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Bring your poop to the hospital

BY Iris Wheatley 2020-08-01

  When I go to the clinic, I can always see some parents who are not likely to see a doctor. If they have a little knowledge of medical treatment, they will not waste so much unnecessary time in the hospital.

  A lot of children with diarrhea recently, Many parents bring their children to the doctor for diarrhea. However, when the doctor suggested to check the stool of the child, the parents could not immediately collect the stool of the child. Sometimes, the parents waited for three or four hours in the hospital to wait for the shit of the child, but the child was so good.

   There are some schools that require students to go to the hospital to check for intestinal parasites. Some parents are very obedient and do not ask how to check. They took their children to the hospital without saying anything. I had to repeat the vulgar sentence repeatedly: "Little student, you can''t pull at this moment, if you can pull it out a little, you can check it." Usually at this time, the little student will answer embarrassedly: "I I don’t want to pull it.” Then I replied: “You can go home. You can stop coming next time. Just ask your dad to bring your stool in a plastic bag, and ask to be delivered within half an hour.”

   Of course, there are indeed very smart parents. I will see one this afternoon. A child''s father brought the child''s stool to the test. He saw a lot of people, very gentleman standing behind the crowd and waiting silently, without jumping in line. When it was his turn to see his child, the hour had passed. At this time, I only realized that he just gave the child a stool test, and the stool at this time is no longer suitable for the test. I said to him: "Stools must be sent to the hospital for laboratory tests within half an hour to make sense. Next time, we must learn to jump in the queue. Tell the doctor in advance and insert a team to open the test sheet. Everyone can generally understand." /p>

   When it comes to stool routine, this is a test that cannot be ignored.

  The stool test routine includes 7 items, and the clinical significance of each result is different.

  1. Color of feces

   Normal color: yellowish brown in adults and yellow or golden yellow in infants.

   Clinical significance: tar color, seen in upper gastrointestinal bleeding, etc. Red, seen in dysentery, colon cancer, hemorrhoids, etc. Clay color, see obstructive jaundice caused by various reasons. Green, seen in infants with indigestion. Yellow-green, seen in pseudomembranous enteritis.

  2. Fecal morphology

  Normal morphology: soft stools are formed.

  Clinical significance: Atherosclerosis or watery stool, seen in acute gastroenteritis, food poisoning, pseudomembranous enteritis, etc. Mucoid or purulent stools are found in dysentery, ulcerative colitis, colitis, enteritis, colon cancer, rectal cancer, etc. Curd stool, seen in infants with indigestion of milk. Thin strips of stool, seen in rectal stenosis caused by colon cancer. Rice soup is similar to cholera and paracholera.

  3. Fecal cells

   Normal reference value: Red blood cells: 0/HP. White blood cells: occasionally /HP.

  Clinical significance: The appearance and increase of red blood cells are seen in the increase of white blood cells such as dysentery, enteritis, colon cancer, and hemorrhoids. They are seen in enteritis and bacterial dysentery.

  4. Fecal occult blood

   Normal reference value: negative.

  Clinical significance: positive, seen in gastrointestinal bleeding caused by gastrointestinal malignant tumors, typhoid fever, ulcer disease, liver cirrhosis, etc.

  5. Fecal bile

   Normal reference value: negative.

  Clinical significance: positive, seen in hemolytic jaundice and hepatic jaundice.

  6. Fecal bilirubin

   Normal reference value: negative.

  Clinical significance: positive, seen in hemolytic jaundice, obstructive jaundice, etc.

  7. Fecal bacterial culture plus drug sensitivity

   Normal reference value: negative (no pathogenic bacteria).

  Clinical significance: positive, seen in bacterial dysentery, typhoid fever, intestinal tuberculosis, acute and chronic enteritis, etc. At the same time, effective antibiotics can be selected according to drug sensitivity.

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