So next is tyler randall foxtrot 0 6 4 2 0 8 diagnosis ulcerative colitis diagnosed in 2017 colonoscopy under general anesthetic 20 18 demonstrating quiescent colitis medication history nisalazine 2.4 g a day azathioprine 100 mg a day from 09/26/2017 of at least left sided or extensive ulcerative colitis azathioprine was stopped in november 2021 so he had azathioprine from 2017 to november 2021 so investigations so colonoscopy january 20 18 under general anesthetic excellent views quiescent disease no abnormalities seen biopsies pieces of large bowel mucosa no evidence of inflammation no evidence of dysplasia or malignancy current medications octaser 1.6 g per day plan colonoscopy with sedation on consultant gastroenterology list number 2 bloods for monitoring 5 asa number 3 12 months follow-up number 4 signposting to inflammatory bowel disease nurses I had the pleasure of speaking on the telephone to mister randall on behalf of doctor hayward in our inflammatory bowel disease clinic today full stop he's been diagnosed with extensive ulcerative colitis but reassuringly last colonoscopy in 2018 demonstrated quiescent disease full stop <\n\n> In terms of his symptoms, he says that he'll have occasional urgency and will open his bowels 3 times a day passing a type 4 to 5 stool without blood or mucus full stop he takes 1.6 g of octaves per day and also takes turmeric magnesium and ashwagandha full stop he finds that his symptoms can come and go and will vary over months full stop <\n\n> In terms of his life more generally, he now works in a preschool full stop <\n\n> He doesn't have any extraintestinal manifestations of inflammatory bowel disease full stop however, he does experience occasional low mood associated with his bowels being worse and stress at work full stop his weight is 15 stone and 2 pounds he's lost a stone of weight intentionally full stop <\n\n> We had a discussion about surveillance colonoscopy, the rationale for it and his previous experiences with inpatient flexible sigmoidoscopy and his most recent colonoscopy which is under general anesthesia full stop <\n\n> I explained that often people will describe the prep as the worst bit of the colonoscopy and he's keen to try without general anesthetic this time so I'll request him for a consultant gastroenterologist list under sedation full stop he needs some bloods to monitor his 5 asa including liver function tests and kidney function I'll book him for follow-up with us in a year's time and he's always welcome to contact the inflammatory bowel disease nurses sooner if his symptoms worsen full stop I know he's off to spain for the week of the june 9 so I'll make sure the colonoscopy is booked for a different time full stop you also see