Chen Qi thought to himself, on the first day we met, you weren’t borrowing money from me, were you?

This is typical Chinese thinking, cautious and cautious.

Of course, he said it politely: "Mr. Chief, if you need any help, just ask me and I will definitely help."

Nguema said a little worriedly:

"I have a daughter who is 15 years old this year. She has been suffering from abdominal pain and diarrhea for 2 months. She is about to die. I wonder if you can help us treat her. If she doesn't receive treatment, she may die."

Chen Qi was a little surprised and looked back at Piet who was working as a translator:

"What's going on? Chief Nguema is your friend, and you are also a doctor. Why didn't he even cure his daughter's diarrhea? It shouldn't be."

For doctors, anti-diarrhea treatment is not complicated. Chen Qi is a little confused as to why Piet is obviously friends with this African chief, but why he refuses to help even with a minor problem?

It has been delayed for two months? Even an iron man cannot stop this.

After hearing this, Piet waved his hands in embarrassment:

"No, no, no. In fact, I came here a week after the little girl had diarrhea. I took all kinds of medicines, from antidiarrheals to antibiotics. I even took her to Freetown Hospital for an injection. All treatments were given, but it was completely ineffective.

."

"Antidiarrheal treatment is ineffective?"

Chen Qi thought that would be troublesome. This was no ordinary diarrhea.

The treatment of common diarrhea is actually very simple.

For example, at the end of 2022, people across the country will be grabbing antidiarrheal drugs, such as montmorillonite powder, Changyanning, Ke dysentery, probiotics, oral rehydration salt powder, etc.

If you are dehydrated, give infusions to replenish electrolytes and water; if time passes, you may want to add some zinc to protect the intestinal mucosa.

If this combination of punches is used, it will definitely be effective if it is just ordinary diarrhea. To put it more unpleasantly, even if no treatment is needed, ordinary diarrhea can be stopped and recovered by itself.

Clinically, diarrhea is divided into acute and chronic types according to the duration of the disease. Acute diarrhea has a sudden onset, the duration is within 2 to 3 weeks, and is mostly caused by infection.

Chronic diarrhea refers to recurrent diarrhea that lasts for more than two months or has an intermittent period within 2 to 4 weeks. The cause of the disease is more complex and can be caused by infectious or non-infectious factors.

Diarrhea that lasts for 2 months will definitely lead to other serious problems. If the root cause is not eliminated, the diarrhea will not stop.

Chen Qi came to Africa to help treat the locals, so he didn't hesitate and stood up:

"Let's go and see how the patient is doing first?"

The village where Nguema is located is more like a village than a village, because Chen Qi shuttles in the village, and the local people almost all live in thatched houses.

It has not yet been powered on and is basically in a primitive tribal state.

Even when they arrived at the chief's (village chief)'s house, they just changed to a larger thatched house.

I don’t know if there are typhoons in Sierra Leone. If this were in Haidong Province, such thatched houses would definitely be blown away every year during the typhoon season.

When Chen Qi followed Nguema and walked into the thatched house, he smelled the smell of manure mixed with the smell of vegetation.

Nguema turned on the flashlight, pointed at a black girl lying in the corner and said:

"This is my poor daughter, her name is Luchana."

When the little girl heard a stranger coming in, she also raised her head and glanced up. Her eyes were very big due to dehydration, and she blinked, clear and curious.

This is a beautiful little African girl, at least that’s what Chen Qi thinks. Probably Luciana’s appearance is more in line with Eastern aesthetics.

And after all, she is the daughter of the village chief. She is wearing a shabby T-shirt, but she is not "wearing a mask", which is a bit disrespectful.

Chen Qi's observation of these does not mean that he is a lustful ghost who does not even let other girls go.

But as a doctor, he has too many things to consider.

For example, the patient girl in front of me is good-looking, well-developed, and has good family conditions. She obviously belongs to the "silly, sweet" type, and is obviously more attracted to boys.

Here, the ground is the bed and the sky is the quilt. There are few people and crawling into the grass is equivalent to renting a house for free on the African savannah. A 15-year-old girl can already give birth to the next generation.

Will pregnancy lead to prolonged diarrhea?

Because if you are really pregnant, and the gestational sac is not in the uterine cavity, but in the fallopian tube or other locations, it is an ectopic pregnancy, which can also cause abdominal pain and diarrhea.

Under the premise that doctors cannot accurately determine the cause of the disease, they can only perform elimination methods one by one.

"Piette, please ask if Luciana has a boyfriend or husband."

Piet's mind was full of questions, thinking that you are here to see the diarrhea, why do you care if he has a boyfriend? Could it be that he has fallen in love with this girl?

Seeing Piette's expression, Chen Qi knew that he had misunderstood and quickly explained:

"I need to know whether she has had a new life history to rule out pregnancy or some gynecological diseases."

"Oh, so it's this, haha, okay, I'll ask right away."

Chief Nguema looked at Chen Qi strangely after hearing this, but he still asked about his daughter. After all, the old father didn't know if she had ever been on the savannah with a man.

After hearing this, the little girl shook her head shyly, saying that she was still intact.

Pregnancy can be ruled out, and Chen Qi feels that his thoughts should be more focused on the patient's own gastrointestinal aspect.

So he sat on the right side of the little girl, opened his clothes, and began to palpate the abdomen.

This was probably the first time Luciana had her body touched by a man, so she felt a little uneasy. Chen Qi thought to himself that he was indeed a young boy and he didn't lie just now.

I palpated the entire abdomen and found that there was no obvious abdominal pain.

Didn't Chen Qi just diagnose a misdiagnosed appendix? He was striking while the iron was hot, so he focused on checking the McBurney's point on the right lower abdomen, but it didn't show that the patient had any obvious pain.

This gives people a headache.

The cause of chronic diarrhea is more complex than acute diarrhea.

Diseases of the intestinal mucosa itself, excessive bacterial proliferation in the small intestine, intestinal transport function defects, insufficient digestive capacity, intestinal motility disorders, as well as certain endocrine diseases and extraintestinal tumors may all lead to the occurrence of chronic diarrhea.

For example, chronic amoebic dysentery, chronic bacterial diseases, intestinal tuberculosis, schistosomiasis, Crohn's disease, ulcerative colitis, uremic enteritis, tumors and cancers, small intestinal malabsorption, irritable bowel syndrome, etc.
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Chen Qi can think of seventeen or eight diseases in one breath.

Even if it is not the cause of the intestinal tract itself, other diseases can also cause secondary diarrhea.

For example, diseases of the stomach, liver, biliary and pancreas, such as atrophic gastritis, chronic hepatitis, chronic pancreatitis, and chronic cholecystitis.

Or systemic diseases, such as hyperthyroidism, diabetes, systemic lupus erythematosus, niacin deficiency, food and drug allergies, etc.

I guess some readers have already fainted. Isn’t it just diarrhea? How can you detect so many diseases?

Look, you see, it’s so difficult to be a doctor. Finding the real cause among so many unknown diseases is really no different from finding a needle in a haystack.

This not only requires the doctor's superb clinical skills, a solid foundation in medicine and surgery, and an accurate sixth sense, but also requires a large number of auxiliary examinations to confirm whether the doctor's guess is correct.

It also proves that for modern medicine, doctors and machines are equally important and one cannot exist without the other.

Since the consultation and physical examination could not find anything, Chen Qi decided to open a golden finger and took out the portable color ultrasound machine in his space for a preliminary examination.

Anyway, this vast prairie and primitive tribes are not afraid of them leaking secrets.

"Piete, please wait for me. I have an ultrasound machine in my car, which can be used for examination."

Dr. Hei was shocked when he heard this, "Dr. Chen, you actually carry the B-ultrasound machine with you? If something goes wrong, the loss will be huge."

There is no domestic pharmaceutical company in Sierra Leone, so this poor country imports even a single antipyretic pill, which also results in high medical prices.

Inspection instruments are even more valuable, because if a machine breaks down, Sierra Leone cannot repair it at home and has to send it abroad for maintenance, which costs a huge sum of money.

So Piet really wanted to curse this Chinese doctor to death

There aren't many roads in the prairie. How many holes are there? Driving is as bumpy as sailing a boat. But a precision medical instrument is actually placed in such a car?

This made Dr. Hei gnash his teeth in anger and cursed the other party as a prodigal.

Chen Qi didn't know the psychological activities of African doctors. He just walked around in the car and then took out a bag from the trunk.

"Dr. Chen, this, this is the B-ultrasound machine?"

For Piet, the B-ultrasound machine is already a medium-sized instrument. If nothing else, the monitor alone is so big, but in Chen Qi's hand, it's just a light handbag?

Chen Qi chuckled:

"This B-ultrasound machine is very powerful. It has not been put into the market yet and is in the state of laboratory research, so you have to keep it secret when you go back. Today I will let you see what is the most advanced instrument of this era."

After saying that, while Piet was stunned, Chen Qi took out his "notebook", opened it, turned it on, installed the probe, applied coupling agent, and finished it in one go.

How had any African doctor in 1986 seen such a color LCD screen? It was so thin.

As soon as the probe is placed on the patient's abdomen and moved slightly, the organs in the abdomen are clearly displayed.

Compared with LCD ultra-clear screens, the screen resolution of this big picture tube is simply scum. This is the progress brought about by technology.

Piet's eyes almost fell to the ground, the whole time he said oh my god! oh my god!

He could not find any other words to describe his shock. The so-called arrogance of foreign students from European and American countries was completely shattered in front of this color Doppler ultrasound machine.

Piet never dreamed that China could be so developed?

This is no longer a development of medicine, but a development of science and technology. This is an advanced instrument that has not been seen even in European and American countries.

Chen Qi didn't care how shocked Piette was. He felt like a policeman now, and he must find out the cause of the black girl's long-term abdominal pain and diarrhea.
To be continued...