Follow up appointment - female

**On going plan** 1. [Investigations planned] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) 2. [Medications & dose & frequency prescribed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) 3. [Lifestyle recommendations in brief] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) 4. [Follow up recommendations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [This letter relates to a female patient. Express in paragraph form starting with “I reviewed this lady in clinic today” and ensure you include all articles such as 'she', 'the', 'a', 'an' etc. Make the text sound natural and grammatically correct, like fluent spoken English. Describe that she has been under follow up for a summary of her gastrointestinal symptoms using pronouns like ‘she’. Provide an update on how she describes any changes in her symptoms since her last review, and include any new symptoms if explicitly mentioned. Summarise the findings of her recent gastrointestinal investigations, if they have been mentioned. Then summarise any other symptoms that she may have reported, and describe how her social and work life may or may not be affected by her health. Then summarise the diagnosis that she has been given (if one has been mentioned; otherwise omit). Finally, summarise my recommendations in paragraph form including investigations planned, medications prescribed, lifestyle recommendations (in brief), and follow up recommendations.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit section entirely. Never come up with or infer patient details, assessments, plans, or interventions. Use only the transcript, contextual notes, or clinical note as the source of information. If any placeholder’s information is not explicitly mentioned, omit it silently without indicating omission. Never hallucinate or fabricate clinical information.)