NovelTags Chapter 635
Chapter 635
「635」
"Huh? Can't drink honey? "
The aunt looked confused.
"Yes, you can't eat ..."
Then Lin Feng explained the "Clostridium botulinum" thing.
Clostridium botulinum is an anaerobic bacterium that is widespread in nature, especially in soil, and is easily contaminated with food.
Studies have found that about 10% of honey is detectable with Clostridium botulinum toxin, with an average of 104 spores per kilogram of honey.
After these spores enter the digestive tract, they may be transformed into propagules and colonized in the intestine, and then produce botulinum toxin, which is absorbed and leads to poisoning.
But this process basically does not occur in adults and older children, but mainly occurs in infants under 6 months, probably because small babies do not have a strong enough "natural shielding ability".
As mentioned earlier, the "blood-brain barrier" is one of the "natural shielding ability of the human body".
What is the "natural shielding ability of the human body"?
The human body itself has a shielding ability to prevent the invasion and interference of external bacteria, viruses and other microorganisms and various foreign substances.
What is the principle?
Simply put, it is probably that the matter of system A enters system B, either it cannot enter, or the flow rate is slow.
Infant botulism is rare, but it is very harmful, and honey is the only food that is clearly associated with infant botulism.
Note: It is only !!
Although botulism basically occurs in children under 6 months, for the sake of safety, the World Health Organization recommends that children under 1 year old not eat honey.
Lin Feng advised: "The baby is too small, it's better not to drink honey, just drink ordinary boiled water." "
The aunt was a little afraid: "Thank you Dr. Lin, if it weren't for you, maybe I would have fed honey to my grandson." "
Quickly call the old man at home and tell him not to feed the baby honey.
On the other side of the phone, the old man was very stubborn: "Why can't it work?" Isn't this how people drink in the countryside? "
The aunt was angry: "Are you a doctor?" If the doctor says you can't drink it, you can't drink it, and if something goes wrong with drinking, it's too late for you to cry. "
The old man was a little resentful: "......... Well, then don't drink it, but I specially brought it from my hometown, and the original honey I got was a hundred times better than the sweetened honey outside. "
The aunt heard this; "You can give it to Dr. Lin, Dr. Lin is old and well, give it to Dr. Lin to drink..."
Lin Feng was sweating wildly next to him.
Hurriedly refused: "No need, no need, no need..."
But the aunt has always liked Lin Feng and felt that Lin Feng was a good doctor, so she insisted on sending it.
......
In fact
The most important thing in the treatment of cough is to find the cause of cough and treat the cause.
Cough itself is a protective reflex, it is not a disease, just like fever, fever is not a disease, it is a symptom.
Sometimes cough suppression will affect the judgment of the cause.
It's like I have written many cases of abdominal pain before, and I have not used painkillers, because if painkillers are used, it will affect the search for a reason for the cause.
Therefore, many people say that their stomach hurts, and they run to the hospital to find a doctor to get painkillers, and the general doctor will not agree, if the patient strongly requests Dumeraldine, he will be suspected by the doctor whether it is - poison suction.
......
Afternoon
Lin Feng, who was given honey, continued to open the clinic.
"Ahem~~~"
Another coughing child, held by his father, walked in.
Lin Feng: ".................."
What's going on today, why are there so many coughing children?
"Dr. Lin, help me see what's going on with my child? Been coughing today. "
"Okay, I'll take a look."
First of all
Sort out the causes of coughing:
Mechanical irritation: choking, tracheal foreign bodies...
Chemical irritation: such as inhalation of smoke and other irritating gases, peppers are also counted...
Inflammatory stimuli: including inflammatory reactions caused by infection of viruses, bacteria, mycoplasma and other microorganisms.
Chronic inflammation: Asthma (caused by a combination of allergies and infections)...
In mechanical stimulation, because water, foreign bodies, etc. enter the respiratory tract, the respiratory tract is stimulated, and the signal is transmitted to the brain through the nerve, and the brain makes feedback after analysis, instructing the body to make a coughing action, and under the coughing action, a strong airflow is generated in the respiratory tract to flush out the choked water.
This is a self-protection mechanism of the human body, which is a good thing.
Very conspicuous, the little boy in front of him, from the consultation, cough performance, frequency... Sum up...
Exclusion - mechanical stimulation!
"Have you ever inhaled any irritating gas?"
"Probably not, today is me accompanying my son, nothing exciting..."
"Well, okay..."
Exclusion - chemical stimuli!
"Did you have asthma before?"
"Nope."
Exclusion - chronic inflammation!
So, finally, consider "inflammatory stimuli",
Therefore, it is necessary to investigate: the inflammatory response caused by the infection of viruses, bacteria, mycoplasma and other microorganisms.
Here, a blood routine and C-reactive protein can be done to further confirm the diagnosis.
Lin Feng opened the bill: "Go and take a blood routine to see..."
Dad asked nervously: "Dr. Lin, will my son cough up pneumonia..."
Lin Feng shook his head: "You got the cause and effect wrong, pneumonia may cause cough, but cough will not cough up pneumonia... Just as a child with meningitis may have a fever, but fever does not cause meningitis..."
(Meningitis, the so-called fever, burns out the brain.) ）
Dad breathed a sigh of relief.
Lin Feng: "How old is your son?" "
Dad: "4 years old..."
Lin Feng: "Then pay attention to the fact that the child is too small, the younger the child, the greater the risk of severe pneumonia, lack of oxygen, etc..."
Dad nodded repeatedly: "I'll go for a check right away!" "
And then
Dad asked again: "Dr. Lin, can I give my son some cough medicine?" He's coughing a little hard now..."
In this short 5-minute consultation time, the total time of the child's cough is at least half.
So the cough is quite bad.
The child's father looked distressed.
Lin Feng shook his head: "If it is over six years old, I can prescribe a little dextromethorphan, but your son is only 4 years old, no..."
According to the current research, cough drugs commonly used in adults such as dexmethylphene and codeine have limited effects in children, and may produce many side effects, addiction, respiratory depression, etc., serious and even fatal.
So Lighthouse Country advises children under 4 years old not to use over-the-counter cough and cold medicines, Arthur, Canada, Kangaroo Country is under 6 years old.
Cough water, for small children, can sometimes be equivalent to a poison.
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