye department

13:12

Okay

13:12

unfortunately only family doctor can take the tests, otherwise you have to pay for the tests

13:13

Got it. So your recommendation is stool sample and a transglutaminase blood test?

13:13

Synlab can take the gluten enteropathy tests

and also liver tests and pancreatic ensymes tests, ASAT, ALAT, GGT, lipase or amylase

and stool sample

13:15

Okay, that's a long list. I guess I really need to finally find a family doctor

13:15

and also blood tests to infection - C reactive protein and hemogram

yes, you shoudl find a family doctor

13:16

Do you have any recommendations?

13:16

right now I recommend you to diet, also you should take some supplements

like Kreon 25 000 or Pangrol 20-25 000 3 times a day

these are pancrease ensymex

enzymes

for 10 days

13:18

Got it. But I meant, recommendations of a family doctor

13:18

and also Smecta 2-3 times a day

if you take Kreon and Smecta you should take Smecta 2 hours apart

and also take some probiotics, for example Enterol 1 capsuel 2 times a day

capsule

13:22

Got it

Anything else?

13:22

if your condition gets any worse then you should go to emergency department, for example you have also vomiting, temperature

and you can seek for family doctor if you go to that site

13:23

Okay, very good

13:23

https://www.terviseamet.ee/en/choosing-family-physician-and-switching-family-physicians

ther is a list of family doctors who have free space

13:24

oh, nice 😄

13:24

but unfortunately you can see free faimily doctors only in estonian laguage

https://www.terviseamet.ee/et/tervishoid/inimesele/perearsti-valimine-ja-vahetamine

13:24

that's alright

13:24

maybe some friend can help

in the last page there is a text: Tallinna perearstid, kelle nimistus on vabu kohti

13:25

I saw it

I can speak Estonian, I just don't know how to talk about health problems in it

13:25

Tallinn family doctors who have free space

13:25

I will manage 😄

13:25

aa ok, that

good

13:26

Anything else you'd like to add?

13:27

I think no

If you have any questions then the chat window will be active 7 days

I will prescribe you Kreon receipt

13:28

Okay, nice

I've never gotten a prescription in Estonia before, what would I need to do?

13:29

you need identification card and then you go to pharmacy and they will see the receipt I prescribed you

13:30

okay, great

Thank you very much for your time

13:31

You welcome!