Sleepless Doctor

The latest website: "Generally, part of the chyme is discharged into the duodenum 5 minutes after the food enters the stomach. The emptying speed of different foods is different, which is related to the physical properties and chemical composition of the food."

"Then the food enters the intestines, the nutrients are absorbed, and what cannot be absorbed becomes stool, which is stored in the lower part of the colon."

"When the stool reaches a certain amount, it will stimulate the intestines through pressure and physiological receptors, usually the receptors on the rectal wall, to form a sense of defecation."

Chu Zhixi heard that Wu Mian was talking about defecation with the patient, and it was just the simplest science popularization, and found it boring, so she sat back.

"Doctor Wu, is that your girlfriend?"

"Yeah. That's right, it's your fiancée, not your girlfriend." Wu Mian nodded and narrowed his eyes.

"Good, childhood sweetheart?"

"Not counted as a childhood sweetheart, but my junior sister when I was in school."

"Awesome!" The patient said in a low voice, but stretched out his right hand and gave a thumbs up, "I know how to hook up a younger sister when I go to school. It's amazing! I didn't understand when I was in school, so I went to Internet cafes every day. I always thought about the possibility of finding a girlfriend after graduation. It's simpler. Who knows that the girls have a higher vision than the others."

"Hey." Wu Mian said with a smile, "That is, keep your voice down. Just what you said just now was heard by my fiancee. She didn't know how many questions she wanted to ask me."

"I understand, I understand." The patient smiled happily, "Doctor Wu, continue, is there always feces in my rectum? I'll go! The rectum, the rectum, that's what happened!"

Seeing the patient, Wu Mian began to make random associations, and couldn't laugh or cry.

"Your disease is a gastrointestinal dysfunction disease, and the cause has not been fully studied.

The pathogenesis of irritable bowel syndrome includes abnormal digestive tract motility, visceral sensation, neurological and immune factors, low-fiber diet, intestinal infection, mental and psychological factors, brain-gut interaction, gender factors, etc. "

"..." The patient was dumbfounded.

"For example, let's not talk about your situation. Do you have diarrhea all year round?"

"Yes, my aunt has perennial diarrhea. Later, I went to Tongji for a colonoscopy and found that there were polyps. The pathology after removal was a precancerous lesion." The patient also talked about tuberculosis, and Wu Mian continued, "Originally. I thought it was caused by polyps, but I escaped the hurdle of colon cancer, and the diarrhea still didn't get better."

"What you said is a manifestation of intestinal motility hyperactivity. The transit time of the small intestine is significantly shortened, and the mean and maximum values ​​of colonic motility index and high-amplitude propulsive contraction are significantly increased. The opposite is true for constipated IBS, which is manifested by the intestinal tract. Lack of motivation.

In other words, patients with hypermotility of the intestines are generally thin, and a small number of them will have symptoms of malnutrition. I don’t know how good a girl wants to be like this, so she can have both weight loss and good food! "

"Uh...really, my aunt is very thin." The patient recalled.

"From the perspective of traditional Chinese medicine, this situation is called Wugongjian, and it is also called morning diarrhea, kidney diarrhea, and chicken diarrhea.

It first appeared in the "Danxi Heart Method"-there are diarrhea at five shifts every day..., eating and drinking during the festival, but there is nothing to do in the first half of the day, and it is repeated after five shifts.

It is a chronic, recurrent diarrhea at dawn. The main manifestations are pain or no pain in the abdominal abdomen every five hours before dawn, diarrhea in the bowel, and diarrhea after diarrhea, irregular stools, no mucus or pus or blood. "

"I turned around and asked if my aunt had this symptom and another disease like this? Can Chinese medicine treat it too?" The patient had countless questions.

"Insufficient natural endowment, or acquired loss of support, ... the cold water trapped in the intestines falling down with the valley is diarrhea." Wu Mian used the theory of traditional Chinese medicine to say a lot of words, and the patient was stunned.

"In addition to kidney-yang deficiency and decay, there are also spleen deficiency and dampness, liver qi and spleen will have this manifestation."

"Doctor Wu, are you a Chinese medicine doctor?"

"No, I am a Western medicine doctor, but sometimes I would like to read books on Chinese medicine." Wu Mian stroked his rabbit ears, "Is it a combination of Chinese and Western medicine? It makes sense."

"Do you know how to pulse?"

Wu Mian stretched out her hand, wearing two pairs of gloves, in which sweat was faintly sticking to the inner layer of gloves.

"Sorry." The patient looked at Wu Mian's outstretched hand, "Doctor Wu, you are really hard."

"Fortunately, the doctors who work in designated hospitals are really hard. All the specialists who come are sent there, and they look at the critically ill patients every day."

"Uh... it doesn't matter if I am sick."

Wu Mian also told the patient about visceral paresthesia, central paresthesia, abnormal brain-gut axis regulation, intestinal infections and inflammatory reactions, and mental and psychological factors that may cause the "rectum".

I am idle as I am idle, chatting with patients, time flies very fast.

"After the spring blossoms, you go to the hospital for two check-ups-one is for routine and the other is for colonoscopy. I think there should be no problem. For specific treatment, I will listen to the doctor at that time."

"Doctor Wu, you repeat what disease it is."

The patient picked up his mobile phone heartily and began to record the name of irritable bowel syndrome. What he never expected was that he was just a rectum. This Doctor Wu explained to himself the pathophysiology for half an hour.

But that's really the case.

The nurses and volunteers began to distribute box lunches. Wu Mian squinted and said, "Let’s eat, I won’t talk to you anymore."

"Well, Doctor Wu worked hard."

"gone."

"Doctor Wu, wait a minute, I have one last thing." The patient suddenly remembered something and called Wu Mian to stop. "I heard that many people can be discharged from the hospital and go home these days?"

"Yes, more and more patients will be discharged from the hospital every day."

"I do check-ups every day, but it doesn't turn overcast~www.wuxiaspot.com~ What do you think I should do?" The patient was a little sad when he said this.

"It will be better, and the speed of recovery varies according to different physiques."

"I am worried that the shelter hospital is closed. Where do you say I will go?"

"Don't think about it so much." Wu Mian comforted, "It's delicious, delicious, and sleepy. This is the best medicine. Take one step at a time. This is a brand new virus. No one knows how to treat it."

"Doctor Wu, I read a lot of articles saying that there are special medicines."

"Fake." Wu Mian said affirmatively, "The only thing that is sure is that this is a self-limiting disease, which means that you need your own immunity to control it. Cold, take medicine for 7 days, no medicine 1 Good Zhou, this is the truth."

The patient was obviously disappointed.

"Don't be too stressful, just treat it as a large cold. You have seen it in the cabin, and the number of discharged patients is getting more and more. Be calm and happy, and it will soon turn overcast." Wu Mian stroked a bit. He put the bunny ears on his head and said with a smile.