Hello I'm doctor miller I'm 1 of the doctors all the registrars it's nice to meet you hello hello I'm guessing you're missus harry is that right yes if I could ask you to move your chair and sit back to perfect and I'll speak over here it's nice to meet you nice to meet you I've heard from the nurses a little bit about the difficulty in swallowing you've been having is that alright yeah tell me all about it I think it means something I think it anxious makes what makes you say that I'm anxious person mhmm and what makes you anxious all those things mean everything mhmm money and mhmm okay and in what way does that affect your swallowing well when it's chills rise chills and and in order to swallow mhmm effectively I had to sort of lean to 1 side okay and and come on so you bring your shoulders down lean over to the side or should you bend to the right and that helps the food go down can't say I've noticed it where where does the food get does the food get stuck I haven't had it stuck whereabouts has it been stuck cough cough cough fine going down the wrong way no no difficult to say mhmm probably just stuck in the esophagus so you so tell me you you're going to eat something you put it in your mouth and then what happens I had to chew it very good it's up very small and mhmm and then when I think it's chewed sufficiently mhmm chewed sufficiently and sufficiently and liquid mhmm and what happens well not always does it go down and where does the food sit if it doesn't go down it leaves your mouth oh yeah mhmm does it ever come back up after it's gone down mostly it goes down what it does become painful and stuck no no so it goes from your mouth somewhere you don't cough and splutter only occasionally is that fair to say probably so it goes somewhere but possibly doesn't go down does it but it doesn't come back back up into your mouth is that correct comes back up now he's not eating eating very much he's he's he's got to go to swiss then so read about that yeah rapidly and do you not fancy food well I think one's just anxious about putting things in I see he's been worried about his bowel function as well so there's constantly he sort of can't eat because sort can't put it in because it's not coming out I say gentle june it won't come out yes so life's come very quickly do you have got a colorectal appointment next next tuesday that's good and I repeat the next time is talk of a colonoscopy is is I hope not not yet not fine fine no it's just going to be a colorectal rectal team next tuesday I think it's gonna be a good thing to do as well because we'll have a look in your stomach today and into the first part of your small intestine we can take some small biopsies from there to make sure you haven't got celiac disease as a cause for your weight loss we can have a look make sure there's nothing else going on does that sound alright we've had the test explained to you I think so you know a bit about what's what we've got planned for you is that fair to say yes but he was a bit late with no 1 he's on my left hand side you've had a mask go ahead and I have instantaneously went around my brain what's left yes you've plenty left yeah the camera's only the size of my finger and then we'll give you some medicines that you're a bit sleepy well you're elected not to have that oh fine I was told you were gonna have sedation sorry no no you'll have the throat spray very good that's good you usually tolerate it yeah I do about 60% of my tests with throat spray alone it's usually fine you'll be fine you're so sleepy anyway so yeah etcetera yeah what would the fear and anxiety and if lack of you were struggling with the throat spray would you like us to try it with the sedation or would you like to sleep for another day well the nurse just as I said if he doesn't cope can he he said no he'd have to come back have have have to have another appointment well we might be able to sort it out okay fine as long as you've got someone it sounds like you're gonna have someone to look after you I'm home very good great so if worse comes to worse we could put a cannula in and give you some sedation is that okay yes sure perfect the procedure is called ogd or upper gi endoscopy the benefits of the diagnosis and cause of your gastrointestinal symptoms frequently occurring risk of sore throat is very common for the days after the test serious risks of the test are bleeding so making something deliberately bleed or accidentally bleed with our camera or perforation making a hole or a tear in the wrong place those risks are serious but incredibly rare they happen in less than 1 in 9000 diagnostic gastroscopies okay it's the best test we've got to look at the upper gi tract but no test is perfect there's always a chance of not getting to where we want to get to either because of problem with my equipment or my team or my technique or your ability to tolerate the test and there's also the chance that things can be hidden underneath pools of fluid or behind folds that we can miss does that make sense it does any questions about that or are you happy to spend before we get it done your signature is just there can you hear it and we've got an up here fine he he's been very successful in my life and he's he's okay so I can't have his poly margarine massacre really knocking you 6 that's a bugger are you ready to go and get it sorted you ready to go and get it done how long should I have you sleep shall I go and sit in the waiting room 10 minutes 15 minutes yeah he'll come to have a bit I'll have a bit of pain for you okay we'll that so we're just going in here not far yeah yeah the bed's just there for you just go over there and have a seat if you come around this side claire we're gonna take your shears off and you park your bum just there we're just gonna go with throat spray spray just log on to my computer and then we'll get everything sorted who's gonna join us