Hello gastroenter doctors mhmm please sit down please how are you yeah I hear from your gp that you've been having pain is that right yeah yeah k tell me all about it it's my acid reflux all the acid reflux you can see here acid reflux mhmm and since mhmm many years I take lots of sodium and dabigatran mhmm and no better always the same no okay how long would you say as long as you can remember at least 7 8 years maybe maybe year okay and does the antiacid medicine the gaviscon or metrazole make any difference because when you eat medicine as cup when you start medicine couple of month is little bit better when it's stopped mhmm mhmm mhmm when do the symptoms affect you during the day all the time all the time at night yeah night more fine and you're good to see mhmm fine okay fair enough and do you ever get acid coming up into the back of your mouth yeah yeah yeah mhmm losing any weight not good good I'm glad we were going to have a look with our camera today to see if there's a cause for your symptoms is that alright yeah the procedure is called ogd or upper gi endoscopy the benefits are diagnosing the cause of the gastrointestinal symptoms but there are some risks of the test I should tell you about the serious risks are of causing a hole or a tear in the wrong place which we call perforation and of causing bleeding which is bleeding those 2 things are serious if they were to happen you might need to stay in hospital and and have more treatment but they're very rare they happen in less than 1 in 9000 diagnostic castroscopies hopefully not don't for worry I've not seen it happen but it is a risk of the test there's a chance of not getting to where we want to get to which we call failure and there's a chance of missing something along the way which is called misleisure alright have you thought about what you'd like to have for the test are you gonna have some sedation some throat spray both mm-mm just spray yeah fine and why is that nice why just spray do you need to work or so you you said you were going to have spray only you the test for test for test mhmm or you want some sedation through the drip to make you sleepy how long does he last hello can I borrow an apple is that alright thanks I am I'm not gonna sleep well you everyone is different maybe people are asleep for an hour around a test and quite sleepy and your signature is just there yeah okay ready to go yeah come on in come on in what'd like to call evelyn mhmm evelyn okay yeah not normally have a seat it's antoinette judy from hepburn how long have you been up to you hello 7 1185947