Clinical patients often feel like this. They can't feel where they feel pain.
One said that the legs hurt and the whole leg was touched. The other said that the waist hurt and the whole waist and even the front abdomen were touched. The other said that the stomach pain 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 which part of the patient is hurting. There are many digestive organs in the human body, and it is hard to know which one the problem is. How to treat it. For a patient like this who likes to touch the whole belly, what should you do?
If he palpates it, he may feel pain wherever you press it.
The patient said that he had stomach pain, but the gastroscopy was fine, and he had black stools?
"Have you done fecal occult blood? There is only one plus."
"That's right, that's why the doctor said it's not serious."
The patient's answer definitely did not understand the deep 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 questions clearly.
"I usually work in the company and eat lunch boxes."
"drink wine?"
Men must 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 the questions didn't look like he was lying. From the smell, he didn't smell a strong smell of cigarettes or alcohol on the patient's body.
When asked, 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. It was obvious that he 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 found no major problems.
Could it be that the patient had a mental problem? He was too stressed out about his body? Otherwise, why would he not have black stool after a little black stool? He had a gastroscopy and everything was fine, but he came back to be called 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 he can't see it, go to the surgery department."
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, there must be indications for surgery.
What can an expert doctor do after hearing this? He doesn't cry or laugh.
Xie Wanying didn't need to look at Teacher Tan's expression next to her to know that 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 speaking, she realized that she had forgotten Teacher Sun's instructions. She should not interrupt without the teacher's instructions.
She glanced at Teacher Tan. Teacher Tan didn't give her a silent look.
"Swelling," the patient replied.
Stomach bloating is a common symptom of digestive tract diseases. One question 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: "Are you
Don’t 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 idea.