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Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

One emergency night shift, at 12:00 a.m., I had just rescued a patient and was preparing to take a break when I suddenly felt a sharp pain in my stomach (epigastric region), as if someone was twisting hard.

I bent down in pain, like cooked dried shrimp, to get better.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

gallstone? Peptic ulcer? Perforation of the digestive tract?

Judging by my irregular diet, these are all possible.

I gently touched and pressed the belly (palpation), which was fine, soft, without peritonitis, and did not consider the perforation of the digestive tract for the time being.

I gently pressed the part under the ribs on the right side (the gallbladder area) again, and it didn't hurt.

I was about to give myself an abdominal ultrasound when a burst of intent struck... After discharging a large amount of water-like stools, there is basically no feeling of abdominal pain.

At this point, I tentatively concluded that I had eaten a bad stomach.

First, I took a look at my own excrement, and there was no blood or pus.

Fortunately, it is estimated that it is not a very serious bacterial infection.

The amount is relatively large, as thin as water, and with the location of the previous pain, I initially judged that it was a problem with the small intestine.

If it is a problem with the large intestine, the number of bowel movements will be more frequent, but the amount of defecation will be less per time, and the pain site will be closer to below the navel.

Diarrhea related to the small intestine is generally relatively large, easy to dehydrate, and the "stomach" will be cramped severely.

Next, I took my temperature, 37°C, no high fever; heart rate about 60 beats per minute, blood pressure 100/60 mm Hg. I wrote it down as a base value for later monitoring and comparison.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

Finally, I reviewed the last 1 week of suspicious foods. Why 1 week? Because some bacterial infections have an incubation period, they will not develop the disease at that time.

Grilled skewers, marinades, hot pots, sashimi... All may harbor pathogenic bacteria.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

But now the body feels fine and can be observed.

In the middle of the night, the "stomach" was still a bout of colic, crazy diarrhea.

Although I had abdominal pain as soon as I drank the water, I forced myself to drink 1,000 ml of water (dehydration is even more terrible).

When I left the night shift at 8 a.m., I was still flustered, thirsty, and weak. I have not urinated since the onset of the disease, my heart rate has accelerated to 100 beats per minute, I know that I am a little dehydrated, the speed of discharge is far faster than the speed of drinking, I have to infuse!

I prescribed myself 1,000 ml of sugar saline (glucose sodium chloride injection) and injected it in more than 1 hour as quickly as possible.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

(Image source: Photo by Dr. Ma)

Also pay attention to the problem of potassium deficiency, but potassium-containing liquids have restrictions on the speed of infusion, so during the infusion, I drank the potassium (potassium citrate granules) that should be supplemented.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

(Image source: Photo by Dr. Ma)

After replenishing more than 3,000 ml of liquid (defecation + basic need), I felt that the whole person came alive again, and my heart rate slowly dropped to about 70 times. Although I didn't pee yet, I had the strength to walk home.

After returning home, the "stomach" pain and diarrhea have not improved.

I gave myself a tablet of 654-2 (racemic scopolamine), a medication for gastrointestinal colic. After about 20 minutes, the pain is better.

I took rehydration salts and montmorillonite powder orally. The former is a sweet, salty, salty liquid that avoids dehydration and replenishes electrolytes; the latter improves diarrhea.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!
Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

(Image source: Photo by Dr. Ma)

Slowly, the body began to exert some strength, and the pain also improved.

The next day, I started trying to eat, first drinking some thin porridge, rehydration, sugar, and electrolytes.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

Although the pain struck again, it was already bearable. I had to eat some noodles, and vegetables, and the pain didn't get worse.

I was able to eat and drink, my urine output gradually increased, and on the third morning, I returned to normal work.

Many diseases will be covered with abdominal pain, diarrhea, such as pancreatitis, appendicitis, cholecystitis, ectopic pregnancy and even myocardial infarction and so on.

Therefore, whether you have explicitly eaten something unclean or not, you must first rule out the possibility of other diseases.

But you are not me, to rule out the disease or to go to the hospital for help.

There are 3 key steps before your visit.

1. Remember what kind of poop you are pulling

Yes, it is recommended that you take a good look at your own poop.

If you can, take a souvenir photo.

Because you may have difficulty identifying mucus-purulent, tarry, and mushy stools. Just take a picture and give it to the doctor.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Sometimes, there may be residual normal stools in the first bowel movement, please refer to abnormal stools.

If you can, estimate the total amount of bowel movements.

Challenge Level: Hold back! Wait until you go to the hospital to pull again, and do a stool examination by the way, which is excellent for judging the condition.

Don't worry about pulling all the water you're pulling, the hospital has a vial for watery poop.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

2. There is no dehydration

The assessment of dehydration is complex, but it can also be simple:

Whether the amount of urine is reduced, whether it is thirsty and wants to drink water.

In addition, palpitation, dizziness, and fatigue can also be symptoms of dehydration.

If you can't drink a lot of water yourself, go to the hospital immediately and as soon as possible.

3. Recall carefully

Carefully review their diet, travel, and pet experience;

Ask your friends who have recently eaten together if they have the same symptoms.

If so, meet up to see a doctor together.

Also pay attention to the isolation of meals with your family to avoid infection.

If you have taken antibiotics or been hospitalized in the past 3 months, or have had high-risk sexual behavior, or are taking immunosuppressants (such as prednisone) or have a disease that weakens your immunity, be sure to tell your doctor because of the specific pathogen to consider in this case.

Most acute diarrhea can get better on its own.

For people who are not serious and do not have a high-risk disease, such as me, pay attention to hydration and maintain nutrition. Antibiotic therapy is generally not required.

The following cases can be considered to use antibiotics, but also can not eat themselves, to be judged by the doctor:

1. Severe symptoms, such as fever, more bowel movements per day.

2. Have characteristics of an invasive bacterial infection, such as mucus-like stools or bloody stools (poop photos or specimen tests are required to assist in judgment).

3. Special circumstances, such as age over 70 years old or combined heart disease and diseases that impair immune function.

It is best to drink the rehydration solution yourself, dilute juice or oral rehydration salt. Rehydration salts are available at pharmacies.

If there is severe dehydration, such as thirst, decreased urine output, mental malaise, etc., you can go to the hospital for intravenous fluids. When the condition improves, it can be changed to oral rehydration solution.

In terms of diet, it is still necessary to maintain adequate nutrition. If you don't want to eat or have symptoms of nausea and vomiting, you can eat some liquid food in the short term, such as porridge.

After severe diarrhea, avoid eating high-fat foods (such as big fish and meat) until intestinal function returns to normal.

With the exception of yogurt, the intestines may have difficulty digesting other dairy products, so avoid lactose-containing foods, such as milk, for the time being.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

Special tips

1. Prevention is the best treatment, usually remember to wash your hands before meals, and divide meals during meals.

2. When preparing vegetables, raw and cooked are separated, and fresh and fully heated seafood should be eaten.

Female doctor 12 o'clock in the middle of the night stomach pain! She completed self-help in 8 hours with these 3 steps!

Image source: Stand Cool Helo

3. Cook food when shabu-shabu and avoid eating raw food.

*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.

*The copyright of this article belongs to Tencent Medical Code, unauthorized media reprinting is prohibited, and illegal reprinting will be investigated for legal responsibility according to law. Individuals are welcome to forward to the circle of friends.

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