Chapter 667

Dr. Xiao also frowned, which is not very common.

"Aunt, when do you usually feel dizzy? Do you feel dizzy at other times besides going to bed? What kind of dizziness? " Asked Guo Xiang.

Wang Chunhua thought, "there are other times, but you don't feel dizzy sitting here or standing like this."

"That's..." Wang Chunhua recalled, "that's when you go to bed, turn over, bow your head, and bend down."

"The time of dizziness is very short, maybe less than a minute. But it's hard. Sometimes I feel like vomiting... "

"Yes, sometimes I fall when I don't pay attention. My mother is old and doesn't fall." Wang Chunhua's son said anxiously.

All three were lost in thought.

Guo Xiang thought about Wang Chunhua's words. When she went to bed, turned over, bowed her head and bent over, there were changes in her movements. She said that she didn't faint when sitting and standing.

That's when you lose your balance.

"I know!" Guo Xiang thought of it.

"What?" Anzehan hurriedly asked, and Dr. Xiao also looked at Guo Xiang.

"It may be otolithiasis!" Guo Xiang said.

"What 'earwax'? I don't have earwax. I pull out my ears regularly, and I haven't heard that earwax can cause dizziness. " Wang Chunhua said suspiciously.

Guo Xiang smiled, "aunt, it's not 'earwax', it's' otolith ', the stone of stone."

"What is' otolith '? There are stones in people's ears? " Asked Wang Chunhua's son.

"This otolith is an important organ in the ear. Look..." Guo Xiang took a paper pen and drew an ear on the paper. "This is our ear. What human flesh can see is the outer ear. For example, what is inside the eardrum, the deepest part is the inner ear."

"The inner ear is not only responsible for our hearing, but also for our balance!" Guo Xiang said as he lit his ear on the paper with a pen: "once there is a problem with the inner ear, people will feel that they are rotating. Because there's something wrong with the otolith. "

"The oval sac and air sac of the inner ear have cystic plaques, a layer of otolith membrane on the surface, and many calcium carbonate crystals are otoliths. It is a real stone, born with us at birth. Under normal circumstances, the otolith is attached to the otolith membrane, but it may fall off for some reasons. "

"These exfoliated otoliths will swim in the liquid called endolymph in the inner ear. When the head position of the human body changes, the position of these semicircular canals will change, and the buried otoliths will move with the flow of liquid, so as to stimulate the hair cells of semicircular canals, resulting in strong vertigo."

"Is it these otoliths that make aunt feel dizzy?" Anzehan asked in surprise that he really knew very little about this.

Dr. Xiao also looked at Guo Xiang in surprise. Unexpectedly, the intern was so familiar with this. Isn't she a cancer major?

"Well, what about that?" Wang Chunhua's son asked. It was the first time he had heard that there were otoliths in people's ears.

"You should see otolaryngology." Guo Xiang said, "you can get rid of dizziness by resetting the otolith."

"Ear, nose and throat?" Wang Chunhua's son was surprised. The headache had something to do with this.

"Our hospital is a department of facial features. It's on the third floor. You go to the Department of facial features to talk to the doctors there and tell them our views here." Dr. Xiao said.

"Then, going there can solve my mother's dizziness?" Wang Chunhua's son was pleasantly surprised and finally found the reason. The doctor of Beijing medicine is good at medicine.

"Go, it can be solved." Guo Xiang smiled.

They thanked again and again and went to the facial features department.

"Guo Xiang, you are really good. How did you think of it?" Asked anzehan.

"I just wanted to think about what my aunt said about vertigo. It doesn't happen in a static state, so it should be caused by the break of balance." Guo Xiang said with a smile, "you see, usually if we take the car, suddenly accelerate or suddenly brake, we can feel the acceleration and deceleration of the car and adjust our body, otherwise we would have flown out."

"If there is no otolith, we will have no sense of speed, balance and space. We will wander all day. How can we live?" Guo Xiang said, "so I thought it was caused by otolith falling off."

"And aunt has no other discomfort, and the vertigo time is very short, so it's a big reason for otolith." Guo Xiang said, "otolithiasis is also called 'benign paroxysmal positional vertigo', so it is very consistent."

The reason why I didn't expect at the beginning is that most people will think it is a physical disease, and those common diseases are more likely to cause dizziness. Otolith falling off is rarely encountered. A person may not encounter it once in his life, and it's not so easy for natural doctors to think of it.

"How should the facial features department diagnose and treat it?" Asked anzehan curiously.

"The Department of facial features should judge which side of the semicircular canal has otoliths through nystagmus." Guo Xiang said, "as for treatment..."

Some treatment methods of later generations do not know whether they are available now, so they said: "it is mainly manual reduction, that is, the otolith falling off into the semicircular canal is adjusted to its original position through the change of body position through the rotation of the body and head. This doctor in the Department of facial features should have experience. "

"I'm really curious." Anzehan said, "I'll go to the Department of facial features to see if it's this' otolithiasis'."

Then he thought he was still at work and looked at Dr. Xiao. He nodded, "go!"

It's good to see. Since it's an internship, of course, the more you learn, the better.

"Thank you, Miss Xiao." Anzehan was surprised and raised her eyebrows at Guo Xiang. She smiled, "I won't go. Go and come back quickly."

"Yes!" Anzehan answered and ran out.

Dr. Xiao looked at Guo Xiang curiously, "very well."

"Thank you, Miss Xiao." Guo Xiang smiled.

"I saw the departments you rotated before, and the results were good. How did you learn?" Dr. Xiao is very curious. She can be a general practitioner. She seems to know everything.

"In fact, it's nothing. I just have a stronger memory than others. I won't forget what I've seen." Guo Xiang said.

Dr. Xiao raised his eyebrows. That's no wonder. It's a talent, and others can't envy it.

After half an hour, anzehan came down.

"Guess what? That aunt is ready. " Anzehan said in surprise.

"So fast?" Guo Xiang smiled.

"Well, I asked the doctors in the Department of facial features. They said it was really 'otolith'. Some people can get better on the same day, some people can get better in several days, and some people can get better in several months. It's different from person to person." Said anzehan.

"The aunt was so happy that she didn't faint at last." Anzehan smiled.

Just then Wang Chunhua and her son came in, "thank you very much, doctor!"

After reading for so long, if Guo Xiang hadn't mentioned it, they wouldn't have thought of going to see their ears and suffered so many sins.

Although doctors in the Department of facial features are optimistic about it, if Guo Xiang doesn't find it, they may delay longer and suffer more crimes.

"Well, it should be. Isn't our doctor just helping your patients out?" Guo Xiang said with a smile.