Some people prefer a glass of wine before bed
to relieve stress and aid sleep
The case I want to talk to you about today
She is a female drinker.
Ms. Han is only in her early 40s this year,
But have been drinking for years,
When it comes to drinking, she is also difficult to say.
To treat insomnia
A 40-year-old woman who has been drinking for many years
A few years ago, due to the great pressure of work,
Ms. Han often has trouble sleeping at night,
It has a serious impact on daytime work.
Once, she heard by chance,
Drinking alcohol can help improve sleep,
So she began to try drinking before bed.
She can't sleep without taking sleeping pills,
After drinking,
She was able to sleep until dawn.
This habit of drinking alcohol to fall asleep gradually evolved into a dependence on alcohol, and even relying on alcohol hypnosis every day. In order to have a good night's sleep, Ms. Han thought to herself, drinking alcohol is better than taking medicine.
But in the past six months, Ms. Han has often felt abdominal pain. At first, the abdominal pain was mild, the attacks were not frequent, and she did not take it too seriously. However, at a long-lost classmate dinner, she suffered from abdominal pain again after drinking.
She originally thought that she had eaten too much, her stomach was upset, and she took stomach medicine and wanted to stay up for a while, but at night, she was woken up in pain, and she couldn't stand up in pain, and her family quickly sent her to the local hospital for treatment, was diagnosed with an acute attack of chronic pancreatitis, and stayed in the hospital for more than ten days.
Unbearable abdominal pain
actually drank a "little stone"...
However, the good times did not last long, and within a few days of being discharged from the hospital, Ms. Han's stomach hurt so badly that she often ran to the hospital, fasting at every turn, and she and her family were miserable. Not only that, she also noticed that her legs were also swollen, and her weight also lost 5-6 pounds in a short period of time.
This frightened Ms. Han. The local doctor said that it was because of the growth of multiple large stones in her 3-4mm pancreatic duct, the largest of which was 2.5cm in diameter.
These "stones" blocked her pancreatic duct, and the pancreatic juice rich in more than 20 digestive enzymes could not be smoothly discharged into the intestinal lumen, causing high pressure in the pancreatic duct, and eventually led to repeated attacks of Ms. Han's acute pancreatitis. To solve it, you have to clean up these "big guys".
The local doctor tried endoscopic stone removal, but the pancreatic duct in front of the large stone was narrow, and the stone and the "passage" were tightly closed, not to mention the stone and the bracket, and even the thinnest and most lubricated guide wire could not bypass the "stone".
What can be done about this? Some people suggested surgery, but after all, the operation was traumatic, and after tossing for so long, the family was worried that Ms. Han's body could not eat. It was also suggested that she do extracorporeal shock wave lithotripsy, which first crushes the stone, so that the broken stone can be removed from the pancreatic duct.
Can't get the stone out?
In desperation, come to Shanghai for medical treatment!
In the Department of Gastroenterology of Shanghai Ruijin Hospital, Director Zou Duowu's team found that Ms. Han's indicators were not ideal: hemoglobin, albumin, and prealbumin, which reflect nutritional status, were very low, electrolyte abnormalities, and even abnormal coagulation function. In addition, the general condition of the person is also poor, both lower limbs are edematous, and the person is wheezing.
It turned out that firstly, she did not dare to eat more because she had abdominal pain and bloating recently, and secondly, because of frequent attacks of acute pancreatitis, long-term fasting, and only supplemented glucose through veins, etc., and the energy supply was insufficient. After evaluation, Ms. Han's current condition could not tolerate the minimally invasive treatment of extracorporeal shock wave lithotripsy, and the risk of anesthesia was high.
To this end, doctors placed a jejunal feeding tube for her to improve her nutritional status through intravenous and enteral nutrition. After treatment, Ms. Han's indicators returned to normal, and she walked without breathing.
"Because the stones in Ms. Han's pancreatic duct are large and numerous, the texture is hard, and the success rate of direct stone removal is extremely low, so the pancreatic extracorporeal shock wave lithotripsy was performed first, and divided into three times for extracorporeal lithotripsy." Zhang Ling, deputy chief physician of the Department of Gastroenterology, said that after three precise shock wave lithotripsy, the stone has been partially disintegrated. Subsequently, Director Zou Duowu performed endoscopic surgery (ERCP, endoscopic retrograde cholangiopancreatography on Ms. Han) and successfully removed pancreatic duct stones.
Today, Ms. Han has recovered and been discharged from the hospital, she no longer suffers from abdominal pain, and recent check-ups have shown that her pancreas has completely cleared of stones. After this calamity, she never drank again!
Popular science knowledge:
Many of the early symptoms of alcoholic pancreatitis are not typical, and many people who like to drink often think that it is just a minor illness and pain, and do not pay attention to it. But when the typical symptoms of pancreatitis are in full swing, they often realize the seriousness of the problem and most often need to be hospitalized.
For patients with alcoholic pancreatitis, there is an old saying: "The prodigal son does not change his gold." This means that whenever you decide to quit drinking, it is a great boon to the body. To prevent alcoholic pancreatitis, the first and most important thing is to quit alcohol addiction. In addition, it is also crucial to adhere to regular medical check-ups, which is recommended to be done once a year. Only by detecting any abnormalities in the body in time can we ensure early treatment and restore a healthy physical state as soon as possible.