[This article declares: This story is pure fiction, if there is any similarity, it is purely a coincidence, do not sit in the right seat. 】
Uncle Li, 65, is a retired teacher. Three months ago, he suddenly had persistent diarrhea. At first, he thought he had a bad stomach, so he bought some antidiarrheal medicine for himself.
But after eating for a week, the symptoms did not improve, but became more frequent, running to the toilet seven or eight times a day, the stool was thin and invisible, and it was accompanied by abdominal pain, weight loss and other discomforts.
Seeing that her father was getting weaker and weaker, her daughter was anxious, so she hurriedly accompanied Uncle Li to the gastroenterology department of the hospital for treatment.
The doctor carefully inquired about the medical history and immediately arranged for examinations: blood routine, biochemical set, stool routine, colonoscopy, etc. The results showed that except for the routine stool showing "positive fecal occult blood", there was no obvious abnormality in the rest of the tests.
Faced with the puzzled father and daughter, the doctor explained: "Judging from the current examination results, Uncle Li's symptoms are considered to be caused by intestinal inflammation.
A positive result for fecal occult blood indicates a spot of bleeding in the intestine, but the colonoscopy does not reveal organic lesions such as ulcers or polyps, which is considered to be an inflammation caused by a bacterial or viral infection.
I recommend that you take anti-diarrheal medications and antibiotics, and take extra fluids, and come back in two weeks. "
Half a month later, he came to the hospital again, and the doctor arranged for CT, tumor markers and other examinations, but the results were still negative.
The doctor was a little surprised and instructed Uncle Li to continue to take medicine regularly and follow up regularly.
After another half a month, Uncle Li's condition deteriorated sharply. He had diarrhea more than a dozen times a day, his stool was like water, his whole person was skinny and bone-like, his face was sallow, and his eyes were blank.
The daughter's heart was like a knife, and she held back her tears and accompanied her father to major hospitals, but she couldn't find the cause.
A month later, Uncle Li finally passed away due to deterioration of his condition and general failure. He walked not peacefully, and before he died, he held his daughter's hand tightly, his eyes full of unwillingness and resentment.
The daughter lay down on her father's body and wept bitterly, lamenting that her father would not be able to turn a blind eye.
In fact, chronic diarrhea of unknown etiology like Uncle Li's is not uncommon. According to statistics, about 5 million people in mainland China visit the hospital for chronic diarrhea every year, but most cases are still not clearly diagnosed after examination.
The reasons behind this are complex and diverse, ranging from common causes such as infections and inflammation to rare causes such as tumors and immune diseases. In some cases, it may be closely related to stress, dietary habits, etc.
Unfortunately, the current clinical understanding of chronic diarrhea is insufficient, and the diagnosis and treatment standards need to be further refined. Many doctors are often helpless in the face of diarrhea of unknown etiology, so they can only repeat the examination and blindly try.
This practice not only delays the disease, increases the suffering, and sometimes even delays the best time for treatment, resulting in irreparable tragedy.
Therefore, for incurable diseases such as chronic diarrhea, both doctors and patients should be vigilant.
On the one hand, doctors should establish a holistic concept, comprehensively analyze the patient's symptoms, signs, auxiliary examinations and mental and psychological conditions, consult multidisciplinary consultation when necessary, and strive to make a clear diagnosis as soon as possible and give targeted treatment.
On the other hand, patients should also take the initiative to cooperate, truthfully inform their medical history, actively adjust their lifestyle, and follow up regularly, and do not self-medicate or treat at will, so as not to miss the best time for treatment.
Death is a must for every life, and no one can predict and control it. Instead of complaining, it is better to cherish the present, grasp the present, and let the limited life bloom with brilliant colors.
As the saying goes, "death and life are broad, and the son becomes a word", although life and death are cruel, but the friendship of "holding the hand of the son and growing old with the son" can transcend life and death and reach eternity.
Write at the end
For the healers, those lives that cannot be saved are eternal pain in our hearts; And those lives that are saved are the meaning of our unremitting efforts.
Although life is impermanent and fragile, as long as we have a heart of benevolence, protect life with life, and take on the mission with responsibility, we will not fail to live up to the vocation of doctors and be worthy of our inner conscience.
What do you have to say about this? Feel free to leave your thoughts in the comment section!
[References]
[1] Irritable Bowel Syndrome and Functional Diarrhea Collaborative Group, Chinese Society of Gastroenterology. Guidelines for the diagnosis and treatment of irritable bowel syndrome and functional diarrhea (2015, Shanghai).Chinese Journal of Digestion,2016,36(5):299-314.
[2] Li Yanqing. Etiology and treatment strategies of chronic diarrhea. Acta Metallurgica Sinica,2019,39(9):773-776.
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