r18novel Chapter 331
Chapter 331
Speaking of this young man's medical history, it can be said that it is as long as a cloth.
I found a total of 3 Chinese medicine practitioners, took Chinese medicine, and took it for a total of 4 months, but the result was useless.
Then I found a Western doctor, took Western medicine, and also took it for 6 months, but it was still useless.
And there are too many medicines, you can simply take medicine every day to fill your stomach.
It's been almost a year.
The disease is not cured,
But the body felt weak, and the cough was worse, and there was more breathlessness.
"Wait a minute, I'll open a bill, you do a CT..."
There is coughing, wheezing, CT is a must.
Because "lung cancer" is very likely!
In addition, in addition to "lung cancer", repeated coughing and wheezing, it is necessary to consider the disease of "bronchial asthma".
What is "asthma"?
The essence of asthma is inflammation in the airways, and inflammation can cause spasm of the smooth muscles of the trachea, so there will be wheezing attacks and lack of oxygen.
But as for why there is inflammation in the airways, there are many causes.
"Let's go for a CT..."
Print.
CT single.
......
1 hour later...
The young man returned with CT results.
· CT Results: Normal, no lung cancer.
That is, "lung cancer" is excluded.
Then the next step is to consider "bronchial asthma".
Earlier, Lin Feng had listened to the patient's lungs with a stethoscope.
There is wheezing.
What is "wheezing"?
It is a type of dry rale due to the flow through a narrow airway and is characterized by a high pitch with wire-like music.
Plus the patient's cough and wheezing.
That means there's a high probability of asthma.
outcome
The young man directly denied it.
"Doctor, I am not asthmatic, because I have been treated according to asthma before, but it has no effect..."
"Are you sure??"
"I'm pretty sure I'm still eating "glucocorticoids", and after eating it for 2 weeks, there was no effect at all!"
"glucocorticoids",
As soon as these words came out, Lin Feng concluded that the patient had indeed been treated for asthma once.
As mentioned earlier,
The essential cause of "asthma" is inflammation, so the treatment of asthma should be mainly anti-inflammatory treatment.
At present, the most effective anti-inflammatory drug is "glucocorticoids".
Moreover, asthma is a common disease, and treatment is generally not difficult, unless it is a special refractory asthma.
If it is true that as the patient said, the patient took "glucocorticoids" for 2 weeks, and there was no effect at all.
"Does anyone in your family have asthma?"
"No..."
"Parents didn't? Siblings no? Grandparents didn't? "
"No, I'm alone..."
Lin Feng nodded secretly.
More certain!
Most people with asthma have a family history.
The young patient in front of him does not, which can indeed rule out "asthma" with a high probability.
Lin Feng glanced at CT.
Obviously, lung cancer is not available.
In addition to lung cancer, tuberculosis, interstitial pneumonia and other diseases will also have cough and wheezing, but looking at the CT results, it does not feel like it.
Lin Feng frowned.
"This disease... It's interesting..."
Every difficult diagnosis gives Lin Feng great challenges and stimulates Lin Feng's fighting spirit.
Lin Feng became more serious and asked the young man.
"Do you have any other symptoms besides coughing and wheezing?"
"Which way..."
"The brain ... For example, tinnitus, dazzle, and so on..."
"Nope."
"Is there a stomach pain, chest pain, nausea and wanting to vomit or something, or those heart, liver, spleen, lungs and kidney discomfort..."
"This..."
The young man recalled for a moment and finally said.
"I feel my stomach, it doesn't seem to be very comfortable..."
Lin Feng asked, "What's the uncomfortable method?" "
Young man: "Sometimes it hurts, and then it doesn't hurt, so I don't care... In addition, a doctor mentioned this stomach pain earlier, and the doctor said that taking too much medicine will inevitably cause part of the stomach damage..."
Lin Feng nodded.
That's right.
It is said that medicine is a three-point poison,
This patient said that he had taken medicine in the past year as exaggerated as eating, and it was good if he did not have a kidney failure.
What is stomach pain?
But
At present, stomach pain is one of the clues that Lin Feng has caught, and it is necessary to ask first, perhaps the cause of the patient is here.
Lin Feng thought of gastritis, then the reflux that caused, and then caused a cough...
This possibility, although unlikely, exists.
"Have you ever done a gastroscopy before?"
"No, cough~~cough~~"
"How about a gastroscope?"
If it is a specialist to do gastroscopy, it is very slow, it is estimated that you will have to make an appointment, and you will start doing it in a few days...
Emergency gastroscopy is fast, do it right away...
"Doctor, I heard that the gastroscope is directly inserted into the stomach, which is very painful, right?"
The young man thought of King Kong Pretty Boy's mouth sticking a tree into his brother...
Can't help but shiver.
"Uncomfortable is definitely uncomfortable, you can choose the painless, anesthetized kind..."
"I chose anesthesia..."
"If you choose anesthesia, then you have to fast from water and fasting, you fast tonight, come over tomorrow to do anesthesia, tomorrow I will work..."
"Huh? Ahem~~Ahem~~ Waiting for tomorrow? "
"If you don't want to wait until tomorrow, I can immediately bring you an ordinary gastroscope without anesthesia, but it may be a little nauseous and want to vomit..."
“.................."
The young man thought about it, but he was still prodded.
Painless gastroscopy with anesthesia was chosen.
"Thank you Dr. Lin, then I'll come back tomorrow afternoon."
The young man got up and left,
Lin Feng reminded at this time: "Just now you said this year's diagnosis process, I think you should not always change doctors and hospitals, because some diseases are long-term continuous search for the cause, you keep changing, but it is not conducive to finding the cause..."
This problem is a common problem for many patients.
Lin Feng was afraid that this patient would not come tomorrow and go to other doctors, and then he would run for nothing again.
The patient was stunned for a moment, and immediately realized: "Okay, okay, thank you Dr. Lin... cough~~cough~~~"
......
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