Chapter 2155 【2155】Quiet Auscultation

Only Nie Jiamin has this privilege, and only five to six patients are seen in a special specialist outpatient clinic.

The doctors at the same hospital who were present knew that he, a pediatric boss, was prone to occupational diseases in pediatrics, so he didn't take his warning to heart.

In fact, no doctor dared to neglect little Xie Youtian. Even someone like Tan Kelin, who seems to be very cold to children, took a stethoscope and put on earplugs at this moment, and deliberately warmed up the cold listening head and put it close to the children's belly to listen.

It is to listen to the bowel sounds in the child's stomach.

Bowel sounds, sometimes doctors don't listen with a stethoscope, but ordinary people can hear them themselves. For example, when people are hungry, they usually say that the hungry stomach growls, which can be said to be a manifestation of hyperactive bowel sounds.

How did this sound come from. We know that the gastrointestinal tract of the human body is the digestive system. To eat, to eat solid food and to drink liquids, the gastrointestinal tract itself has digestive juices if you don’t eat. At the same time, there is gas in the stomach and intestines.

During gastrointestinal peristalsis, when the gas and the liquid in the gastrointestinal tract are mixed, there will be a physical phenomenon, the sound of gas passing through the water. To put it vividly, the gas is bubbling on the water surface, making a bubbling sound.

On weekdays, the gastrointestinal peristalsis of the human body is in a healthy state, and the sound of gas bubbling in the liquid is relatively gentle, like a frog boiled in warm water, calm and calm. It manifests as normal bowel sounds, grunting less than four or five times a minute, hidden under the belly, and no one can notice if you don't pay special attention.

When it is unhealthy, the gastrointestinal motility is abnormal, and the bowel sounds will be abnormal. This abnormality can be hyperthyroidism of bowel sounds, that is, the sound of gurgling is accelerated; it can also be manifested as the weakening or disappearance of bowel sounds, that is, the sound of gurgling becomes weak or disappears.

Based on the above reasons, doctors can use evidence-based evidence of whether the patient has gastrointestinal motility problems by listening to bowel sounds, and further infer what may be wrong in the patient's gastrointestinal tract.

Auscultation requires special attention. A doctor wearing a stethoscope is like a musician. He can keenly judge the abnormal signals from the human body by distinguishing the nature of the sound, which is far more than the simplest counting times.

Tan Kelin's long bangs and his single eyelid eyes seemed to have been frozen on a certain point for a long time, and his attention was focused on nothing but his ears.

How many bowel sounds does a child have in one minute, what is the sound like, and is the pitch high? Metal sound? Or is it a more normal bubble sound?

None of the people standing around him dared to speak. Qiu Ruiyun and Sun Yubo who were arguing decisively kept their mouths shut. If you dare to make noise again, you will be chased out by the boss with a loud roar.

When a doctor is auscultating, what is needed is silence, and it is best to have absolute silence around.

Other experienced doctors didn't waste time when Tan Kelin was listening, they pricked up their ears together as if turning into a stethoscope at the same time. When the bowel sounds are very loud, you don't need a stethoscope, you can hear them just by listening to them.

Listening to it now, in this child's belly: gurgling, gurgling, gurgling... it's a little loud.

This sound, definitely more than six times a minute, belongs to hyperactive bowel sounds. This hyperactivity is basically impossible to be the child's hungry gurgling. The child's past medical history is to eat too much. Hyperactive bowel sounds from hunger are the result of tonic contractions of the bowel. In addition, partial mechanical obstruction in the intestinal tract, like acute gastroenteritis, will also stimulate gastrointestinal peristalsis in disguise to accelerate and produce hyperactive bowel sounds.