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At a routine Japanese clinic visit, start with four observable facts: where, what you feel, when it started, and what changed. Keep measurements separate from sensations. Show the actual packages or a written list of medicines and allergies. Do not turn a guess about the cause into a diagnosis. The clinician’s questions determine what detail comes next.

After medicine is dispensed, point to one printed instruction and ask about that row. A language-learning example cannot supply the amount, frequency, timing, duration, or missed-dose instruction for your medicine. Repeat the clinician’s or pharmacist’s current answer, and ask again if the spoken explanation and printed instruction appear different.

These phrases support communication. They do not diagnose illness, decide urgency, or supply a dose. If an emergency sign is present, stop the clinic script and call 119.

Stop the Clinic Script When It May Be an Emergency

The Fire and Disaster Management Agency’s adult ambulance leaflet identifies signs that may indicate a serious illness or injury. Call 119 now if a person is unresponsive or unusually confused; has sudden shortness of breath or difficulty breathing; has a sudden severe headache, central chest pressure or constricting pain, or sudden severe or persistent abdominal pain; develops sudden one-sided facial or limb weakness or unclear speech; has a seizure that does not stop; or has major bleeding.

This is not a complete symptom checker, and the absence of one listed sign does not prove that waiting is safe. Do not wait to translate every detail or travel to a routine appointment when the situation is clearly urgent. Use the short opening and location sequence in Japanese Emergency Phrases.

If you are unsure and no clear emergency sign is present, the Fire and Disaster Management Agency’s Q助 guide can support an urgency check. #7119 also provides professional telephone advice in participating areas; it is not available everywhere. If a person becomes suddenly worse while already at a clinic, alert staff immediately rather than waiting silently for the normal queue.

The browser or device voice behind each Play control varies by system and may pronounce a phrase differently. This synthesized output is not a human-reviewed recording. Compare it with the supplied reading, and do not treat playback as qualified Japanese review.

Manga scene · Read from right to leftRead from top to bottom

One long note becomes one useful question

Kotoba Clinic and the nearby pharmacy
  1. At clinic reception, Leo indicates his throat and holds one folded blank note while the unnamed receptionist listens without diagnosing.

    In this routine, non-emergency example, Leo arrives with a long note folded in his hand and no clear first sentence.

    Leo

    I wrote everything down, but what should I say first?

  2. At the same desk, Leo unfolds the long blank note while the receptionist indicates the recording space with an open hand; no diagnosis or private clinical detail is shown.

    He unfolds the note, notices that observations and guesses are mixed together, sets the guess aside, and chooses the body location, current symptom, and start time himself.

    Leo

    The cold train might explain it—but that part is only my guess.

  3. Leo shows the receptionist one three-part card for throat, symptom, and duration while Koto and matching cards remain isolated on a separate cream guide field.

    A separate Koto guide layer mirrors the three facts Leo chose; Koto does not enter or direct the private clinical exchange, which remains off-page.

    Koto visual guide

    のどが痛いです。三日前からです。のどが いたいです。みっかまえからです

    My throat hurts. It started three days ago.

  4. At the nearby pharmacy, Leo points to one blank instruction row as a distinct pharmacist listens; one sealed medicine envelope remains unopened on Leo's side and no dose answer is shown.

    After the unseen consultation and dispensing, Leo points to one row on the printed medicine instructions and leaves the answer with the pharmacist.

    Leo

    一日何回ですか。いちにち なんかいですか

    How many times a day?

Dialogue remains selectable HTML. The illustrations contain no dependable generated text.

Leo’s first question—what to say first—is answered by the three observable facts. His final question stays open on purpose. The manga does not invent a frequency or timing answer: the pharmacist’s answer for the actual printed instruction determines what Leo repeats back and what he needs to ask next.

Give Reception the First Routing Facts

Reception staff may record the reason for the visit, provide a questionnaire, confirm registration details, and explain the waiting step. Give a short reason first. Keep the full clinical history for the questionnaire and clinician, but state any sudden worsening immediately.

At clinic reception
JapaneseRomajiMeaningUse
shinsatsu o uketai desuI would like to see a doctorState the purpose of the visit
nodo ga itai desuMy throat hurtsGive the main symptom briefly
kyū ni waruku narimashitaIt suddenly got worseReport a new change immediately
eigo no monshinhyō wa arimasu kaDo you have an English medical questionnaire?Ask for an available translated form
eigo no tsūyaku wa riyō dekimasu kaIs an English interpreter available?Ask what language support is available

A receptionist may pass information onward, but this brief exchange is not a diagnosis or treatment decision. For appointment, form, insurance, and waiting-room language, use Japanese Clinic Reception Phrases.

Tell the Clinician Where and What You Feel

Use [body part] が痛いです and point to the same location. Describe the current symptom rather than replacing it with an unconfirmed disease name.

Pain and body location
JapaneseRomajiMeaningUse
koko ga itai desuIt hurts herePoint to the exact location
atama ga itai desuMy head hurtsState head pain without naming a cause
onaka ga itai desuMy abdomen hurtsPoint to the location
nodo ga itai desuMy throat hurtsState throat pain
migi ashi ga itai desuMy right foot or leg hurtsPoint to the exact area; 足 depends on context

If you cannot identify one exact point, show the whole area and say so. A symptom can still be useful when its cause is unknown. Let the clinician ask the next question and make the clinical assessment.

Separate Measurements From Sensations

A measured number and a sensation are different facts. Give the value, unit, and time only when you actually measured it. Otherwise state what you feel and say that it was not measured.

Measured and felt information
JapaneseRomajiMeaningUse
taion wa sanjūhachi-do desuMy temperature is 38°CUse only for an actual measurement; replace the number
netsuppoi desu ga, hakatte imasenI feel feverish, but I have not measured itSeparate sensation from measurement
seki ga demasuI have a coughState the current symptom
hakike ga arimasuI feel nauseatedState nausea
memai ga shimasuI feel dizzyState dizziness
iki ga kurushii desuIt is hard to breatheReport immediately; sudden or severe difficulty may require 119

Do not invent a temperature, oxygen level, or other number to make the note look complete. If you have a device record, show when it was taken. If breathing difficulty is sudden or severe, return to the 119 boundary instead of continuing this lesson.

Add the Start Time and Change

Attach からです after a time expression to state the starting point. Then say whether the symptom is improving, worsening, unchanged, or intermittent.

Start time and change
JapaneseRomajiMeaningUse
mikka mae kara desuSince three days agoGive the approximate start date
kesa kara desuSince this morningGive a recent start time
kyū ni hajimarimashitaIt started suddenlyState sudden onset
dandan waruku natte imasuIt is gradually getting worseState the direction of change
kawarimasenIt has not changedState no current change
tokidoki desuIt happens sometimesAdd how long each episode lasts if known

An approximate time stated honestly is more useful than a false exact time. If episodes come and go, record the most recent episode, its duration, and what you were doing when it began if you know.

Show Every Medicine and Allergy You Know

Bring your medication notebook, packages, labels, or a written list. Include every medicine you currently use, including over-the-counter medicine, supplements, and health products. Show the name, strength if printed, how much you use, how often, and the most recent use. Keep food allergies and medicine allergies clearly labeled rather than grouping every unwanted effect under one word.

Medicines, allergies, and history
JapaneseRomajiMeaningUse
tsukatte iru kusuri wa kochira desuHere are the medicines I useShow the list or packages
shihanyaku mo tsukatte imasuI also use over-the-counter medicineDo not leave out non-prescription products
saigo ni nonda no wa kesa desuThe last time I took it was this morningPoint to the oral medicine you mean
kusuri no arerugī ga arimasuI have a medicine allergyShow the exact medicine name and recorded reaction if known
jibyō ga arimasuI have a chronic conditionShow the written condition name
kusuri no namae ga wakarimasen. hako ga arimasuI do not know the medicine's name. I have the boxShow the actual package instead of guessing from a photo

The PMDA advises patients to tell clinicians and pharmacists about all current medicines because combinations or duplicate ingredients may matter. Do not use a leftover prescription, another person’s medicine, or an unverified translation as a substitute for showing the actual product information.

Confirm One Printed Medicine Instruction at a Time

After the consultation, the clinician may explain the plan and a pharmacist may explain the dispensed medicine. Point to one medicine and one printed row at a time. Confirm amount, frequency, timing, duration, and what to do if a dose is missed; do not infer an answer from the example below.

Medicine confirmation
JapaneseRomajiMeaningUse
ikkai nanjō desu kaHow many tablets each time?Confirm the amount for this medicine
ichinichi nankai desu kaHow many times a day?Confirm frequency
itsu tsukaeba ii desu kaWhen should I use it?Confirm timing without assuming meals
nannichikan tsukaimasu kaFor how many days do I use it?Confirm duration
kono kusuri to, kochira no kusuri o issho ni tsukaemasu kaCan I use this medicine with this other medicine?Point to both exact products
nomiwasureta toki wa dō shitara ii desu kaWhat should I do if I miss a dose?Ask for this medicine’s actual instruction
mō ichido setsumei shite kudasaiPlease explain it againRequest repetition before leaving

Close the loop by pointing to the actual label and repeating the answer: 一回___錠、一日___回、___ですね (“___ tablets each time, ___ times a day, at ___, correct?”). Fill the blanks only from the clinician’s or pharmacist’s instruction. If the spoken explanation and label appear to conflict, say that they are different and ask the professional to resolve it.

A language lesson cannot decide whether to continue or stop a medicine. For a prescription medicine, do not stop it or change the amount or frequency on your own; contact the clinician or pharmacist promptly about a concerning new symptom. For an over-the-counter medicine, follow its package warnings and seek professional advice if an abnormality appears, the condition worsens, or it does not improve as directed. Do not combine products, crush a tablet, or open a capsule based on an example here. A severe new symptom or emergency sign overrides this routine loop: call 119.

Use Official Language and Clinic-Finding Support

The Ministry of Health, Labour and Welfare publishes multilingual questionnaires and explanation sheets for use by medical institutions. Their presence on the MHLW site does not mean that every clinic uses every form or offers an interpreter. Ask the institution what is available. Do not rely on unverified machine translation to determine a diagnosis, consent, medicine identity, amount, frequency, or timing; use the responsible professional, a qualified interpreter when available, and the actual current label.

JNTO’s official medical guide is intended for visitors and can search by area, language, and department. MHLW’s Medical Information Net (Navii) also searches nationwide medical institutions and pharmacies, including language conditions. Confirm current hours, language availability, and whether the institution can handle the concern before a non-urgent visit. Do not delay 119 to search for a preferred-language clinic during an emergency.

Source check (September 2, 2026): FDMA adult ambulance leaflet, FDMA Q助, FDMA #7119, FDMA 119 guidance, MHLW multilingual materials, MHLW foreign-patient interpretation manual, MHLW Medical Information Net (Navii), JNTO medical guide, PMDA prescription-medicine guidance, and PMDA over-the-counter medicine guidance were rechecked. Named qualified staff must resolve any remaining Japanese-language or clinical-safety question before review can be marked complete.

Give the doctor four useful facts

  • Stop the clinic script and call 119 when an emergency sign is present.
  • At reception, give the reason for the visit and any sudden change; save the full clinical account for the questionnaire and clinician.
  • Organize the clinical message as location, symptom, start time, and change.
  • Label measurements, uncertainty, medicines, allergies, and history accurately.
  • Point to one actual medicine instruction and repeat the professional’s answer back before leaving.
  • Use official language support without assuming that a particular clinic provides it.

The first question is now answerable: lead with the location, symptom, start time, and change, not a guessed diagnosis. The next question must stay attached to the actual instruction: what does the responsible clinician or pharmacist confirm, and what should you ask if the spoken explanation and printed row do not match? The next lesson continues with the short 119 opening and location sequence.

Street Check · 1–3 minutes

Try the real-world task

Report observable symptoms at a clinic, then ask a clinician or pharmacist to confirm one actual printed medicine instruction.

Ready means:

  • I can name or point to the symptom location.
  • I can say when it started or how long it has continued.
  • I can repeat back the reviewed timing instruction.
Choose your next step