Only Nie Jiamin has this privilege, and only sees five to six patients in a special specialist clinic.
The doctors at the same hospital who were present knew that he, a pediatrician, was fond of committing pediatric occupational diseases, so they did not take his warning to heart.
In fact, no doctor dares to neglect the child Xie Youtian. Even a person like Tan Kelin, who seems to be very cold towards children, took a stethoscope and put on earplugs, deliberately and considerately covered the cold head of the ear, and then placed it close to the child's belly to listen.
It is to listen to the bowel sounds in the child's stomach.
Bowel sounds can sometimes be heard by doctors without a stethoscope and can be heard by ordinary people themselves. For example, when people are hungry, they usually say that their stomachs are growling, which can be said to be a sign of hyperactive bowel sounds.
How does this sound come out? We know that the human gastrointestinal tract is the digestive system. When we eat, we eat solid food and drink liquids. There is digestive juice in the gastrointestinal tract itself even when we don’t eat. At the same time, there is gas in the gastrointestinal tract.
During gastrointestinal peristalsis, a physical phenomenon occurs when gas and gastrointestinal liquid are mixed, and the sound of gas passing through water is made. To put it more graphically, gas bubbles on the water surface, making a gurgling bubbling sound.
On weekdays, human gastrointestinal peristalsis is in a healthy state, and the sound of gas bubbling in the liquid is relatively mild, like a frog boiling in warm water. It is low-key and calm. It manifests as normal bowel sounds, and the gurgling sound is less than four or five times a minute.
Once, it is hidden under the belly, and no one can notice it unless you pay special attention.
When you are unhealthy, gastrointestinal motility is abnormal, and bowel sounds will appear abnormal. This abnormality can be manifested as hyperactive bowel sounds, that is, accelerated gurgling sounds; it can also be manifested as weakened or disappeared bowel sounds, that is, gurgling sounds.
The sound weakens or disappears.
Based on the above principles, doctors can listen to bowel sounds to verify whether there is a peristalsis problem in the patient's gastrointestinal tract, and further infer what may be wrong with the patient's gastrointestinal tract.
Auscultation requires special concentration. A doctor wearing a stethoscope is like a musician. He can keenly judge the abnormal signals emitted by the human body by identifying the nature of the sound, which is far more than the simplest counting of times.
Tan Kelin's single-lidded eyes under his long bangs seemed to be frozen at a certain point, unable to move, and his attention was focused on nothing but his ears.
How many bowel sounds does a child have per minute? What is the sound like? Is it high-pitched? Is it a metallic sound? Or is it a relatively normal bubble sound?
No one standing around him dared to speak. Qiu Ruiyun and Sun Yubo, who were arguing, decisively kept their mouths shut. If they dared to argue again, they would be kicked out of the door with a roar from the boss.
When the doctor auscultates, what he needs is silence, and it is best to have absolute silence around him.
Other experienced doctors did not waste time when Tan Kelin listened. They raised their ears as if they were transformed into stethoscopes at the same time. When the bowel sounds were very loud, they did not need a stethoscope. They could hear a few things just by listening this way.
Now it sounds like the child's little belly: gurgling, gurgling, gurgling... it's a bit loud.
This sound, definitely more than six times a minute, is hyperactive bowel sounds. This hyperactivity is basically impossible to be the growl of a child who is hungry. The child's past medical history is that he ate too much and had hyperactive bowel sounds due to hunger.
Sounds are the result of intestinal tonic contractions. In addition, partial mechanical obstruction in the intestines, such as acute gastroenteritis, will also stimulate gastrointestinal peristalsis to accelerate in disguise and produce hyperactive bowel sounds.