Author: Lu Ting Shanghai Jiao Tong University School of Medicine Dai Qihua Shanghai Jiao Tong University School of Medicine Zhang Yeqian Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Painting: Zhang Wenxun Shanghai Jiao Tong University School of Medicine Reviewer: Qin Jun, deputy chief physician of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine Patient Guang Bing: "Doctor, save me! Please prescribe some medicine for me. Can we avoid gastroscopy?" After having supper tonight and returning home, the patient Guang Bing's stomach hurt more and more, as if it was cut by a blunt knife, and it felt like it was on fire. He took painkillers as recommended on the Internet, but it didn't work. After a while, it even hurt more... "Doctor, is my stomach okay?" Figure 1 Copyright photo is not authorized for reproduction Doctor: " Don't take random medicine . Many people search for painkillers online when they have stomach pain. It seems to be effective, but many medicines on the market can only relieve symptoms and cannot cure stomach problems. In the long run, the stomach will be completely damaged. It only treats the symptoms but not the root cause! You still need to take targeted medicine according to the results of the gastroscopy. Don't focus on treatment and neglect examination! Fortunately, you came to the hospital. It's not too late as long as you come!" Figure 2 Copyrighted photos are not authorized for reproduction After the examination, the doctor said to the patient: "Young man, did you eat anything spicy? This is erosive gastritis. If you don't pay attention, it will develop into a gastric ulcer, which will be very painful. In severe cases, it will develop into atrophic gastritis or even gastric cancer. What should I do if that happens?" Figure 3 Copyrighted photos are not authorized for reproduction I love spicy food and beer, but I suffer from stomach pain. I have to drink porridge occasionally to maintain my health, live a light life, and refuse to eat spicy food, calling it regulating my stomach. When the stomach pain subsides, I start to try to eat slightly spicy food, and then officially return to "heavy taste", but one day I collide with stomach pain head-on. This cycle repeats itself, this is Guangbing, and it is also a true portrayal of the life of this generation of young people. Figure 4 Copyrighted photos are not authorized for reproduction Why did Guang Bing suffer from erosive gastritis and why did he rush to the hospital and yell for help? Let's take a look at his story. At 2 a.m., Guang Bing, wearing a burgundy suit, was eating spicy barbecue and drinking beer with a group of friends at a barbecue stall. Figure 5 Copyrighted photos are not authorized for reproduction At 3 a.m., my sleepiness was overwhelmed by the overwhelming calls for snacks. Figure 6 Copyrighted photos are not authorized for reproduction At 4 o'clock in the morning, Guangping returned home, fell comfortably on the sofa, and let out a sigh of contentment. Figure 7 Copyrighted photos are not authorized for reproduction At 5 a.m., Guang Bing was half asleep when he felt a gas appear in his dantian, which gradually expanded and rose. One second, two seconds, three seconds... "Burp!" Finally, the gas came out of his mouth, but the smell was not very pleasant. It was the smell of pepper mixed with chicken gizzards, duck gizzards, tripe, thousand-layer tripe, pig tripe, and fermented beer. Figure 8 Copyrighted photos are not authorized for reproduction Then came another stream of Qi from Dantian that gradually moved downward. The drunk Guang Bing subconsciously used all his strength to expel it from his body, "Puff!" Figure 9 Copyrighted photos are not authorized for reproduction A sudden dull pain swept through Guang Bing's stomach. It felt like "mountains were moving and seas were turning over" in the upper and middle abdomen. The pain came in waves, but the churning in the stomach was like a thick rag. The pain was not sharp, but it continued. The strong burning sensation in the stomach was like a lighter falling into a flame, and it was burning in an instant. The gas that had appeared before ran back to the throat, and it was almost impossible to hold it back. The stomach gurgled loudly. The chest was stuffy and uncomfortable, and the bloating had to be relieved by burping continuously to get a short-term relief. Figure 10 Copyrighted photos are not authorized for reproduction His fingers accidentally touched the pillow, and found that one side was soaked. "Are you drooling?" Guang Bing was a little surprised. He had never drooled while sleeping before. Tonight, everything seemed unusual. Figure 11 Copyrighted photos are not authorized for reproduction But the story was not over yet. Guang Bing began to feel nauseous and vomited. He had been wolfing down the barbecue a few hours ago, but now he looked hideous. Driven by the abdominal pain, Guang Bing finally got up with difficulty and went to the bathroom, but he was constipated for half an hour and the stool he pulled out was dry and hard. He felt completely panicked, "What should I do?" This question lingered in his mind. Figure 12 Copyrighted photos are not authorized for reproduction At this moment, Guang Bing seemed to hear screams and curses coming from his stomach. "Ah! Why are there so many peppers and wine?" "I'll let you eat, but it won't hurt you to death" It turns out that it was the stomach cells that did the good. Figure 13 Copyrighted photos are not authorized for reproduction "Why is my stomachache so severe this time?" Guang Bing curled up on the sofa, took out the painkillers skillfully with trembling hands and swallowed them, while opening the website to start searching. "Why does my stomach suddenly hurt so much?" Gastric spasm? Perforated gastric ulcer? Acute appendicitis? Acute pancreatitis? Acute intestinal obstruction? Figure 14 Copyrighted photos are not authorized for reproduction How is it possible? It's just gastritis. The painkillers will work as soon as you take them! Thinking of this, Guang Bing got up, took a piece of painkiller with scopolamine written on it, and swallowed it. He fell asleep again in a daze. At 5:30 in the morning, Guang Bing was awakened by pain again. A more severe pain came from his upper left abdomen. Under the influence of this severe pain, Guang Bing finally couldn't help but rush to the hospital emergency room. "Doctor, save me!" Figure 15 Copyrighted photos are not authorized for reproduction That’s the whole story. The doctor finally gave a message to all young people like Guang Bing: "Young people, eat regularly and eat light food! Take care of your stomach!" |
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