"Next time? I won't be so lucky next time. ”

"I see! I didn't expect there to be such a disease? Do you have to exercise to get this kind of allergy?

Oh, it's the first time I've heard of it in more than 40 years of life. ”

The girl's father looked happy.

Allergies are better than cancer......

Lin Yi made a little popular science for his family:

"This disease is really rare, and the first case of food-dependent exercise allergy in our country was only discovered seven years ago.

The patient was also allergic but could not find the cause, and it was only after going to a major hospital many times that he found out that it was the disease.

This disease is rare, so most people do not pay attention to it.

In addition to wheat, there are also vegetables, shrimp, seafood, fruits, and so on.

If you only eat these foods, there is actually no reaction, and a very small number of patients may have a mild reaction, or even so mild that they will not notice it at all.

Allergic reactions occur only if you exercise after eating these foods.

Some of them have allergic reactions, which are also mild, so they are not taken seriously.

Only if your daughter is more serious, she will be sent to the hospital. ”

The family members nodded frequently, as if they had been taught.

"When the fluid is finished, we will observe it upstairs for two days, and if it is okay, we can go back.

Don't worry, as long as the rescue comes back, it's not a big problem.

I'll ask her about her eating habits when she wakes up. ”

"Okay, thank you, doctor!"

The family members thanked each other and stood up.

After seeing the family members leave the office.

Several doctors in the office gave Lin Yi a thumbs up!

A moment later, an ambulance came to a steady stop at the emergency department.

Emergency doctors and family members helped get the girl to the emergency room.

As soon as I entered, I could see that the girl had already appeared pale, night sweats and other phenomena.

"When did you start losing blood? It's almost shock?? Wu Jiang looked at the emergency doctor and asked.

The emergency doctor shook his head: "We don't know, we only know that I have taken diet pills in the past few days, and my family said that there has been a little blood in my stool in the past few days, and then I pulled blood directly when I went to the toilet at home just now."

The pants and the sofa were stained with blood, I don't know what was going on. ”

Wu Jiang frowned: "Blood in the stool? Not **bleeding but lower gastrointestinal bleeding?? ”

The family members on the side nodded again and again:

"Yes, our daughter is single, she is not pregnant and cannot have cervical cancer, she is bleeding from her stool."

When Wu Jiang heard this, he nodded and said:

"Okay, let's expand her blood volume first, her current state does not rule out the possibility of hemorrhagic shock, and your family members should also be psychologically prepared."

When the family members heard this, tears were about to fall!

"Doctor, my daughter is only 24 years old, you can help her, save her!"

"Don't worry, we will definitely try our best to save it, don't panic yet."

Soon, the female patient was connected to various monitoring devices.

Includes volume-expanding drugs.

Blood pressure 88/60 mmHg, breaths 26 breaths per minute, heart rate 128 beats per minute.

There does seem to be a real possibility of shock in the indicators. …

Just in case, Wu Jiang hurriedly asked the nurse to prepare the plasma.

"Liu Xiaoli? Can you hear me? ”

The patient in the hospital bed is weak and breathing is constantly accelerating.

But she was still conscious, and when she heard Wu Jiang's question, she nodded lightly.

"Do you know how many times you've pulled blood yourself?"

"No...... I don't know...... It seems like a lot of times...... It's been uncomfortable these days anyway. ”

"Are you sure it's not blood in the lower body but blood in the stool?"

Wu Jiang asked again.

Female patients with lower body bleeding must accurately distinguish between my digestive tract and **.

Otherwise, it is easy to misdiagnose.

was asked by Wu Jiang like this, and the girl actually thought about it for a while.

Wu Jiang thought to himself, she doesn't know if she can't do this, right?

After waiting for a while, I heard her say, "Yes...... Be...... Blood in the stool, and ...... It's the kind that pulls blood. ”

Pulling blood??

It wasn't until he heard the patient confirm that it was pulling blood that Wu Jiang secretly screamed that it was not good.

If the blood is pulled directly, it won't be an intestinal tumor? Or intestinal artery rupture bleeding, right??

The digestive tract of a normal person is divided into two sections.

The upper gastrointestinal tract mainly starts in the mouth and then goes to the esophagus, stomach, duodenum, and part of the jejunum.

The lower gastrointestinal tract starts with part of the jejunum, followed by the ileum, colon, and rectum.

Upper gastrointestinal bleeding usually occurs in the stomach or esophagus.

Bleeding from the upper gastrointestinal tract causes melena instead of blood.

Bleeding from the lower gastrointestinal tract will be directly bloody stool, that is, bright red blood will appear.

Why is that?

Because after upper gastrointestinal bleeding, it can only be discharged after a twist and turn of digestion in the intestines.

At this time, the blood has been digested by the intestines several times, and it is no longer the freshest blood.

Lower gastrointestinal bleeding, also known as bleeding from the colon or rectum, is very close to the discharge of the anus, and the bleeding will soon flow to the anus.

Therefore, when bleeding from the lower gastrointestinal tract, you can directly see the bright red blood.

At present, the female patient admitted to pulling bloody stools, which means that it is very likely that there is a problem with the lower digestive tract.

While Wu Jiang was thinking about preparing for a physical examination.

The nurse suddenly called out softly:

"Doctor Wu, it's bleeding, it's a lot of blood!"

The nurse was inserting needles into the patient to prepare for the infusion.

Outcome!!

As soon as the quilt was opened, I found that the sheets under the girl's buttocks were dyed red!

Wu Jiang was stunned for a moment and strode up.

When even a shocking red comes into view.

The nurses frowned, looking surprised.

This is the first time they have seen each other.

So I can only watch Wu Jiang operate.

"Hurry, quickly establish intravenous channels, expand the plasma first, and wait for the blood group results to come out and immediately transfuse!"

"Good!"

Seeing that the patient had shed so much blood, the nurses did not dare to delay, and their movements became much faster.

At this time, Wu Jiang didn't have time to think about it, pulled the curtain next to the bed, and prepared to take off his pants for inspection with gloves.

The girl was still a little conscious, and subconsciously pulled her pants.

"I ...... I ......" The girl glanced at Wu Jiang, a little ashamed. …

Wu Jiang knew what this girl was struggling with.

Women who have never been married are somewhat embarrassed to face male doctors, especially those who want to examine their intimate parts.

"Don't worry, I will protect your privacy, and you don't treat me as a male doctor, just as someone who can save your life."

Hearing this, the woman let go of her hand slightly.

As a result of the blood loss, she gradually lost her strength.

Even began to feel dizzy plus confusion.

What happened next, the patient had no idea.

Wu Jiang hurriedly took off his pants and saw that the patient's entire lower body was stained red with blood.

"Wang Qiaoya, what are you still doing in a daze? Come and help! ”

"Oh, here we are!"

Wang Qiaoya nodded, and immediately put on gloves to help Wu Jiang do the examination.

"Cotton pads, bring them!"

The cotton pad can be used to separate blood from the bed sheet, which is similar to the material of a sanitary napkin.

"Gauze!"

Wu Jiang first wiped the patient's lower body with gauze.

It was found that the blood did not flow from the **, but from the anus.

As soon as I wiped it with gauze, a trace of blood flowed out of the folds of the anus.

Wu Jiang reached in with his index finger and touched it, but he didn't find any hemorrhoids.

(Hemorrhoids can also cause blood in the stool)

"This situation is a bit serious, if you don't find the bleeding point immediately, it is useless to transfuse more plasma and blood."

"Wang Qiaoya, you take off the patient's pants and hand them to the family, and then change the patient into clean and loose hospital pants."

After saying that, Wu Jiang went out to make a phone call.

You have to contact the doctor in the colonoscopy department immediately, and this patient has to cut the queue for an urgent examination.

Now it has been confirmed that it is lower gastrointestinal bleeding, otherwise the blood would not have been so bright red and would not have flowed so quickly.

After a while, the colonoscopy department came to inform that the vacant position could be done immediately for the emergency department.

Wu Jiang immediately led people over.

Colonoscopy room.

The patient is transfused with plasma and the examination is done.

The colonoscope stretched from the anus into the rectum, all the way up to the jejunum segment, and no bleeding spots were found.

The doctor who did the colonoscopy and Wu Jiang were a little puzzled.

"Let's look at it again and rinse it more." Wu Jiang said.

The irrigation tube is inserted, and after rinsing several times, it is looked at again with a colonoscope.

But here's the problem.

I still haven't found the bleeding point this second time??

Looking at the doctors' tangled expressions, the family members asked anxiously:

"Doctor, what's wrong with my daughter? …… What the hell happened to her? ”

The family members wept anxiously.

Wu Jiang hurriedly comforted:

"Don't worry, we're still checking, okay, don't worry."

In the lens display, inside the pink intestine, let the lens turn east and west, and Leng did not find the bleeding point.

"Strange, isn't the bleeding point in the lower gastrointestinal tract?"

The colonoscopist also frowned slightly and said:

"It's possible, if you don't add a gastroscope, it's no problem to look at the colonoscopy for so long, then you can only look at the gastroscope."

Wu Jiang could only turn around and say to his family:

"Although your daughter has blood in her stool, we have not seen any bleeding points after the colonoscopy, so we can only do another gastroscopy to see if the bleeding points are in the upper gastrointestinal tract." …

"Okay, good, do it, do it, we will do it all, as long as I can save my daughter, I will do it!"

The family members wept and nodded.

"Don't worry, we definitely don't have a trick for you to check the fee at this juncture, if you don't find and stop the bleeding point as soon as possible, no matter how much blood your daughter loses, it's useless, understand?"

The family nodded, and then one went to pay the fee, and the other took the patient to the gastroscopy room again.

Gastric lavage first, and gastroscopy immediately after washing.

As a result, after a gastroscope, there was still no bleeding spot!

I didn't even find an ulcer or polyp!

"What's the situation?? Why didn't you find it? ”

The gastroscopist slowly pulled the lens from the anterior jejunum to the mouth.

Still haven't found it!

It's really evil!

Hell yes??

I didn't see any bleeding spots, but there was bleeding in the anus??

It simply made Wu Jiang and the doctor who did the gastroscopy puzzled!

didn't find the reason, Wu Jiang could only pull the person back to the emergency department.

But the problem of bleeding points must be addressed as soon as possible.

Otherwise, it's a ticking time bomb.

Soon the result of the blood type came out, it was type B blood, and I immediately asked the blood bank to send 400 ml of whole blood.

As soon as the blood was transfused, the patient's face was much better.

Just when everyone was able to breathe a sigh of relief, the bed sheet was lifted, and it was actually a pool of blood!

Wu Jiang was also anxious at the moment, and his forehead was a little sweaty.

This will make Lin Yi, the emergency boss, go up for surgery, and he can only rely on himself here.

Because the bleeding point could not be found, the family members became more and more excited.

I did this check for a long time, and I did all the checks, but it just didn't work!

Wu Jiang withstood the pressure, thought for a while, and then continued to command:

"Contact the bedside color ultrasound again, and the doctor from the interventional department will also notify me to call for a consultation."

I came here to see if ultrasound technology could be used to find bleeding spots in the abdomen and throughout the intestines.

Letting the interventional department come for consultation is the last resort.

If you can't find the bleeding point even with color ultrasound, you can only do an interventional examination, which will have to go to the operating room.

A contrast agent is injected and, with the help of radiation, see which blood vessel is leaking.

This is an invasive test, and I will choose to do this if it is really not possible.

"Let the blood bank bring another 200 milliliters of blood."

On the patient's side, if the bleeding does not stop, the blood must be transfused until the bleeding point is found.

Otherwise, your life will not be saved.

Soon, the color ultrasound doctor came first.

After searching the abdomen and the entire intestine, nothing was found.

But I found another problem.

Is it this young female patient who still has stones?

Common bile duct stones, which are located very close to the root of the pancreas.

Both the bile ducts and pancreatic ducts are slightly dilated.

However, the stone is still very small, only 0.3 cm, which is a relatively stable stone.

So Wu Jiang just glanced at the results and put them aside.

Stones and gastrointestinal bleeding are not very related.

Color ultrasound is not good...... So trying to enhance CT??

The family had a cold face and wanted to get angry, but they still agreed for the sake of their daughter's condition.

Soon the results of the CT scan also came out, and there were no bleeding spots in the whole abdomen except for stones.

This made Wu Jiang completely helpless.

"I can only find the interventional department."

It's just that this test is more expensive than other color ultrasound gastroscopy or something.

After all, it is an item that needs to be checked while doing radiation.

When the family heard this, they couldn't help but explode!

"You guys are such a big hospital, you can't check for half a day, and there are no results at all! We can't spend this money in vain, can we?!

Gastroscopy, colonoscopy, B-ultrasound CT are all done! Why doesn't it work at all!

Aren't you taking people's lives for money?! My daughter is like this, don't you hurry up and find out the cause?!"

Faced with the anger of his family, Wu Jiang could only endure it silently.

Sometimes doctors are not everything.

They don't have clairvoyance, so they can't find the exact cause of the disease right away.

Especially if you want to think about the patient right now, bleeding for unknown reasons.

There is still a lot of bleeding, and according to common sense, Wu Jiang's thinking is right, and it is indeed a priority for lower gastrointestinal bleeding.

But this girl seems to be out of the ordinary.

All of these possible tests have been done, but the cause is not clear.

Sometimes finding the cause is the same as investigating a case, you need to peel off the cocoon a little bit, and you need to let go of every detail in order to find out the 'murderer'.