Only Nie Jiamin has this privilege, and only five to six patients can be seen in a special specialist clinic at a time.
The doctors from the same hospital who were present knew that this pediatrician was prone to pediatric occupational diseases, and they did not take his warnings to heart.
In fact, no doctor dared to neglect Xie Youtian. Even someone like Tan Kelin, who seemed to be very cold to children, took a stethoscope and put on earplugs, warmed up the cold earpiece and put it close to the child's belly to listen.
It is to listen to the bowel sounds in the child's stomach.
Bowel sounds, sometimes doctors don't need a stethoscope to listen, people can hear them themselves. For example, when people are hungry, they usually say that their stomachs growl, which can be said to be a manifestation of hyperactive bowel sounds.
How is this sound produced? We know that the human stomach and intestines are the digestive system. When we eat, solid food and drink, there is digestive juice in the stomach and intestines even if we don't eat anything. At the same time, there is gas in the stomach and intestines.
When the stomach and intestines move, the gas and the substances in the stomach and intestines mix together and produce a physical phenomenon, the sound of gas passing through water. To put it in a more vivid way, the gas bubbles on the water surface, making a gurgling bubbling sound.
Normally, the gastrointestinal motility of the human body is in a healthy state, and the sound of gas bubbling in the anus is relatively gentle, like a frog boiled in warm water, neither hot nor cold, low-key and steady. It manifests as normal bowel sounds, gurgling less than four or five times a minute, hidden under the belly, and no one can notice it unless you pay special attention.
When you are unhealthy, gastrointestinal motility becomes abnormal, and bowel sounds will also become abnormal. This abnormality can be manifested as hyperactive bowel sounds, that is, the gurgling sound becomes faster; it can also be manifested as weakened or absent bowel sounds, that is, the gurgling sound becomes weaker or disappears.
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Based on the above reasoning, doctors can listen to bowel sounds to determine whether the patient has gastrointestinal motility problems and further infer what may be wrong with the patient's gastrointestinal tract.
Auscultation requires special concentration. A doctor wearing a stethoscope is like a musician. He can discern the nature of the sound and keenly judge the abnormal signals emitted by the human body, which is far more than the simplest counting.
Tan Kelin's single eyelids under his long bangs seemed to be frozen at one point, motionless, and his attention was focused on nothing else except his ears.
How many times per minute does a child's bowel sound occur? What does it sound like? Is it high pitched? Is it metallic? Or is it a more normal bubbling sound?
No one dared to speak among the people standing around him. Qiu Ruiyun and Sun Yubo, who were arguing, decisively shut their mouths. If they dared to argue again, they would be yelled out by the boss.
When a doctor listens to a patient's heart, what he needs is quietness, and it is best if there is absolute quietness all around.
Other experienced doctors would not waste time when Tan Kelin was listening, and would prick up both ears as if they were stethoscopes at the same time. When the bowel sounds were very loud, there was no need for a stethoscope, and one could hear something just by listening like this.
Now it sounds like the kid's little belly is gurgling, gurgling, gurgling...it's getting a little loud.
This sound, which is definitely more than six times a minute, is an active hyperactive bowel sound. This hyperactivity is basically impossible to be the child's hungry stomach growling. The child's medical history is that he eats a lot. The hyperactive bowel sounds caused by hunger are the result of tonic contraction of the intestine. In addition, partial mechanical obstruction in the intestine, such as acute gastroenteritis, will also stimulate gastrointestinal peristalsis to accelerate in disguise and produce hyperactive bowel sounds.
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