As the old saying goes, the Benming year is a hurdle , and bad things are especially easy to happen. As a post-90s who grew up with a materialist education , I don’t believe it. But at the end of the second Benming year, I was slapped in the face by the ruthless reality.
After a week of booze,
Sudden abdominal pain took me to the hospital
At the beginning of December 2017, because of work entertainment, I drank a lot of alcohol for a week in a row, and I didn’t go home every day without getting drunk.
In the early morning of the 9th, a burst of upper abdominal pain woke me up. I thought it was because I drank too much and hurt my stomach. I could carry it with my confident and strong body, and I still drove to work by myself.
When I got to class, the abdominal pain still didn’t relieve after an hour or two. I asked my colleague to buy stomach medicine, and the pain was slightly relieved after taking the medicine. Unexpectedly, the abdominal pain suddenly increased in the afternoon, and the pain made my forehead sweat. I thought to myself: stomach pain is not this kind of pain, and taking medicine will not help. If it goes on like this, it will hurt people to death. So he endured the pain, stepped on the accelerator, and drove to the door of the emergency department of the Municipal People’s Hospital.
After asking about my condition, the receiving doctor pressed my stomach with his hand again—it gave me a grimacing pain, and then issued a list of blood, urine, stool, abdominal CT, and asked me to check it as soon as possible.
When the examination was over and waiting for the results, the pain in my left abdomen became more and more severe. I was sweating profusely, and started to vomit bile. The doctor prescribed a painkiller, but when I paid for the medicine, I found out that the medicine was expensive. However, although the injection made me feel sore, fortunately, the abdominal pain gradually eased and I stopped vomiting.
At this moment, a phone call came from my home. I saw that it was the time when I usually got off work. My parents must have asked me if I would go home for dinner. I thought I would be able to go home with some medicine after the test and I didn’t want to tell them that I was in the hospital, so as not to worry about the second old man, I said I would go back later and let them take it first. But my parents still heard from the phone that I was in the hospital, and eagerly asked me what was wrong and which hospital I was in. I couldn’t resist them, so I had to answer truthfully.
diagnosed with acute pancreatitis,
The doctor said that he must be hospitalized
After a long wait, the test results finally came out: blood amylase and lipase exceeded the upper limit of normal by more than 4 times, and abdominal CT reported acute pancreatitis. Hi, it’s just an inflammation of the pancreas. It’s not like acute gastroenteritis. It’s fine after a few days of anti-inflammatory treatment. With my age in my early twenties, I’m still alive and strong in two days.
Emergency abdominal CT report suggests acute pancreatitis and fatty liver | Photo courtesy of the author
But when I handed the examination report to the doctor, he said seriously to me, “It’s acute pancreatitis, and I must be hospitalized. Prepare a deposit first,” and then went to contact the ward.
I hurriedly searched for “acute pancreatitis” on my mobile phone. I didn’t know it, but I was shocked when I saw it – this is a dangerous disease, and even gastrointestinal bleeding, sepsis, multiple organ failure… There are still die! Look at the triggers: binge eating, drinking a lot of alcohol, eating a lot of greasy food… Thinking about why I didn’t do this every day for the past week, it’s really self-inflicted! It’s over, I won’t be dying, I’m still young, I still have a great future, and there are still many ideals that have not been realized!
The doctor contacted the ward and came back to see me staring at the phone. He may have guessed my inner drama. He comforted me and said: Although this disease is menacing, but fortunately, it is still mild at present. After active treatment, it will take ten days. You should be able to get better and be discharged from the hospital soon.
You can’t eat or drink for the sake of healing.
starving is not good
After my father arrived, he went through the hospitalization procedures for me. The first doctor’s advice given to me by the attending doctor in the ward was: I can’t eat or drink.
Oh my God! Inedible and meatless is my belief! No meat, no wine, no dinner, I have to say goodbye to my beloved roasted wings, roasted meat, roasted gluten, beer, meat rolls, and chicken drumsticks for the time being! The thought of not knowing when I will be able to meet them makes me very depressed.
For the first two days, as soon as it was time to eat, the smell of the food wafting from the adjacent bed evoked my greed. The taste of starvation was really uncomfortable! In order to take care of my emotions, my parents almost always had white rice, steamed buns and pickled vegetables or seaweed soup during the bedtime.
My mother felt bad for me. Seeing that my eyes glowed green when I saw pickles that I didn’t like to see, she secretly gave me a little pickle with the doctor behind her back, and let me chew a few bites and taste it before spitting it out.
Being sick in the hospital is really a crime,
Good thing my parents are with me
After a few days, the hunger was gone, and at the same time, the lower abdominal pain was basically relieved by active treatment, but new troubles followed one after another.
The treatment involves a drug that inhibits the secretion of the pancreas, which is continuously pumped into my veins through such a micropump. That is to say, for the 8 days in the hospital, 24 hours a day, I was connected to this pump, and this pump was powered by the power supply on the wall next to the bed, so I was basically limited to the bed and the bedside. , It’s really a lot of torture for me, a mental guy who often bounces on the court.
Micro Pump | wikimedia
Because of the inability to eat and drink, large amounts of intravenous fluids are required every day to replenish energy and water. I am most afraid of losing potassium-containing liquids, because the arm will continue to be swollen and painful during the loss. I feel that the arm is swollen and swollen, and the skin is stretched, which is very uncomfortable. The nurse said it was because the potassium irritated the veins, so I tried to be patient. My mother didn’t want me to suffer, so she took the toilet paper roll and rubbed it back and forth on my arm, hoping it would relieve me a little bit of the pain.
To be honest, this is the first time I have spent such a long time with my parents since I was an adult. I usually go to work during the day, and I usually go out to socialize after get off work and on weekends, or have dinner with my friends and classmates. At this time, I suddenly realized that my parents who were still in their prime had grown a lot of gray hair, while my mother, who had been doing housework for many years, had rough and dry hands, which was in stark contrast to her skinny and tender flesh.
feel deeply
Health is important and family is precious
When I was discharged from the hospital, I lost a full 8 pounds compared to before I was hospitalized, and the beer belly disappeared. It is said that to lose weight, “shut your mouth and open your legs”, which is honestly not deceiving me.
The doctor told me to start eating light, oil-free semi-liquid food, such as rice porridge, white noodles, and noodles, after I was discharged from the hospital. The diet should be controlled, not to eat too much, to eat less fried and barbecued food, and it is best not to drink alcohol. If you do not pay attention to your diet, you will have repeated acute pancreatitis. Too many times may lead to chronic pancreatitis. An incurable chronic disease, when you want to eat meat, you will not be able to digest it, and diabetes will occur. I nodded frequently, expressing my obedience to the doctor’s orders.
Because of acute pancreatitis, I can no longer eat large pieces of meat and drink in large bowls. Although I lost some of the fun in life, I have a deeper understanding of the importance of health and the value of family relationships. How can Sai Weng lose his horse and know that it is not a blessing?
Doctor Reviews
Duan Zhuoyang | Attending Physician, Department of Gastroenterology, Western Hospital, Beijing Chaoyang Hospital Affiliated to Capital Medical University
The pancreas is located in the upper part of the abdominal cavity, behind the stomach, and is an important digestive organ. It secretes a variety of digestive enzymes such as trypsin, amylase, and lipase, which are discharged into the duodenal cavity from the pancreatic duct to digest protein, starch, and fat in food, thereby facilitating the body’s absorption of these nutrients. However, when these digestive enzymes are secreted too much or are not discharged smoothly, the pancreas will digest itself, causing local inflammation in the pancreas. In severe cases, systemic inflammatory response syndrome may occur, accompanied by multiple organs throughout the body. disfunction. About half of acute pancreatitis are mild, about one third are moderately severe, and nearly 20% are severe. Severe acute pancreatitis has a long hospital stay, high cost, and a fatality rate of 20% to 30%.
Anatomy diagram | wikimedia
The etiology of acute pancreatitis is complex. In my country, bile duct stones, alcohol, and hyperlipidemia are the most common causes. With the improvement of living standards and changes in dietary structure, alcoholic and hyperlipidemia acute pancreatitis is increasing day by day, and it is younger and more severe. Therefore, people with high blood lipids who have a history of gallstones or who like to eat late-night snacks and drink small wines should be especially alert to acute pancreatitis!
The most prominent manifestation of acute pancreatitis is sudden epigastric pain, which is persistent. Sometimes the pain radiates to the back, and it is also accompanied by nausea and vomiting, but the abdominal pain does not relieve after vomiting. This is the most obvious difference from epigastric pain caused by stomach disease— — Epigastric pain due to stomach disease is usually relieved or even relieved after vomiting.
The author of this paper suddenly suffered from epigastric pain after drinking a lot of alcohol. The pain did not relieve after taking stomach medicine, and it became more and more severe. After seeing a doctor, blood amylase lipase was significantly increased, and CT showed signs of acute pancreatitis, so the diagnosis of acute pancreatitis was made. clear. Judging from the length of hospital stay and the outcome of the disease, it should be mild acute pancreatitis. Fortunately, of course, he also benefited from his timely treatment – some acute pancreatitis can progress to severe within 48 hours after the onset.
However, the author still drove to the hospital by himself in the case of very severe abdominal pain, which is brave and even dangerous-severe pain will deform the movement, affect the precise operation, and the severe pain can even cause syncope. For sudden pain (not just abdominal pain) that is severe, or persists for more than 1 hour without relief, it is strongly recommended to seek medical attention as soon as possible – because there may be a serious disease behind the pain.
The treatment of acute pancreatitis is a comprehensive treatment mode based on internal medicine. The first thing is to fast with water, so as to avoid continuing to stimulate pancreatic enzyme secretion , so that the pancreas can rest adequately. At the same time, drugs that inhibit pancreatic secretion and pancreatic enzyme activity are given intravenously, antibiotics are given as appropriate, and fluid resuscitation and nutritional support are active. Very few severe cases require surgical treatment.
It is not advisable to secretly chew pickles when the author is fasting water, because chewing food stimulates pancreatic secretion through nerve reflexes.
At the same time of treatment, it is also necessary to identify the cause as much as possible, and to remove the cause can prevent the recurrence of the disease. If acute pancreatitis occurs repeatedly, it will lead to impaired pancreatic function – on the one hand, insufficient secretion of various digestive enzymes will cause malnutrition due to nutrient absorption disorders; on the other hand, the pancreas has the function of secreting insulin, and insufficient insulin secretion will lead to subsequent Diabetes mellitus, which can lead to chronic pancreatitis, which increases the risk of developing pancreatic cancer.
The article also mentioned that in addition to drinking frequently, the author usually eats a lot of barbecue and meat. The young man in his early 20s has a beer belly and fatty liver, so it is likely that he already has abnormal blood lipid metabolism. Therefore, in the future, he will not only not be able to eat large pieces of meat and drink in large bowls, but also actively exercise to reduce fat and improve abnormal blood lipid metabolism.
Finally, I hope everyone pays attention to a healthy diet and prevents diseases from entering from the mouth.
Personal experience sharing does not constitute diagnosis and treatment advice, and cannot replace a doctor’s individual judgment on a specific patient. If you need to seek medical treatment, please go to a regular hospital.
Author: Liu Yexing
Edit: at ease
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