Abdominal discomfort that has become hard to ignore.
A vague complaint becomes a structured history of location, timing, triggers and changes in appetite without asking the patient to write a clinical note.
- Patient
- Patient B
- Profile
- 34 years / female
- Pathway
- Routine appointment request
- Illustrative length
- 03:34
Consultation playback
The patient speaks. Ella follows what changes the history.
This anonymised demonstration shows the shape of a pre-appointment conversation. Each response remains in the source transcript for later review.
Ella consultation
Patient B / Voice capture
- Ella
What has been bothering you recently?
00:04Turn 1 - Patient
My stomach has been uncomfortable on and off. I thought it would go away, but it is getting in the way of eating.
00:17Turn 2 - Ella
Where do you feel it, and is there anything that tends to bring it on?
00:33Turn 3 - Patient
High up in the middle, mostly after meals. It has happened for about three weeks.
00:51Turn 4 - Ella
Have you had vomiting, black stools, fever, or unintentional weight loss?
01:08Turn 5 - Patient
No fever or black stools. I have not vomited, but I eat less because it is uncomfortable.
01:31Turn 6 - Ella
Do you ever get a burning feeling or acid coming up into your throat, especially when lying down?
01:49Turn 7 - Patient
Sometimes there is a burning feeling after a big meal, and it is worse if I lie down soon after.
02:08Turn 8 - Ella
Are you taking any painkillers such as ibuprofen, and how much alcohol do you usually drink?
02:26Turn 9 - Patient
I have been taking ibuprofen most days for back pain. I drink a couple of glasses of wine at the weekend.
02:46Turn 10 - Ella
Have you noticed any difficulty swallowing, or that food gets stuck?
03:04Turn 11 - Patient
No, swallowing is fine. It is really just the discomfort and the burning afterwards.
03:21Turn 12
Post-call clinician review
The prepared note stays connected to what was said.
Representative prepared-note view based on Ella's current review structure. Ella prepares information for review. It does not diagnose, prescribe, or replace clinical judgement.
Clinician review / consultation note
Opening history
Summary
Three-week history of intermittent epigastric discomfort, typically occurring after meals and now affecting food intake.
Associated burning sensation after large meals, worse on lying down, suggesting a possible reflux component. No difficulty swallowing or sensation of food sticking reported.
No vomiting, melaena or fever reported. Regular ibuprofen use for back pain and modest weekend alcohol intake were disclosed. Weight change was described indirectly through reduced intake but not quantified.
History fields / source linked
Location
Central upper abdomen
Turn 04Duration
Approximately three weeks
Turn 04Trigger
Usually after meals
Turn 04Reflux feature
Burning after large meals, worse lying down
Turn 08Medication
Regular ibuprofen for back pain
Turn 10Alcohol
Around two glasses of wine at weekends
Turn 10Impact
Eating less due to discomfort
Turn 06Triggered questionnaire
Dyspepsia alarm-features screen
Auto-triggered by upper abdominal pain lasting over two weeks with reduced intake.
Difficulty or pain on swallowing?
NoVomiting that is persistent or contains blood?
NoBlack, tarry stools?
NoUnintentional weight loss?
Not establishedRegular use of anti-inflammatory painkillers?
YesSymptoms waking you from sleep?
Not reportedInspect transcript source
Patient transcript
"High up in the middle, mostly after meals. It has happened for about three weeks."
Duration
Approximately three weeks
Safety review
Vomiting / fever
DeniedNeither reported in the conversation.
Melaena
DeniedNo black or tarry stools reported.
Dysphagia
DeniedNo difficulty swallowing or food sticking reported.
NSAID use
PresentRegular ibuprofen most days; relevant to upper-GI risk.
Weight change
UnclearReduced intake described; actual loss not established.
Questions to verify
- 01Establish weight change, appetite and any swallowing symptoms.
- 02Review full medication use, including NSAID frequency and gastroprotection.
- 03Clarify reflux, biliary and bowel features and relation to specific foods.
- 04Consider Helicobacter pylori testing and review alarm features for referral.
Transparency
- Reported symptom pattern needs clinical history, examination and any appropriate investigation.
- Medication and alcohol details are self-reported and not yet reconciled with the record.
- No diagnosis or cause is inferred from the reported symptoms.
A diffuse story arrives as a scannable pattern with the remaining diagnostic gaps plainly stated.
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Low mood and sleep loss expressed without clinical language.
Voice signal animation: Carolina Cruz Barbosa / LottieFiles under the Lottie Simple License.