My Medical Skills Give Me Experience Points

Chapter 1181: Chapter 467: Peeling Away the Fog to See the Essence, Investigating Three Types of Antibodies

Reaching this step means there has been quite a significant progress, but the cause of the disease has still not been confirmed.

Celiac disease is also only a suspicion.

Additionally, this disease is closely related to heredity and immune deficiency.

Research shows that gluten enteropathy is closely related to the consumption of wheat flour, and gluten may be the causative factor of this disease. The cause of the disease is the result of the interaction between heredity, immunity, and a gluten diet.

The diets of wealthy families are particularly meticulous, but at times, what they believe to be a healthy diet may not actually be healthy.

This especially refers to wealthy families with a strong foundation, rather than nouveau riche.

Generations of civil service, only then to know how to dress and eat.

The implication is that only after being wealthy for three generations does one understand what kind of clothing is good and which foods are truly beneficial to the body, and how to enjoy the finest delicacies.

Even if this patient truly has celiac disease, confirmation cannot rely solely on a gastroscopy and duodenal mucosal pathology examination.

The patient’s symptoms of abdominal distension and lower limb edema do match with celiac disease.

Patients with this disease may exhibit significant abdominal distension, nausea, and vomiting. Weight loss, lethargy, emaciation, weakness, and edema.

Zhou Can strongly suspects the patient likely has celiac disease, although the patient did not present with diarrhea, only abdominal distension. In diagnosing symptoms, one must not be dogmatic, rigidly applying textbook knowledge.

In the same disease, there can be variations in symptoms for each person.

This is closely related to personal immunity, physical fitness, tolerance, severity, and lesion location.

With different constitutions, some may only experience nausea, and not even vomiting.

Yet others may experience nausea, vomiting, and diarrhea, all at once.

This child comes from a very affluent background, surely lacking in neither food nor clothing. Judging by his weight and height, his constitution should be rather robust.

And precisely because of his good constitution, it took seven months of lower limb edema for the nausea and vomiting symptoms to appear.

So sometimes, even those with good constitutions have their drawbacks.

Minor ailments can hardly cause a ripple on such people, and even find it hard to invade their bodies. When major illnesses strike, progress may also be slow.

If it’s cancer, the earlier it’s discovered, the better.

But because of a good constitution, symptoms might be mild, and cancer cell growth slow. The most terrifying scenario is that cancer cells have already spread by the time it’s discovered.

Of course, generally speaking, the stronger the constitution, the better.

Theoretically, those with stronger constitutions are less likely to suffer from serious illnesses or malignant cancers.

Even though Zhou Can has a certain diagnosis of the patient’s cause of illness, he still patiently continues to investigate.

After the expert made a second major discovery, he immediately conducted a full colonoscopy on the patient.

One could feel the expert’s enthusiasm and urgency at that time.

He certainly wanted to diagnose the cause urgently.

The results of the full colonoscopy were normal.

At this point, the second expert seemed somewhat puzzled again. How to explain that the colonoscopy was normal but the stool showed intermittent positive occult blood?

Since the patient had already undergone a full digestive tract imaging, gastroscopy, and colonoscopy, there was no need to perform other intestinal examinations.

It seems the family also placed considerable pressure on this expert.

In the end, medication for enteritis was prescribed for the patient.

This truly surprised Zhou Can. It’s unclear what the second expert was experiencing at that time, which led to prescribing enteritis treatment medication for the patient. One thing is clear, as severe acute and chronic inflammation was discovered during the duodenal mucosal pathology, this might be the basis for the medication.

Moreover, Zhou Can had a keen suspicion of celiac disease after reviewing the medical records, but this doesn’t mean other experts’ diagnostic thinking and conclusions align with his.

Because celiac disease has one most typical symptom, which is diarrhea.

And iron deficiency anemia.

In severe diarrhea cases, there can be dozens of occurrences in a day.

When watching period costume dramas, two famous medicines often appear in the martial world: one is the knockout drug, which induces a coma, leaving the person at the mercy of enemies. It’s commonly used by black inns for robbery and assault.

The second is croton oil, a medicine that causes diarrhea, used to punish those with whom they have a vendetta.

The martial world values swift revenge.

When one’s power or martial skills are inferior, and having suffered injustice, croton oil is ground into powder and secretly added to the opponent’s food as a common form of revenge.

Killing or poisoning people is extremely rare.

Even in ancient times, the legal system had a strong deterrent effect on the public.

Inducing diarrhea to the point of exhaustion generally doesn’t attract official investigations. Rarely does anyone involve the authorities, so it’s relatively low risk.

Patients with celiac disease are much more tragic than those who consumed croton oil in ancient times.

When someone takes croton oil, at most they would have diarrhea for a day or two.

A celiac disease patient, untreated, would have diarrhea every day, worsening continuously. They might spend at least eight or nine hours in the bathroom every twenty-four hours.

This child’s symptoms are rather elusive, and experts have become accustomed to caution, and their thinking diverges greatly from Zhou Can’s.

Treating it as enteritis, the outcome is predictable.

Eventually, after the child’s family noticed no improvement from days of treatment, they began to question the Provincial Children’s Hospital’s treatment level, and brought the child to the Pediatric Department of Tuya Hospital for medical attention.