A grilled fish almost made my body lose an intestine.

I thought it was just a grilled fish that broke my stomach, but I didn't expect to be hospitalized when I came home for the New Year. I got the first general anesthesia operation in my life, including oxygen tube, stomach tube, urine tube, drainage tube and anesthesia pump.

Things have to start from 202 1 new year's day. ...

Shortly after New Year's Day, I suddenly began to feel pain in the lower part of my right rib, and it hurts more every time I laugh. Because it was an intermittent attack, I didn't care at first. After a few days, the pain began to spread to the whole upper abdomen.

It was not until one night that I was poked by my roommate's joke and burst into tears with a smile that I began to feel as if something was wrong and ran to the emergency room.

When I entered the emergency ward, I could hardly stand up straight in pain. The doctor soon gave me a series of tests-blood test, urine test, B-ultrasound, X-ray and even CT. However, the results of the exam puzzled all of them. I am obviously in pain, but there is nothing unusual in every film.

Finally, after tossing in the hospital for several hours, the pain naturally eased. Because the percentage of neutrophils in the blood test report is slightly higher, the doctor speculated that it might be a little inflammation in the stomach. But because it was not too high and the white blood cell count did not exceed the normal value, the doctor only prescribed a little stomach medicine and advised me to eat lightly.

There was no serious pain for the next few days. I ate a light meal and thought that since I didn't see anything, at least it wouldn't be a serious illness, and I should get well soon.

It's almost time to go home for the New Year. The night before I left Beijing, I made an appointment with my friends and ordered a non-spicy grilled fish with a light diet.

However, before the meal was finished, I had abdominal pain again and couldn't stand up straight.

After eating, I barely walked back to my residence and immediately vomited most of the food, which made me feel better. I think there is nothing serious about the last emergency examination, and I think it may be similar to going to the hospital. I will go back to my hometown the next morning, so I plan to take it home and recuperate slowly.

The next morning, I endured abdominal pain and boarded the plane.

Abdominal pain is not very frequent when sitting on the plane. However, as soon as the plane started to leave, it was painful and sweaty. Struggling to find the toilet, I threw up all the plane meals I had at noon. I want to try to empty my stomach and feel comfortable, but nothing can be pulled out. I didn't expect this to herald the beginning of a nightmare.

When I got home, my mother took me to see a doctor and took some stomach medicine.

The next night, I was still in pain and couldn't stand up straight. The degree of pain scared my parents. Mother began to call the doctors she knew one by one for consultation. The director of the gastroenterology department of the local hospital asked me about my situation and asked her to hold my abdomen with her fingers before moving it away. I screamed in pain at once. The director said it was rebound pain, suspected peritonitis and no stool for two days. It's not just a digestive problem. Suggest that I go to the surgical hospital at once.

I once had a belief that hospitalization itself is like treating a disease. It would be nice to go in. Only after admission did I find that hospitalization was only the beginning of all the pain.

Another CT examination was done before admission. The doctor on duty saw the film that night and judged that there might be intestinal obstruction, that is, intestinal obstruction. I had epigastric pain two weeks ago and had grilled fish three days ago. The doctor thought the cause could not be determined. However, the symptoms at that time were swelling and blockage of my intestines, coupled with the symptoms of peritonitis. The doctor judged that the inflammation was serious and the situation would deteriorate further at any time. So, the first decision the doctor made was to insert a gastric tube.

Inserting a gastric tube is to insert a hose through the nasal cavity and directly into the stomach to drain the contents of the stomach and reduce the burden on the intestines.

My throat is very sensitive. If my toothbrush sticks in my throat, I will vomit. I tried to bargain with the doctor. But the doctor said simply, "Do you want an operation?" Let me forget about it.

If we want to evaluate the punishment in the medical system, gastric intubation can definitely rank among them.

The first nurse stabbed me in the nose twice, and I couldn't get in. I cried out in pain. When she approached the pipe again, I subconsciously dodged.

She had no choice but to call another nurse.

The second nurse reached for the tube. Before I could react, she almost stabbed it in my nose. Before I could make any resistance, the stomach tube had pierced my throat, and I instinctively began to reject it, but the nurse shouted in despair, "swallow it!" Swallow it! "

I swallowed it according to the instructions, and the stomach tube was inserted completely soon. The head nurse was relieved and prepared for the next step.

However, I obviously felt my throat twitching and my stomach began to turn over and over. Before I could lie in bed, I spit out all the medicine and rice I had drunk with a "wow" and threw it directly on my clothes and quilt. I couldn't help it.

While vomiting, the nurse shouted, "Don't touch the pipe! Don't pull out the pipe! Hold on! " This distant cry supports my remaining rationality and resists my impulse to pull out this hard-inserted stomach tube.

Three minutes later, I vomited everything in my stomach. Finally, only gastric juice and bile are left in the gastric tube catheter. Yellow, yellow, green and green are a little scary.

I hung a drip after emptying my stomach. I heard that it slowed down the secretion of digestive juice in my stomach. I feel much better and gradually accept the fact that the gastric tube exists. I began to tell myself in despair that this was normal. However, if someone touches my pipe slightly, I will still cry uncontrollably.

This pipe became the biggest nightmare in the next few days.

Early the next morning, the expert consulted, saw my CT film, and gave me a few stomachs. I thought it was a suspected intussusception, that is, the intestines were like sausages, and one section was put in the other. This situation is basically difficult to heal itself. If left unchecked, the intestine will continue to fail to work normally, leading to necrosis, so it is necessary to untie the intestine by external force as soon as possible. To make matters worse, at that time, the doctor was not sure whether my intestine was partially necrotic.

As a result of the consultation, the doctor advised me to have an operation at once. If I find that the intestine is partially necrotic during the operation, I can directly remove the necrotic part during the operation.

Surgery? Isn't it just eating bad stomach? Why do you need surgery? I can't believe that the gastric tube was inserted last night just to stop the operation, but I quickly calmed down and agreed to the operation.

Preoperative preparation is first of all a variety of scary informed consent forms. Looking at my mother's unbearable appearance, I quickly took it and brushed it. The poor inherit the wind. She shouldn't be so flustered when she performs the operation herself.

General anesthesia requires catheterization. I haven't come out of the shadow of inserting a stomach tube, watching the nurse approaching with the tube, subconsciously trying to avoid it. But this time, the nurse in Mali didn't give me this chance. "It will be a little uncomfortable. Hang in there and it will be fine soon!" Before I could shout, my urethra hurt and I inserted a tube.

Soon, I was put on the operating table cart, and then a dramatic scene appeared. The nurse in dark green surgical gown pushed me into the elevator, and the others made way for us. My body is firmly tied to the car by a belt. In my field of vision, the overhead lights flashed from the ceiling, and in my ears, nurses shouted to each other "call the doctor" and "prepare the equipment", as well as the sound of cart wheels.

I was a little flustered when I entered the operating room. A group of people are busy around me. Suddenly, a mask buckled on my face and pressed the stomach tube, which made me very uncomfortable. I want to shout it out, but I can't. Soon, I fell into an unconscious state.

I don't know how long it took, but I began to regain consciousness. Half drunk and half awake, I dreamed of the story I heard at the grilled fish table before I left Beijing. A PPT with three options appeared in front of me, and at the same time I felt my stomach tube rubbing against my throat, which made me want to vomit violently. A distant voice told me that the only way to avoid all this is to choose the right answer, "C!" I shouted at the PPT in front of me: "I choose C!"

In the struggle, my consciousness gradually became clear, and PPT gradually disappeared from my eyes. I feel that the nurse came to comfort me, moistened my throat, and gradually became less uncomfortable. After being pushed back to the ward, I heard the nurse say to her family, "I can't let her sleep for six hours." My family started chatting with me in turn. I repeatedly fell asleep and talked, and finally fell asleep normally at night.

The stomach tube is still harassing me, which not only makes it difficult to swallow, but also makes me secrete a lot of saliva, and finally I can only spit it out. My parents wipe my saliva every half minute. I didn't eat or drink for days, and my saliva turned into small white bubbles. For the next few nights, I was like a dying fish in shallow water, sleeping, awake and spitting bubbles.

After waking from anesthesia, I heard the doctor's diagnosis. Fortunately, there was no serious intussusception or partial necrosis, but a section of intestine was bound by adhesion in the abdominal cavity, and the edema was serious. The doctor successfully untied the adhesion in minimally invasive surgery without removing the intestine.

The doctor thinks that the cause of adhesion is inflammation in the abdominal cavity, because during the operation, I found that in addition to intestinal adhesion, there has been a large area of adhesion in my liver, gallbladder and abdominal cavity, and this adhesion can only be caused by inflammation. It may be the stage of upper abdominal pain in Beijing before, but nothing was found, it was inflammation.

In retrospect, this disease should be the metastasis of previous inflammation. The doctor didn't prescribe anti-inflammatory drugs for me at that time. Although it was improved by controlling diet and self-care, the fragile stomach was stimulated by grilled fish, and the original inflammation recurred, which began to spread to all parts of the abdomen, causing adhesion and winding the intestine until it had to be solved by surgery.

The doctor said that the adhesion between liver and gallbladder and abdominal cavity could not be solved. Fortunately, if I don't get sick, it won't affect my daily life. If you pay attention to some diet and exercise, you may get better.

So I need to have a rest after the operation, so that my intestines can be unblocked as soon as possible.

Every day the doctor comes and asks, "Did you fart?" I can only shake my head anxiously.

Farting has always been regarded as the most humiliating thing in the past, and there is even a story of a noble lady who committed suicide in shame because of farting in public. Now I am here looking forward to the stars and the moon, hoping that it can run out loudly in public.

On the fourth day after operation, the doctor pushed the contrast agent into my stomach through the stomach tube. In the afternoon, I began to feel intestinal peristalsis and ran to the toilet. The dull fart echoed, and I defecated. The heavy stone in my heart has finally been removed, and the shit and fart that are always laughed at by people at ordinary times have become the happiest symbol at present.

Before and after the operation, the tube was filled, and after the intestinal tract was partially unblocked, my biggest wish every day was to unplug a tube and replace it with normal body function.

The smoothest is the oxygen tube, and there is little difference before and after plugging and unplugging. Every extubation after that is a little adventure.

Then the anesthesia pump. After removing it, my movements often suddenly freeze. Because the wound hurts, I can only grind my teeth and wait for it to leave on its own.

Then pull out the catheter. In order to prevent people from losing the function of holding urine and urinating with the help of catheter, it is necessary to hold urine several times before pulling it out to restore bladder autonomy. Because I didn't drink water before, I urinated several times before without a strong feeling of holding my urine, and finally it took two days to pull out the catheter.

The most troublesome gastric tube must be pulled out after the intestinal tract is clear, otherwise it will pressurize the intestinal tract if the intestinal function is not restored well. So, after venting and ventilation, I observed it for three days. This tube that helped me, but once made me suffocate, was finally pulled out of my nose. I can finally stop being wiped like a stroke every day!

The last tube on my body is a drainage tube, which can be discharged after being removed. The tube was buried deep in the body after the operation. Inserted into the pelvic cavity from the lower left of the abdomen, in order to drain the postoperative effusion from the body. Pulling is equivalent to pulling directly, and it will rub the epidermis at the same time. Every time I think of this scene, I feel creepy, expecting and afraid.

It's time for extubation. I've been playing games to divert my attention. Before pulling out, every time iodophor cotton gently touched the wound and it hurt a little, I was so nervous that my whole body tightened. Finally, I heard the doctor say, pull it out and hold your breath, it will hurt a little. As soon as I held my breath, I felt the pipe pulled out, and then a stream of liquid kept pouring out with the pipe. The doctor soon began to treat the wound with cotton. Although it hurts a little occasionally, it finally relaxes-the tube has been pulled out!

The day before New Year's Eve, I was finally discharged from the hospital. The first general anesthesia operation in my life, seeing the magical PPT, not only made me remember this meal with such huge consequences, but also made me gain a unique pleasure in the pain of treating diseases.

When I was sick, I felt the meticulous care of my parents and the warm care of my friends. Although there are still many dietary taboos after discharge, I also realize that there are so many people around me who love me silently. I realize that I can talk, drink and walk freely. These trivial things are so worth cherishing. This is the best gift that illness brings to the New Year.

Intestinal obstruction refers to the obstruction of intestinal contents caused by any reason, which can occur in newborns to centenarians. It is a common surgical acute abdomen.

There are many reasons for intestinal obstruction, including mechanical intestinal obstruction, dynamic intestinal obstruction and vascular intestinal obstruction. The intraoperative situation in this case is a common manifestation of "adhesive intestinal obstruction" in mechanical intestinal obstruction. Adhesive intestinal obstruction is also the most common type of intestinal obstruction. Patients with previous abdominal surgery and intra-abdominal inflammation (such as acute appendicitis and pelvic inflammatory disease) are the high-risk group of adhesive intestinal obstruction.

The principle is that under normal circumstances, the surface of the intestine and other organs in the abdominal cavity is covered with a smooth serosa layer, and a small amount of peritoneal fluid secreted by the abdominal cavity can lubricate the intestine. However, after abdominal surgery or when there are other infectious diseases in the abdominal cavity, the lack of serosa layer in the abdominal cavity, foreign body invasion, inflammation and other factors may lead to intestinal adhesion and distortion, intestinal content obstruction, and then intestinal obstruction.

Intestinal obstruction is generally manifested as abdominal pain, abdominal distension, nausea and vomiting, and the anus stops exhausting and defecating. If the obstruction continues to worsen, intestinal blood supply will be blocked, and intestinal necrosis and perforation will occur, the clinical manifestations will be aggravated, such as severe abdominal pain, fever, shock and other acute diffuse peritonitis symptoms, which can be life-threatening. Clinically, the diagnosis can be made by combining the abdominal X-ray manifestations (stepped gas-liquid plane).

The treatment of intestinal obstruction can be divided into general treatment and surgical treatment.

Most adhesive intestinal obstruction can be relieved by non-surgical treatment measures such as fasting, anti-infection and rehydration. Gastrointestinal decompression is an important treatment measure in the process of conservative treatment. That is, the stomach tube is placed in the stomach and duodenum through the nose-pharynx-esophagus, and the continuous suction device is connected to pump out the excess digestive juice and gas to reduce the load of the intestinal cavity.

A few patients have adhesions, which seriously affect intestinal activity. If conservative treatment fails, surgery is needed. This case is probably like this. The timing, indications and methods of operation for intestinal obstruction should be combined with the location, cause and degree of obstruction, and whether there is intestinal necrosis and perforation.

The experience of this case can be called "tragedy caused by grilled fish", so how to avoid the occurrence of intestinal obstruction or postoperative recurrence in life?

It is important to avoid overeating and eating a lot of greasy food; Eat less non-digestible glutinous rice products such as zongzi and jiaozi to reduce the burden on the intestines; Eat less crude fiber food such as celery and bamboo shoots. It is also encouraged to get out of bed as soon as possible after abdominal surgery to reduce the occurrence of intra-abdominal adhesion.

It should be noted that the incidence of colorectal cancer has been rising in recent years, and intestinal obstruction is the first manifestation of some patients with colorectal cancer. As the most common digestive tract tumor, intestinal cancer does not necessarily have clinical symptoms in its development stage.

Personal experience sharing does not constitute diagnosis and treatment advice, and cannot replace the doctor's individualized judgment on specific patients. Please go to a regular hospital if you need to see a doctor.

Author: Quiet Firth

This is a shell patient who focuses on telling health stories.

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