Chapter 1310: Patients with Unexplained Hematochezia

Chapter 1310: Chapter 1310: Patients with Unexplained Hematochezia

(Thank you to Yang Zhong and LacMax for their encouragement through monthly votes)

Sitting in the office, Liu Banxia is studying the patient’s examination report.

Xu Yino needs to research the steps of the surgery, and he similarly needs to do the same.

Even though most of these surgeries are almost routine for him now, unexpected situations can easily arise during surgery, and it never hurts to be well-prepared.

There’s no way around it when faced with emergency surgery; there’s not enough time to study.

As he was looking at it, his phone rang, and he saw it was Qi Wentai calling.

"President Qi, do you need me to come down?" Liu Banxia asked after answering the call.

"Dr. Shi has admitted an emergency patient and is going to the operating room. Want to come down and take a look?" Qi Wentai said.

"Alright, I’ll be right down." Liu Banxia readily agreed.

This is also a precaution; if an emergency patient is indeed needed, his success rate there could be higher.

After all, the emergency center mainly deals with emergency patients, and you never know when a critical case will arrive.

"Wow, still researching? That’s about enough."

After coming downstairs, he saw Xu Yino still glued to the computer, looking intently, and he couldn’t help but feel a bit helpless.

"No, I must fully understand this. It’s like an open-book exam; I have to aim for a perfect score." Xu Yino said.

"Alright, I won’t bother you anymore, you’ve got this. Add a dish for yourself tonight, there’s still plenty of time." Liu Banxia waved his hand.

Xu Yino didn’t pay attention to his teasing but continued to look seriously.

Actually, it’s already been repeated many times, and the process is imprinted in the brain. But there’s no choice, afraid that the excitement might make him forget later.

"What’s the situation with the patient who just went to the operating room?" Liu Banxia casually asked when he got next to Qi Wentai.

"Car accident, a car collided with an electric scooter." Qi Wentai said.

"People have returned to work, and there’s more out and about. We’ve already admitted several car accident patients today, but this one is more severe."

"Now I don’t dare to drive too fast on the road, it’s really too dangerous, an electric scooter could jump out from anywhere." Liu Banxia said.

"Besides, now drivers are more impatient, driving in a zigzagging manner. Anyway, I can’t drive as well as them, and I don’t rush."

"Isn’t it so, I..."

"President Qi, a patient with severe blood in stool will be sent over soon."

Qi Wentai was halfway through speaking when the dispatch nurse shouted.

"Darn, it really came; prepare blood." Liu Banxia said.

Blood in stool isn’t a big deal for most people, but if it’s severe, it can threaten life.

The body’s blood is limited. If the digestive tract bleeding can’t stop by itself, how long can it bleed?

After just five or six minutes, the emergency vehicle arrived.

"Blood pressure 100/80, severe hematochezia, fluid replenished on the emergency vehicle." The paramedic pushing the patient down said.

"Understood, Rescue Room Two, how long has there been blood in stool? Any underlying conditions? Any hemorrhoids? Experienced hematochezia before?" Liu Banxia looked at the patient.

"Never been sick, first time losing so much blood. It started with a little, I thought I had hemorrhoids. The second time was a lot, running down the pants leg." The patient said with difficulty.

"Alright, try to relax as much as possible; I see the blood is very vivid, it might be lower digestive tract bleeding, but you’ll need to contact family now given your situation." Liu Banxia said.

The patient nodded, "Contacted them, called from the emergency vehicle."

"Good, one, two, three, move to the bed."

"Connect ECG, perform quick blood test, blood cross-matching, open another vein for rapid fluid replenishment and blood transfusion. Contact the endoscopy department, arrange for an urgent colonoscopy."

Arriving at Rescue Room Two, Liu Banxia issued a series of orders.

The patient’s blood loss is indeed significant, with blood soaking the pants and the examination bed.

With such severe blood loss, if replenishment, infusion, and hemostasis aren’t done quickly, there’s a real risk of life danger. Even the current condition of this patient meets the standards for issuing a critical condition notice.

"How’s the blood pressure?" Liu Banxia asked while listening to the patient.

"After fluid and blood replenishment, it’s improved to 110/90, heart rate 100, blood oxygen 97%." The nurse quickly said.

"Don’t worry, with the fluid and blood replenishment now, your vital signs have improved. This indicates that your bleeding volume is likely decreasing, and we’ll perform a colonoscopy soon." Liu Banxia comforted the patient.

"Judging from your current bleeding situation, we suspect it’s lower digestive tract bleeding, hence the bright red blood. During the colonoscopy, if we find the bleeding point, we can directly stop the bleeding through the endoscope."

Upon hearing Liu Banxia’s words, the patient’s expression eased a bit.

After all, with such a massive blood loss, anyone would be scared at first glance. Liu Banxia’s words were equivalent to giving him a reassurance, knowing that now he’s in the hospital, there shouldn’t be any major issues.

"Teacher Liu, the endoscopy room is ready," Su Wenhao ran in.

"OK, let’s push him over directly, the bleeding probability might be higher with a colonoscopy," Liu Banxia said.

Everyone pushed the examination bed directly to the endoscopy room.

For this patient, although it hasn’t reached the point of seconds counting, every moment should still be cherished.

It’s because his current condition is relatively stable, and after blood and fluid replenishment, his blood pressure rose; otherwise, everyone’s speed would have to be even faster.

After all, all human organs need blood to supply oxygen. If unable to supply oxygen adequately for a long time, some organs might rebel.

Furthermore, the earlier the bleeding is stopped, the better, so fewer plasma and red blood cells need to be transfused into the patient. After all, they’re not original products of the body; external ones are generally not very good.

Upon arrival at the endoscopy room, preparations were made immediately.

"Director Liu, there seems to be quite a bit of bleeding," said Chen Qian, the doctor from the endoscopy room.

"Indeed, we opened two venous pathways to barely raise the blood pressure a little. Let’s try to settle this at once, directly stopping the bleeding," Liu Banxia said.

"Don’t worry about it. Relax, although we don’t have time for intestinal preparation, the endoscope may cause a little feeling of heaviness in the intestines," Chen Qian comforted the patient briefly, and then began the procedure.

In fact, the patient’s intestines were relatively "clean," the excessive bleeding acted as a continuous "rinsing."

However, neither Liu Banxia nor Chen Qian, even with their complete confidence, saw any bleeding point after thoroughly checking the entire colon.

Chen Qian couldn’t help rubbing his eyes, thinking that the amount of bleeding and this color could indeed suggest that the possibility of upper gastrointestinal bleeding might be too low?

"Director Liu, shall I check again? Could there be a bleeding point in the jejunum or ileum?" Chen Qian said.

Liu Banxia frowned and nodded, "Check again, if it’s indeed there, it will be quite troublesome to deal with."

Others who came along also frowned; if bleeding is from there, only surgical examination is feasible.

This area is unreachable by both colonoscopy and gastroscopy, but inspecting it requires considerable effort.

It’s bleeding inside the intestines; you can’t see it from the outside at all.

Chen Qian carefully examined again and finally looked at Liu Banxia, shaking his head, "Director Liu, it’s not that I’m not doing my best, but there’s truly nothing there. It’s completely clean, shall we do a gastroscopy? What if it’s upper gastrointestinal bleeding?"

"Doctor, you haven’t found the source of the bleeding?"

Before Liu Banxia could answer, the patient spoke up.

"There’s indeed such a possibility, if the bleeding volume is large, it might not yet be digested, which can sometimes lead to blood of a bright color," Liu Banxia hesitated slightly before replying.

"Then, let’s go for a gastroscopy to check for any stomach bleeding. Are there any feelings of stomach pain or abdominal pain? Or any other area of pain?"

The patient shook his head, "Let’s do the gastroscopy then; the bleeding must be stopped."

"Don’t worry, we’ll do it shortly. Although performing a gastroscopy will cause some reaction, we will also give you some medication to minimize it," Liu Banxia hurriedly explained.

The patient nodded, understanding that even if he hadn’t undergone gastroscopy before, this time a tube would be inserted through his throat, which would definitely be unpleasant.

But given his current situation, there’s no time to worry about such discomfort; the bleeding has to be stopped to save his life. What if bleeding occurs again later? We don’t even know its source.

"Teacher Liu, this is the patient’s family member," Liu Yiqing arrived with a lady from outside.

"We just did a colonoscopy, but couldn’t find the bleeding point, so we’re now going to do a gastroscopy to check for bleeding in the stomach," Liu Banxia explained promptly.

The lady nodded anxiously after seeing her husband’s pants with plenty of bloodstains.

Preparations were swift, and after administering medication, Chen Qian cautiously inserted the gastroscope.

The patient experienced some reaction but managed to tolerate it.

Liu Banxia frowned while watching the screen. It looked clean without any sight of bleeding points, but upon reaching the stomach, Liu Banxia’s brow furrowed significantly.

The stomach area was also clean, with such a massive amount of bleeding, if the stomach had bleeding, it should’ve been a bright red mass.

Not just him, even Chen Qian who was conducting the examination was sweating anxiously.

Liu Banxia could think of the issue, and as an endoscopic doctor, Chen Qian naturally thought of it too.

"Director Liu, could it be the jejunum and ileum? Although there’s some sign of ulceration at the stomach base, it’s not severe," Chen Qian said.

Ping! Task released: Patient with blood in the stool

Open-ended task: Patient diagnosed with bloody stools, initial diagnosis points to lower gastrointestinal bleeding, negative findings from colonoscopy and gastroscopy, host is required to conduct further examinations to ascertain the cause.

"Let me think carefully about how to proceed with further examinations," Liu Banxia casually remarked.