Guo Xiang arranged for the patient to do a brain MRI, and sure enough, there was a problem.

It is central pontine myelinolysis.

Most people may not know this. This is usually caused by the correction of hyponatremia patients too quickly, but this patient is hypernatremia, which may be caused by acute hypernatremia.

Give the patient glucocorticoids! Guo Xiang prescribed medical advice.

After the hormone was used, the patient gradually recovered a little.

But the patient is very thin. According to his husband, he has lost weight in the near future. He lost 20 pounds in a short period of time.

This is not normal and may be a paraneoplastic syndrome.

Guo Xiang arranged another examination, but the whole body was checked and no tumor was found.

But if it wasn't for a tumor, why would it lose weight so quickly?

You said before that your lover only eats bread and canned food because he is afraid of being hurt? Guo Xiang asked the patient's husband again.

Yes, only eat these two things, so the doctor will find out that she is malnourished or something. The patient's husband nodded, Could it be because of this that she suddenly became so thin?

Guo Xiang shook his head, Then those country people didn't have a meal before, and they didn't suddenly lose weight after eating bran and veggies. Besides, bread and canned food are just a little bit single, so it's much better than those who don't have food, right?

There are other reasons. Guo Xiang thought for a while, and then said, There is also a little strange, more than two catties of salt water, can you drink it in one breath?

Yeah, drinking such a high-salt thing makes my stomach cramp. We normal people can't drink it, and we will vomit if we drink it. How did she drink it? Xu Wei also felt strange.

So there should be something wrong with her stomach and intestines. Guo Xiang thought about it and asked the patient's husband, Didn't you say that the doctor prescribed a lot of medicines to your lover, but they are useless?

Yeah, all the medicines are taken on time. I supervise her to take them. I'm afraid she won't remember and watch her take them every day. The patient's husband nodded and said.

I suspect that because of gastrointestinal problems, those medicines were not absorbed at all. Guo Xiang said, and she only eats bread and canned food...

Guo Xiang pondered, Xu Wei, go do a gastroenteroscopy on the patient immediately, and do another TG2 antibody test.

Xu Wei was taken aback, Do you suspect celiac disease?

right,

Just being allergic to gluten, celiac disease can cause brain damage. Guo Xiang said.

Okay, I'll check right away! Xu Wei nodded, he didn't think of this at all.

As soon as the result was checked, TG2 turned out to be positive, which is celiac disease. To put it bluntly, it is allergic to gluten, including gluten-containing foods, such as bread, noodles and other flour products.

Among those who are sensitive to gluten, some people do not have gastrointestinal diseases, but after eating pasta-like foods, neurological and psychiatric abnormalities, such as headaches, depression, schizophrenia, and epilepsy, occur.

Celiac disease is a systemic immune disease mediated by gliadin and glutenin in genetically susceptible individuals, that is, an allergic reaction caused by the body's inability to adapt to gluten.

In this patient, the intestinal tract is inflamed, the intestinal epithelial tissue is damaged, and the absorption of nutrients is hindered over time.

However, she only ate bread and canned food, which resulted in further nutritional deficiencies, anemia and vitamin deficiency, severe thinness, and schizophrenia.

Because it wasn't properly diagnosed, the condition was getting worse.

As a result, I heard the news that salt can detoxify, and as a result, drinking a lot of salt water caused sodium poisoning.

Can that be cured? the patient's husband asked hastily.

'Central pontine myelinolysis' has caused sequelae, and your lover's neurological symptoms cannot be fully recovered, but after quitting bread, as long as she eats normally, her weight will slowly return to normal levels, and schizophrenia will also get Very good improvement. Guo Xiang said.

But what if she doesn't listen to me now? She won't eat anything else. The patient's husband had a headache.

Guo Xiang rolled his eyes, She's like this now, she can't move, what can't you do? You can't condone her too much.

When the patient's husband choked, that's right. In the past, she could do whatever she wanted, eat whatever she wanted, and she never forced her, which caused such serious consequences now.

As long as she is stronger, forcing her to eat other things may not cause the current consequences.

After the diagnosis, Guo Xiang gave the patient anti-allergic medicine, and then decided not to give her any pasta food, just a normal diet, the patient has been much better, the weight has gradually increased, and the body can move.

After being discharged from the hospital, Guo Xiang repeatedly emphasized to the patient's husband that he must not eat gluten-containing food such as bread and noodles in the future.

Who would have thought that the patient would become like this because of this.

Sometimes neuropathy may really be caused by a physical problem, but there is no right reason.

After reading this case, Guo Xiang did not go to the hospital for a long time.

But it's a good thing not to go, it shows that there are no incurable diseases, it shows that Xu Wei and the others can deal with it.

She often went to the head office to instruct Tang Le on some work matters.

Tang Le has become more and more handy, and Guo Xiang feels that he can let go slowly.

The summer vacation is almost over, just in the future, I don’t need to go to the company to bring more children, supervise their studies, and improve their mediocre academic performance.

However, his grades have improved a lot last semester. Of course, it would be better if he could be like An An.

Girls of the same age develop faster than boys and mature emotionally and intellectually. Ping Ping is just a little playful now, and it may be better to guide him slowly.

But that kid's kung fu has never been lost. After Ye Qian didn't pick him up, he sometimes learned from Zhang Ling and Gu Zhennan at home, and his kung fu became more and more exquisite.

Although he is young, he is very good at it.

Guo Xiang felt that when he got to middle school, he basically didn't need bodyguards, and he could protect his sister by himself.

Although the two brothers and sisters have not had any troubles in these years, it seems that hiring bodyguards is a bit of a waste, but this kind of thing is just in case.

If anything happened, it would be doomed, and Guo Xiang couldn't afford to gamble.

Besides, it's not that you don't have money, you can't do things that you regret for the rest of your life just because you save that little money.

Soon after the summer vacation, Ping Ping and An An entered the fourth grade, An Jin also entered the sixth grade, and several friends went to school together every day.

Sometimes An Jin will come here to play, and An An will also go there to learn the piano, the children's relationship is getting better and better, and the relationship between the two families is getting better and better.

Guo Xiang even thought that if An An and An Jin grew up, it would be good if they could be together. After all, they were childhood sweethearts and knew the bottom line.

Of course, there is no need to order dolls to kiss or something, and it depends on what they will be like when they grow up.

If they only have a brother-sister relationship, then it will be a mess.

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