To a doctorâs ears, increased bowel sounds are always better than weakened or even absent ones. Because weakened or absent bowel sounds can indicate non-movement of the gastrointestinal tract, potentially signifying a major shutdown of the gastrointestinal system. Itâs clear that a strike by the bodyâs tissues is far more terrifying than the outcome when the bodyâs tissues work hard for self-rescue during critical times, with the most frightening being gastrointestinal perforation peritonitis.
The childâs intestines are now desperately moving, like a wild horse trying to break free from some restraint.
"There probably hasnât been any bowel movements in the past two days," said Nie Jiamin.
The pediatric expertâs judgment is unsurprising, able to be precise and quick without needing to ask others.
After removing the earbuds and putting away the stethoscope, Tan Kelin glanced at the childâs face, which was pale with fear, without placing his hand on the small abdomen to feel it.
There are two specialized experts present. Tao Zhijie would not be as confused as those young doctors below, first politely greeting Nie Jiamin: "Professor Nie is here." Then soliciting opinions from all sides: "What do you think of the childâs situation? How should we handle it?"
Calling in experts to see the patient first gives an initial assessment to avoid panic once they arrive at the hospital. This child is relatively special, having a fear of hospital doctors. Itâs essential to plan the diagnostic and treatment strategy in advance to minimize examination and treatment time.
Tao Zhijieâs thinking is very clear, unlike the young doctorsâ random guessing, thinking that calling experts before taking the child to the hospital means no examination and withholding hospital treatmentâitâs impossible.
The earlier fuss made by those questioning over the phone should be ashamed now.
Tao Zhijie glanced at Sun Rongfang sitting afar: To be honest, this group of young doctors isnât as calm as Mother Xie.
In the early stage of appendicitis, there is hope for conservative treatment. Unlike the common belief outside that appendicitis cannot be cured without surgery, early conservative treatment has a high success rate. Calculated as a percentage, over a hundred cases with only a few instances of recurrence leading to conservative treatment failure.
The most crucial thing is early detection, decisively diagnosing and differentiating whether itâs early stage, timely medication, and avoiding misdiagnosis at all costs. After treatment, the patientâs condition needs to be monitored for a period.
While the experts further contemplate, others discuss: "Go to the hospital for an appendiceal ultrasound and a blood test. Just looking wonât yield much."
Hospital examination is imperative; specifically tailored tests that are feasible and fast are necessary.
Nie Jiamin reached out to touch the childâs palm. The childâs hand was slightly sweaty, not very hot, but caution should not be taken lightly. Appendicitis usually doesnât cause a fever above thirty-eight degrees unless it leads to perforation peritonitis.
After pondering for a moment, this pediatric expert said, "Doing an ultrasound requires more effort from the child, opting for a CT for diagnosis would be quicker. If conditions allow, a bowel movement can be induced first."
The ultrasound probe needs to be pressed on the childâs abdomen, sometimes deep examination areas are difficult to probe, requiring the examining doctor to press the patientâs abdomen hard, inevitably causing prolonged pain to the child, potentially aggravating the inflammation.
If this child only has a simple fear of hospital doctors, it could be merely autonomic nervous system disturbance; the body generally doesnât have issues and doctors wouldnât hesitate to perform any procedure. But this child doesnât, clinical preliminary diagnosis shows the body itself is unhealthy. Mistreatment by doctors could exacerbate autonomic nervous system disturbance, potentially triggering other health conditions, which could be life-threatening for the child.