Clinical patients often feel like this. They can't feel where they feel pain.
One said the pain in the legs and touched the whole leg. The other said the pain in the waist and the whole waist and even the front abdomen. The other said the pain in the stomach was even more exaggerated. I wanted to touch all the digestive tract organs in my body.
When encountering this kind of patient, the first step for the doctor must be to determine where the patient is hurting. There are many digestive organs in the human body, and I don’t know which one the problem is and how to treat it. The problem is that for a patient like this who likes to feel the whole belly, if you palpate him, he may feel pain wherever you press him.
The patient said that he had stomach pain, but the gastroscopy was fine, but he had black stool?
"Have you had fecal occult blood? There's only one plus."
"That's right, that's why the doctor said it's not serious."
The patient's answer must not understand the deeper meaning of the doctor's words. Xie Wanying knew that Teacher Tan meant that the fecal occult blood was weakly positive, but it was not necessarily gastric bleeding. It could also be hemorrhoids or small intestinal bleeding.
"What do you usually like to eat?"
Eating habits are the biggest causative factor of digestive tract diseases, so you need to ask clearly.
"I usually work in the company and eat lunch boxes."
"drink wine?"
Men inevitably drink and smoke. Drinking and smoking are also high risk factors for disease.
"I rarely drink or smoke." The patient denied.
The patient's expression when answering questions does not look like he is lying. Smell the smell, there is no strong smell of cigarette or alcohol on the patient.
Asked this, the doctor stopped. The atmosphere in the room suddenly became subtly quiet.
The young man looked at the two doctors in front of him. He didn't know what was going on, and there was a little puzzled look in his eyes. He obviously didn't say anything wrong just now.
The pen Xie Wanying was holding paused on the medical record paper.
Teacher Tan beside her was deep in thought, and she was also thinking nervously.
According to the previous consultation, this patient does not seem to have any major problems. The physician at our hospital also performed a gastroscopy, and there was no major problem.
Could it be that the patient has a mental problem? Are you too nervous about your body? Otherwise, why did he not have black stool after a little black stool? He had a gastroscopy and found nothing, but he came back to be the deputy chief of surgery.
Some young people are more afraid of death than the elderly. They make a fuss over a minor illness and have to find an expert for consultation to feel at ease. Such patients are not uncommon in outpatient clinics.
Seeing that the doctor didn't speak, the young man was worried and explained: "My friend said that the internist can't see it, so if it can't be done, go to the surgery."
It turned out that this was the reason why the patient suddenly came to the surgery.
If internal medicine is not good enough, you can seek surgery, but if there are indications for surgery, you must have indications for surgery.
What should an expert doctor do after hearing this? Neither crying nor laughing.
Xie Wanying didn't need to look at Teacher Tan's expression next to her to know: Teacher Tan was a complete Buddha.
Time passes by second by second, and you have to make it clear to the patient.
How about prescribing some medicine to aid digestion?
"Is your belly bloated?" Xie Wanying asked. After she finished speaking, she realized that she had forgotten Teacher Sun's instructions. She should not interrupt without the teacher's instructions.
Glancing at Teacher Tan. Teacher Tan didn't give her a silent look.
"Swelling," the patient replied.
Bloating stomach is a common symptom of digestive tract diseases, and one problem cannot determine anything. The patient shrugged after answering, thinking that the doctor's question was in vain. Unexpectedly, the young female doctor opposite suddenly said: "Do you often eat hot pot?"
"I, I don't eat it often." The young man's tone was a little uneasy, as if he himself knew that eating hot pot was not a good thing.
