NovelTags Chapter 588
Chapter 588
"It's not clear yet, I'll check other places..." said Lin Feng softly.
The patient is then examined for the abdomen and lower back.
Finally, it also knocked on the kidney area on both sides of the patient.
There is no obvious pain.
This is to detect the presence of kidney stones and ureteral stones.
However, this situation cannot rule out the possibility of existence.
"Let's get the X-ray done first!" Lin Feng said.
In fact
If you want the fastest speed, you naturally do CT.
But it, CT is expensive.
At present, Lin Feng is considering "lumbar muscle strain", first take a lumbar spine X-ray...
Then consider "pneumonia", you can take a chest x-ray ...
"Okay, Dr. Lin, I'll go..." Hearing this, the patient quickly got up.
"Teacher, do you have to do a chest X-ray too?" Xiao Ru asked at this time.
"Well, do! Certain types of pneumonia can also cause low back pain, which we cannot take lightly. Lin Feng nodded.
Xiao Ru handed the finished list to the patient and chuckled:
"Go ahead! After filming, remember to bring the film! "
"Good, good, thank you Dr. Lin..."
With a response, the patient walked out.
......
More than twenty minutes later,
The patient came back again.
"Doctor Lin, this is the film I made, you can quickly help me see it..." After the patient returned, he hurriedly handed the film in his hand to Lin Feng.
"Sit down first..." Lin Feng nodded, and the result was a film.
X-ray results:
Lungs: No signs of pneumonia...
Lumbar spine: No lumbar curvature compression...
This made him a little strange.
"Is it a symptom of the abdominal organs?"
Just then...
"Lao Wang, what's wrong with you! Dr. Lin, look at what happened to him, it seems that it suddenly hurts so much..."
Just as Lin Feng was thinking about the patient's condition, the patient's friend shouted.
Lin Feng looked up and found that the patient suddenly frowned, as if he was suffering great pain.
Do not wait for the patient to speak.
Lin Feng immediately connected him to ECG monitoring.
While watching the patient, check the heart rate, blood pressure, and blood oxygen saturation on the ECG monitor.
There was nothing unusual in the data, which made him breathe a sigh of relief.
A moment later.
The patient's brows stretched, and it seemed that the pain had passed.
Seeing signs of vomiting in the patient, he immediately asked, "Do you want to vomit?" "
"No, it's just some stomach regurgitation, acid water is going back to the throat, it's very uncomfortable!" The patient chuckled.
"Lean, look at you like that, I thought you were going to burp! The patient's friend hammered the patient and said with concern.
"Brilliant?" Seeing this, Lin Feng whispered a sentence in his heart, then hurriedly discarded his distractions and asked the patient: "Back to acid?" Does this happen a lot? "
"Well, this doesn't happen very often, does it! Occasionally it will be like this, when I am full, sometimes it seems to be in the middle of the night, just like just now, some time ago I stayed up late watching football, acid water directly to the throat, but it spiced me to death! The patient said as he thought.
Lin Feng had some judgment in his heart.
Continue asking: "How are you having a bowel movement?" Is stool normal? "
"Normal! 1-2 times a day! The patient was a little confused, but still said honestly.
"Well, what color is stool?" Lin Feng continued to ask.
"Uh..." The patient was a little confused when asked, and seemed to be thinking, and then said after a while: "It seems to be colorful, sometimes there is bleeding, I have hemorrhoids, and I have not been well." Sometimes the stool is harder and darker..."
"Dark? Or black? Lin Feng asked.
"There are also pulled black, but not much, only occasionally!" The patient asked rhetorically: "Dr. Lin, what does this have to do with my low back pain?" Don't be angry, I'm just curious, curious..."
Asked here, Lin Feng already had a complete guess in his heart, and then said: "I suspect that your low back pain is caused by stomach or duodenal ulcer." "
Well?
The patient and the friend looked at each other and were surprised by this statement.
The patient's friend asked, "Dr. Lin, can ulcers still cause low back pain?" ..."
Lin Feng immediately said: "Gastric ulcer or duodenal ulcer can be collectively referred to as peptic ulcer. Generally, abdominal pain is the mainstay, some people are fasting, and it hurts more in the middle of the night; Some people have pain after meals, repeated attacks, and the cycle is relatively long. A small number of people can cause low back pain, especially retroduodactyly ulcers, which are deeper, similar to pancreatitis, which may cause low back pain. "
The two obviously did not understand, and their faces were confused.
Lin Feng immediately asked, "Do you smoke?" "
"Smoke, one sachet a day..." the patient replied immediately.
Lin Feng immediately smiled and said, "That's right. You smoke so hard, you reflux acid, and occasionally melena, all of which are a sign that you may have stomach ulcers and duodenal ulcers. "
"Especially melena, there are only two possibilities. Either you have ulcers and bleeding, or you eat pig blood or other drugs. "
"I assume you have duodenal ulcer!"
"Don't believe it. The ulcers are light, and if you don't get it right, you will have a heart attack, and you will die directly! "
The patient was directly calmed by Lin Feng.
His friend asked, "Dr. Lin, what should he do if he has an ulcer?" Do you need surgery? ..."
Seeing that the patient was a little nervous, Lin Feng eased his tone and said softly: "I don't know if it's a stomach ulcer or a duodenal ulcer, or maybe my guess is wrong!" Anyway, I don't think he can be a lumbar pain caused by a lumbar muscle strain. "
At this time, the patient said: "Dr. Lin, can you prescribe me some painkillers first!" I'm still a little sore now..."
"Nope!" Lin Feng immediately made a decision and said to the patient: "Painkillers? You're dead slow! Commonly used painkillers such as ibuprofen, loxoprofen sodium tablets, etc. will cause damage to the gastric mucosa, if you really have an ulcer, the painkiller will aggravate the ulcer bleeding, then it's over! "
Hearing this explanation, the patient immediately gave up the idea of taking painkillers.
Cautiously asked, "Doctor Lin, what do I do now?" ..."
"My advice is to have a gastroscopy and colonoscopy. However, it takes time to prepare, at least a day, so you stay in the hospital now, and when the bowel preparation is completed, do a check-up! Don't think about going back, your situation is still unsafe, if it is really an ulcer, there may be a perforation at any time, if the ulcer is perforated, it will be terrible! "
Lin Feng thought for a while and continued: "But one thing can be assured, if it is just an ulcer, it will not be too life-threatening!" "
After saying this, Lin Feng gave the choice to the patient.
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