Chapter 1754

"Lao Luan, your figure is recovering very quickly." Su Yun sat down and laughed with Luan Yingjie.

"Brother Yun, look at what you said." Luan Yingjie sat down and said with a smile, "didn't you tell me to have a ketogenic diet?"

"The effect is good." Su Yun asked casually.

"The effect is good. My stomach has gone down and my blood sugar has been controlled. But now I feel so deeply about one sentence - eating meat is just an ornament of life, and carbon water is eternal happiness." Luan said with some emotion.

"Hahaha, what do you want? When you are free to eat, you will eat rice and drink well every day?" Su Yun said with a smile, "don't gossip and get down to business."

"My father, 72, suffered from intermittent dizziness six months ago. Strangely, he only fainted when eating, especially when he ate a lot of rice or steamed bread solid food." Luan Yingjie said, "at first I didn't care. I thought I was busy doing business and was always away from home. The old man wanted me, so he pretended to be ill and let me go back."

"Later, I went home to eat with him for a few meals. It doesn't look like pretending to be ill. But I'm usually fine. Don't look at him at 72. I ride a bike every day and walk around the world along 49 cities. I'm in good health. But I can't see the problem of dizziness when I eat. I'm very thin."

While listening to Luan Yingjie's introduction, Zheng Ren looked through the medical records and test sheets.

"I went to the hospital for examination several times, all of them were OK, and the doctors were baffled."

"No other medical history?" Zheng Ren asked, "do you have hypertension, coronary heart disease and diabetes? Do you take medicine every day?"

"None. My body is twice as good, but it doesn't smell good now." Luan Yingjie said.

Zheng Ren looked through various test sheets.

The inspection and test six months ago, as Luan Yingjie said, there was no problem. Blood tests are complete, and routine tests such as liver and kidney function, ions, blood glucose, tumor markers, trace elements and blood uric acid are available.

In terms of imaging, head CT has a little arteriosclerosis shadow, absolutely no problem, and there is no tumor.

The blood supply of skull base and neck vascular Doppler examination is OK, which is not caused by insufficient blood supply to the brain.

In terms of heart, echocardiography and ECG are all right. D2 polymer and other related blood tests have also been done in the later stage, and even a coronary angiography film.

There is no problem, which is good for the 72 year old.

As Luan Yingjie said, there is no problem.

Lung CT, there is no tumor, even air duct, bronchitis and emphysema.

The lung texture is clear, and the lung function is good at a glance.

The CT of the whole abdomen is also OK. The enteroscope shows no problem, but there is no gastroscope.

"Why didn't you make a gastroscope?" Zheng Ren asked.

"I did it once. As soon as I went in and passed the pharynx, he couldn't. later, the doctor said to try again. My father said he wouldn't do anything. He said that doing it once was equivalent to dying once." Luan Yingjie said in distress.

"Has this happened before? I said before the attack six months ago." Zheng Ren asked.

"No, there has never been such a strange thing, and no one in my family has ever had such a situation."

"How's the old man now?" Zheng Ren continued to look at the list and asked.

"Because it was uncomfortable to eat, I started to eat less and mainly liquid food. But when I ate less, he said he felt more difficult to swallow."

Zheng Ren put the test sheet aside and looked at the light with the film in his hand.

He was watching the film alone, but Zheng Ren didn't feel it at all. It seems that this is normal.

"Strange." Su Yun looked at the lung CT and nagged.

"Well, it's strange." Zheng Rendao: "all inspection indicators, no problem."

"Blood system diseases?"

"No." Zheng Ren said: "whether it is a blood system disease or an endocrine system disease, it should respond when you don't eat at ordinary times. It will never happen only when you eat."

Su Yun nodded and continued to watch the film.

Zheng Ren suddenly remembered something and began to look for a film.

"Boss Zheng, what are you looking for?" Luan Yingjie asked.

"Upper Gastrointestinal B penetration, have you done it?" Zheng Ren asked.

"Yes, yes, it's all right." Luan Yingjie began to look for the film. He turned it for a while and said shyly, "maybe I got off the car. I'll find it."

Then he stood up, bowed politely, and turned out.

"Boss Zheng, it's a mental disease." Lao he turned around and said his opinion, "before, I met a patient from a mental hospital who came to our 912 for gastric cancer surgery. When I anesthetized him, he told me a long story."

"Story?"

"Alas, it's a tragic life experience. I was cheated and engaged in MLM, and then I was arrested or something." Old he said, "it's the same as true. He said he was the lonely star of Tiansha."

"What happened?"

"My parents, wife and children are all waiting for him outside the operating room. I'm blind. I feel bad about the time for an operation." Lao he said, "later, when I asked him, he said he had acting personality. He felt uncomfortable if he didn't put himself in the play."

"The possibility of mental illness exists, but it cannot be easily diagnosed." Zheng Rendao.

"It's not easy. All test indicators are normal. What do you say about diagnosis?" Su yundao.

"Let me think again." Zheng Ren holds the test sheet in his hand, leans back on the sofa, and gently taps the armrest of the sofa with his fingers.

Su Yun thinks the goods are more and more like director Pan.

"Wait for the barium film of the upper digestive tract to see, and you can diagnose it." Su Yun said simply, "at the age of 72, I don't even have mild valve reflux. I'm in good health. There's no problem with ECG, regardless of heart disease."

"What do you think?"

"Achalasia, this possibility is great." Su yundao.

Achalasia is a disease caused by esophageal dysfunction caused by neuromuscular dysfunction in the esophagus and cardia, resulting in incomplete relaxation of the lower esophageal sphincter and retention of food, which gradually reduces esophageal tension, peristalsis and esophageal dilation.

But generally, the main complaint of this disease is not dizziness, but dysphagia, food reflux and weight loss.

Zheng Ren carefully searched various cases of achalasia, but there were also symptoms such as dizziness caused by malnutrition. But when it comes to eating dizziness

This is so weird. Su Yun said it casually. Zheng Ren considered that it may be caused by tumors in the endocrine system.

Soon, Luan Yingjie took the film and brought PETCT this time.

"There are too many inspections. I'm sorry, boss Zheng. Sorry, Brother Yun." Luan Yingjie bowed and apologized.