"Old Luan, you've recovered your figure very quickly." Su Yun sat down and joked with Luan Yingjie with a smile.
"Brother Yun, it depends on what you said." Luan Yingjie sat down and said with a smile: "Didn't you tell me to follow a ketogenic diet?"
"Is it effective?" Su Yun asked casually.
"The effect is good, my stomach is gone, and my blood sugar is under control. But now I feel really deeply about one sentence - eating meat is just an embellishment of life, while carbohydrates are eternal happiness." Boss Luan said with some emotion.
"Hahaha, whatever you need, think of it. When you are allowed to eat whatever you want, will you eat rice and drink cold water every day?" Su Yun said with a smile: "Don't make small talk, talk about business."
"My father, who is 72 years old, suffered from intermittent dizziness six months ago. The strange thing is that he only gets dizzy when eating, especially when he eats a lot of solid food such as rice or steamed buns." Luan Yingjie said, "I didn't pay attention at first. , thinking that I was busy with business and never at home, and the old man missed me, so he pretended to be sick and asked me to go back."
"Later I went home and had a few meals with him. It didn't look like he was pretending to be sick. But he was usually fine. Don't look at him at 72. He rode a bicycle every day and walked around the world in the Four-Nine City. He was in good health. But he was 72 years old. Even if I feel dizzy after eating, I can’t stand it anymore, I’m very thin.”
Zheng Ren listened to Luan Yingjie's introduction to the condition and looked through the medical records and laboratory test sheets.
"I went to the hospital several times for check-ups. Everything was fine. The doctors were also stumped."
"Do you have any other medical history?" Zheng Ren asked, "Do you have high blood pressure, coronary heart disease, or diabetes? Do you take medicine every day?"
"Nothing. I'm in great health, but even now I don't feel good eating anything anymore." Luan Yingjie said.
Zheng Ren looked through the various test sheets.
The examination and testing done half a year ago, just like Luan Yingjie said, there was nothing wrong. Blood tests are relatively complete, including routine tests such as liver and kidney function, ions, blood sugar, tumor markers, trace elements, and blood uric acid.
In terms of imaging, there is a little arteriosclerosis shadow on the head CT, but there is absolutely no problem, and there is no tumor.
Doppler examination of the blood supply at the base of the skull and neck showed no problem, and it was not caused by insufficient blood supply to the brain.
Regarding the heart, echocardiography and electrocardiogram were all fine. D2 polymer and other related blood tests were also done at a later stage, and there was even a coronary angiography film.
There is no problem. For a 72-year-old man, his health is considered good.
Just like Luan Yingjie said, there is no problem.
Lung CT showed no tumors, not even trachea, bronchitis, or emphysema.
The lung texture is clear and the lung function is good at a glance.
The CT scan of the whole abdomen was fine, and the colonoscopy showed no problem, but there was no gastroscopy.
"Why didn't you do a gastroscopy?" Zheng Ren asked.
"It was done once. As soon as it went in and passed the pharynx, he couldn't do it. Later the doctor said he would try again, but my dad said nothing. He said doing it once was equivalent to dying once." Luan Yingjie said distressedly. .
"Has this happened before? I said it happened half a year ago." Zheng Ren asked.
"No, this kind of weird thing has never happened before, and no one in my family has ever had anything like this happen."
"How is the old man doing now?" Zheng Ren asked as he continued to look at the list.
"Because he felt uncomfortable eating, he ate less at first and mainly drank liquids. But when his food intake decreased, he said he felt his dysphagia worsened."
Zheng Ren put the test sheet aside, holding the film in his hand and looking at the light.
There was a lively hot pot meal over there, and he was watching a movie alone, but Zheng Ren didn't feel anything at all. It seemed like this was normal.
"Weird." Su Yun muttered while looking at the lung CT.
"Well, it's very strange." Zheng Ren said: "All the inspection indicators show no problems."
"Hematological disease?"
"It's not like that." Zheng Ren said: "Whether it's a blood system disease or an endocrine system disease, you should have reactions when you don't eat. You definitely won't get sick only when you eat."
Su Yun nodded and continued watching the movie.
Zheng Ren suddenly remembered something and started looking for movies.
"Boss Zheng, what are you looking for?" Luan Yingjie asked.
"Upper gastrointestinal tract B scan, have you done it?" Zheng Ren asked.
"I did it, I did it, it's okay." Luan Yingjie started to look for the movie. He flipped through it for a while and said sheepishly: "Maybe it was left in the car. I'll look for it."
After saying that, he stood up, bowed politely, and then turned around and went out.
"Boss Zheng, it's a mental illness." Lao He turned around and expressed his opinion, "I once met a patient from a mental hospital who came to our 912 for gastric cancer surgery. When I gave him anesthesia, he He told me stories for a long time."
"story?"
"Oh, it's just a tragic life experience. He was deceived, engaged in pyramid schemes, and then was arrested and so on." Lao He said, "It's just like the real thing. He is the Lonely Star of Heavenly Evil."
"The results of it?"
"My parents, wife and children were all waiting for him outside the operating room. I was so miserable that I had to endure an operation for a long time." Lao He said, "Later, when I asked, he said that he has an acting personality and would not be able to put himself in the play. I feel uncomfortable all over."
"The possibility of mental illness exists, but it cannot be diagnosed easily." Zheng Rendao.
"It's not easy anymore. All the test indicators are normal. What diagnosis do you want to make?" Su Yundao said.
"I'll think about it again." Zheng Ren held the test sheet in his hand, leaned back on the sofa, and tapped the armrest of the sofa with his fingers.
Su Yun felt that this guy looked more and more like old Director Pan.
"The diagnosis can be made after taking a barium film of the upper gastrointestinal tract." Su Yun said simply, "At 72 years old, he doesn't even have mild valvular regurgitation. His health is too good. There is no problem with the electrocardiogram. , regardless of heart disease.”
"What do you think it is?"
"Achalasia is a high possibility," Su Yundao said.
Achalasia is a disease in which esophageal dysfunction caused by neuromuscular dysfunction in the cardiac part of the esophagus causes incomplete relaxation of the lower esophageal sphincter. Food cannot pass smoothly and is retained, thereby gradually reducing esophageal tone and peristalsis and causing esophageal dilation. .
But generally, the main complaint of this disease is not dizziness, but difficulty swallowing, food regurgitation, and weight loss.
Zheng Ren carefully searched for various cases of achalasia, and there were also symptoms such as dizziness caused by malnutrition. But when it comes to feeling dizzy after eating...
This is so weird, Su Yun just said it casually. Zheng Ren considered that it might be caused by tumors in the endocrine system.
Soon, Luan Yingjie brought up the film, this time with PETCT.
"I did too many tests and missed two things. I'm sorry, Boss Zheng. I'm sorry, Brother Yun." Luan Yingjie bowed and apologized repeatedly.