The B-ultrasound next to the bed in the emergency room came soon, but no obvious problems were found, the appendix, gallbladder, kidney, and ureter were all fine.

The liver, gallbladder, pancreas, spleen and kidneys also look normal!

Considering that the girl has no history of overeating and the pain is not mainly on the left, it should not be acute pancreatitis.

Is it appendicitis?

Acute attack?

Appendicitis B-ultrasound is not visible unless it is prolonged chronic inflammation that cannot be cured, and severe abdominal inflammation has been formed.

Chen Cang continued to inquire about the disease history in detail.

"Does there feel metastatic abdominal pain? It is like moving from the upper abdomen, then gradually to the umbilical, and to the right lower abdomen?"

The girl seemed to have an objection to Chen Cang, and she was in a bad mood when she spoke.

Chen Cang was a little helpless.

Seeing this, my mother suddenly said, "Ni Ni, speak well and cooperate with the doctor to check. Can the doctor treat you badly?"

The girl shook her head: "This is not the case."

Chen Cang thought about it: "Go and have a abdominal ct to see if there is any possibility of appendicitis!"

The girl gave Chen Cang a blank look and sneered: "Can you do it? Make this and that one at a time. Are you lying to my family's money!"

The parents quickly apologized: "Sorry, doctor, we have actually wanted to do a physical examination on our children, just take it as a test!"

Fortunately, the parents actively cooperated and the examination could continue.

The girl was reluctant no matter how she was, but her parents still took her to do a belly ct.

After ct was finished, no major exception was found.

There are no acute appendicitis, nor are there any bile duct stones, cholecystitis, cholangitis, pancreatitis, intestinal obstruction, gastrointestinal perforation, etc.

Now I am confused about the cause of abdominal pain.

The reason for this severe abdominal pain is only a few, and the only doubted thing now is the digestive tract problem.

For example, gastric ulcers, duodenal ulcers, etc. This peptic ulcer is a very common cause of abdominal pain.

However... if you want to have a gastroscopy, Chen Cang is now very worried about the girl's discooperation.

And it is really impossible to diagnose what is going on now.

At this time, the girl's father's phone rang, she got up and went out to make a call, and then came back and hurriedly sent the test form and image information to the other party, and asked Chen Cang some professional questions.

After Chen Cang explained, the man walked out with the phone.

A few minutes later, the man came over and said, "Doctor... can you help us check for a gastroscopy and colonoscopy?"

"That's right. I also consulted my friend who is a doctor in the capital during this period of abdominal pain. He is an expert in gastroenterology. He suggested that I have a gastroscopy and colonoscopy to see if there are any changes."

It is quite convenient to have an emergency gastroscopy appointment. The gastroscopy appointment in the gastroscopy department must require the gastroscopy room numbering, but the emergency department will be more convenient, but the charges will be more expensive.

Chen Cang looked at the girl's appearance and suggested going to the gastroenterology department for hospitalization, which could also be reimbursed.

As a result, when the girl heard that she was hospitalized, the girl's parents quickly refused.

The other party didn't seem to care about the money, so he wanted to diagnose it as soon as possible.

Gastroscopy is more difficult. The girl was initially resistant, but later, given the power of her parents, she reluctantly agreed to do it.

The gastroscopy result came out, with a little superficial gastritis. There was no big problem with the rest, but this is definitely not the cause of abdominal pain.

If the girl can barely accept the gastroscopy, the colonoscopy will be severe!

After the girl's mother thought of the colonoscopy, she quickly discussed with her father.

The two suddenly decided to do it!

However, before this, the girl's mother found a gastroscopy room to prepare for the female doctor who was doing the colonoscopy, said a few whispers, and secretly stuffed some red envelopes, hoping that she could check if there was any damage during the colonoscopy!

The colonoscopy was released, but there were still no obvious abnormalities.

There is no enteritis, no colon lesions, and no tumors or anything else.

Although there was nothing unusual, the girl's mother was obviously a little angry...

The reason for being angry does not seem to be due to abdominal pain, but to the female doctor's report.

"Your girl may have had it, but... it's not guaranteed. After all, there are still a lot of damage caused by various reasons, so don't worry too much."

After the examination, the girl's parents were originally angry.

But at this time, the girl suddenly had abdominal pain again!

Covering his stomach, yelling.

When observing the room, Chen Cang was also confused.

It can be said that all the tests that can be done have been basically done.

But now there is no abnormality, which is too unscientific!

I had abdominal b-ultrasound, gynecological color ultrasound, abdominal ct, gastroscopy, and colonoscopy, but no problems with abdominal pain were found.

There are only a few things in the belly, and the entire digestive tract is just that long. The gastroscopy can see part of the digestive tract and the colonoscopy can see part of the digestive tract.

Could it be... the part that cannot be seen in the middle is except for the problem?

That is, the digestive tract jejunum and ileum. There is no way to see this. Could it be that there is a problem here?

Have a capsule endoscopy?

Chen Cang is also very interested in knowing who is the monster who is responsible for it.

I haven't encountered this strange abdominal pain for a long time!

But looking at the girl's condition at this moment, Chen Cang felt very uncomfortable!

Capsule endoscopy can see the entire digestive tract, which is to let the patient swallow a camera the size of a capsule. The camera will walk around the gastrointestinal tract, take pictures continuously, transmit data to the computer, and finally pull it out through the stool.

If there is a problem with the small intestine (jejunum, ileum), capsule endoscopy is helpful.

But this check is very expensive!

The endoscopic room of the second hospital in the provincial hospital can be performed, but it costs several thousand yuan. If the hospitalized patients can be reimbursed, but this kind of emergency... is very difficult.

At this moment, Chen Cang suddenly turned around and found that the girl's mouth was twitching, her eyes were dull and dull!

!

Chen Cang was scared this time!

This is...what happened?

However, this situation came and went quickly, and it passed quickly.

This signal shocked Chen Cang.

Suddenly I thought of a possibility!

He looked at the girl and the woman: "May I ask... do the family members have epilepsy?"

As soon as these words came out, the two of them shook their heads: "No, no epilepsy..."

Chen Cang continued to ask: "So does she have any history of trauma? She has a head."

The girl's father suddenly realized: "Yes! Some, in July, she fell down on a bicycle during the summer vacation and touched her head. She was dizzy for several days. She did a head nuclear magnetic field and said nothing was wrong, maybe it was a slight concussion."

Chen Cang hurriedly said: "I am considering that your girl's behavior may be epilepsy!"

As soon as these words came out, the woman was startled!

Epilepsy is not a good disease!

That's epilepsy!

To put it bluntly, in the past, it was a disease that was despised and joked in the countryside.

Whoever has an epilepsy, tell me it...it's difficult to find a partner!

So the woman was so scared that she was a little scared: "Doctor... are you kidding? How can epilepsy cause stomachache? Isn't it twitching all over her body and foaming?"

Chen Cang shook his head: "I just doubt it now because there is an epilepsy, the main manifestation is abdominal pain!"

"When epilepsy occurs, it may be accompanied by autonomic attacks, which are also medically called diencephalic epilepsy. The specific types can be headache, abdominal pain, limb pain, fainting or cardiovascular attacks."

"So, so many tests have been done. I suggest that we do an EEG to find the cause."

The girl's parents were very sensible and quickly agreed upon hearing this!

Typical epilepsy is indeed convulsions, consciousness disorders, and foaming at the mouth. Everyone understands it.

However, atypical epilepsy may manifest as abdominal pain, because abnormal brain discharge may be related to abdominal nerve disorders, resulting in abdominal pain.

Although such examples are rare, they have been there!

Otherwise, it wouldn't be written in the textbook.

So when Chen Cang saw that the girl had an absentminded attack, he suddenly thought of this possibility.
To be continued...