Chapter 540 Diabetes Mellitus (Gestational Diabetes Mellitus, Candidal Vaginitis)
Although she had been busy for half the night, she had heard such confidential information, and Li San Niang felt that her efforts had not been in vain.
When Li San Niang returned to the Li family, it was almost dawn, and the breakfast stalls on the street had already opened.
After staying up all night, Li San Niang felt her eyelids were numb, her mouth was dry, and her temples were also feeling a dull pain.
"Luckily, it only happens occasionally. If I had to stay up all night every day, even someone made of iron couldn't take it."
Li San Niang took the warm towel handed to her by her mother and placed it on her eyes to relieve the soreness and numbness.
"You should eat something quickly. If you eat, you can stay drowsy for a while, but you'll have to get up and go on duty soon."
Third Sister, you are not like your father and second brother. They can sleep in at home until they wake up, and they just open the clinic a little later.
You must be on duty at the clinic on time.
Li San Niang nodded, listened to her mother's words, ate the thick porridge cooked by Wu Qiaolan, went to the side hall to check on the sleeping Lu Zhu'er, then quickly went back to the courtyard to catch up on half an hour of sleep before hurriedly getting up again to rush to the clinic.
When it's her turn to be on duty, Li San Niang's daily life is busy yet fulfilling.
After seeing off the young woman who had just come for a checkup, Li Sanniang gently rubbed her eyes with the back of her hand to relieve the numbness. Then she heard a familiar voice calling out in her ear.
"Dr. Li, we're here again."
Yingniang, who was heavily pregnant, and Shunzi, who was standing carefully beside Yingniang, stood at the front desk. The two of them slowly walked towards the consultation table where Li Sanniang was.
Counting the days, Yingniang's twins are already more than six months along.
Yingniang wasn't exactly a petite woman, but twins grow faster as pregnancy progresses, making her belly appear quite large.
It's quite frighteningly large.
Even with the extra room in the loose-fitting ruqun (a type of traditional Chinese dress) to cover her up, Yingniang's appearance was still quite striking.
On the seven or eight steps she took towards Li San Niang's consultation station, Li San Niang noticed that not only the person in front of Tang Mingyue's consultation station was looking at Ying Niang, but even Qi Li on the medicine cabinet couldn't help but glance at Ying Niang.
Upon seeing Yingniang's condition, Li Sanniang quickly asked Qiuxiang to find a chair with a backrest for Yingniang to sit on. It wouldn't be appropriate or safe for Yingniang to sit on the bench in front of the consultation table.
Yingniang was still as lively and cheerful as ever. She first thanked Qiuxiang for bringing her the chair, and then carefully sat down in the chair.
Have you been feeling unwell anywhere lately?
You're pregnant with twins, so even if you feel even a little uncomfortable, you need to talk about it. Don't ignore it.
Shunzi, who had just finished speaking to Li Sanniang, looked at Yingniang nervously from the side: "Yingniang, you must tell Doctor Li clearly where you feel uncomfortable."
Our family isn't afraid to spend this money; it's a small expense for peace of mind, and it's worth it.
Yingniang said, "Hey, I can eat and sleep well, what's wrong with me?"
Although Yingniang's face showed that nothing was wrong, she was still very satisfied with Shunzi's nervousness towards her.
"Dr. Li, I really have nothing wrong with me."
"I came this time only because you mentioned it last time. Now that the time has come, I've come to see you and put my mind at ease."
Judging from Yingniang's healthy, rosy complexion, Li Sanniang could roughly conclude that Yingniang was indeed fine.
After taking her pulse, Li San Niang was certain that Ying Niang was alright.
"Come in, let me touch my belly."
With Qiu Xiang's help, Ying Niang finally managed to lie down on the wooden bed frame. She tried with some difficulty to lift her ruqun (a type of traditional Chinese dress), but Qiu Xiang helped her out, and that's how she exposed her abdomen.
Li San Niang activated her X-ray vision and looked into Ying Niang's womb layer by layer. The children were developing well, although one was smaller than the other, they were still healthy.
After confirming there were no other problems, Li San Niang did not prescribe any medicine for Ying Niang. She only reminded her to come for her next appointment, saying, "Since you are carrying twins, you must come for your appointment more often. If there are no problems, then everyone will be happy."
If it's a minor ailment, coming to see me more often will help detect it early, which is good for both you and your child.
Yingniang nodded solemnly: "Yes, I will listen to Doctor Li."
Not long after Yingniang and Shunzi left, another acquaintance of Li Sanniang walked into the clinic.
Shen Qiuniang was only three months pregnant and had not yet shown any obvious signs of pregnancy. However, since it was her first pregnancy, Shen Qiuniang was very concerned and listened to Li Sanniang's advice to come for regular prenatal checkups.
Following the procedure, everything went smoothly. After Li Sanniang gave her some instructions about the diet, Shen Qiuniang left the clinic directly.
I don't know what's wrong with today, but one pregnant woman after another is coming to see me. After seeing off Chen Qiuniang, another heavily pregnant woman has arrived.
The woman, carrying a basket, had gone to Nanxing alone to get her number before going to find Li Sanniang.
Wang Dahua smiled slightly at Li Sanniang with a bit of restraint before carefully sitting down. After Li Sanniang asked her a question, she lowered her head shyly and said in a low voice, "Female doctor, I don't know what's wrong with me."
This pregnancy isn't going well; my genital area is incredibly itchy, and scratching doesn't help. It's so uncomfortable.
"I had no other choice; I simply couldn't bear it any longer. I heard there was a female doctor here, so I thought I'd come and have a look."
Upon hearing what the woman said, Li San Niang had some guesses in her mind.
How far along are you in your pregnancy? Besides the symptoms you mentioned, do you have any other discomfort?
Wang Dahua looked up at Li Sanniang and saw that Li Sanniang did not show any disdain for what she said, so she felt much more relaxed.
"Female doctor, this is the only place that hurts, nothing else."
I think I'm over five months pregnant now.
"Have you ever been pregnant before? How many children have you given birth to? How many of them are still alive?"
Wang Dahua answered Li Sanniang's questions one by one, and then heard Li Sanniang ask, "Was your belly already this big before you were pregnant?"
Upon hearing this, Wang Dahua replied with a slight embarrassment, "Well, I'm just a big-bellied, thick-waisted person, but my arms and legs are all thin."
So Li San Niang took Wang Da Hua's pulse, and then called Wang Da Hua into the inner room to touch her stomach and examine her lower body.
"The cottage cheese-like discharge on my underwear is enough to indicate that it is a fungal infection."
According to the X-ray, there is an excess of amniotic fluid in the uterus, and the fetus is also quite large.
Considering what she just said—that she had a miscarriage, another stillbirth, and currently has two surviving children—it's basically safe to say she has gestational diabetes.
Once Li San Niang had made a diagnosis, she tried her best to explain the illness to Wang Da Hua in simple terms.
Wang Dahua looked completely bewildered, presumably because she didn't quite understand.
"Besides the ailment in your lower body, you also have diabetes, so you have to control your diet. Otherwise, if it gets serious, it will be bad for both you and your child."
The baby in your belly is getting quite big. Although this isn't your first pregnancy, if the baby gets too big, it will be difficult to give birth in the future.
From now on, reduce your rice intake at each meal. If you can eat more meat, you can eat less grain.
As for that unbearable itching, I can prescribe a medicine for you. Go home, boil it in water, and use that water to wash the area.
But you also need to pay attention to cleanliness and hygiene. When you get home, boil and air-dry all your personal items before wearing them.
After repeated instructions and explanations, Li Sanniang finally saw Wang Dahua out of the clinic.
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