Clinical patients are often like this, they are not sure where the pain is.
When you talk about leg pain, feel your whole leg, when you talk about back pain, touch your entire waist and even your front abdomen, and when you talk about stomach pain, it’s even more exaggerated.
When encountering this kind of patient, the doctor's first step must be to determine which part of the patient is painful. There are many digestive organs in the human body, and I don’t know which one is the problem and how to treat it. The problem is that for a patient who likes to touch the whole belly, if you palpate him, he may feel pain everywhere.
The patient said that the stomach hurts, it's okay to do a gastroscopy, and has black stools
"Have you ever 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 certainly did not understand the deep meaning of the doctor's words. Xie Wanying knew that Teacher Tan said that the "plus" in the mouth 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 pathogenic factor of gastrointestinal diseases, so ask clearly.
"I usually work in the company and eat lunch boxes."
"drink wine?"
Men can't do without drinking and smoking. Alcohol and smoking are the same risk factors.
"I rarely drink alcohol or smoke." The patient denied.
Looking at the patient's expression when answering the questions does not seem to be lying. Smell, no strong smell of cigarettes or alcohol on the patient.
Asked this, the doctor stopped. The atmosphere in the room was suddenly 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. Obviously he didn't say anything wrong just now.
Xie Wanying paused on the medical record paper with the pen she was holding.
Teacher Tan beside her was contemplating, and she was also thinking nervously.
According to the previous consultation, the patient seems to have no major problems. Gastroscopy was also done by the physician in our hospital, and there was no major problem.
Could it be that the patient has a mental problem? Are you too stressed out about your body? Otherwise, there was no black stool after a little bit of black stool. After a gastroscopy check, everything was fine, and he came to call the deputy director of surgery again.
Some young people are more afraid of death than old people. If they make a fuss about a minor illness, they have to find an expert for consultation for peace of mind. 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. If he can't, he can go to the surgeon."
It turned out that this was the reason why the patient suddenly came to the surgery department.
If internal medicine is not good, you can go to surgery, but if you have indications for surgery, you need surgery indications.
What can an expert doctor do after hearing this? Neither crying nor laughing.
Xie Wanying didn't need to look at Teacher Tan's expression to know: Teacher Tan was completely enlightened.
Time passes by second by second, and the patient must be clearly explained.
How about prescribing some digestive medicine
"Is the belly bloated?" Xie Wanying asked. After she finished speaking, she realized that she had forgotten Teacher Sun's advice, and she should not take the initiative to intervene without the teacher's instructions.
He glanced at Teacher Tan. Teacher Tan didn't give her a silent look.
"Swelling." The patient replied.
Bloated stomach Bloated stomach is a common symptom of digestive tract diseases, and one problem can't determine anything. The patient shrugged his shoulders after answering, thinking that the doctor asked this question in vain, but 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 apprehensive, as if he knew that it's not good to like hot pot.