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Dr. Xiao also frowned, which is not very common.

Aunt, when do you usually get dizzy? Apart from going to bed, do you feel dizzy at other times? What's the dizziness method? Guo Xiang asked.

Wang Chunhua thought for a while, There are other times, but sitting here like this or standing won't get dizzy.

That's it... Wang Chunhua recalled, I feel dizzy when I go to bed, when I turn over, when I bow my head, and when I bend over.

The dizzy time is very short, maybe less than a minute. But, it's also uncomfortable, and sometimes I feel like vomiting...

Yeah, sometimes I fall down if I don't pay attention. My mother is old, but she doesn't fall. Wang Chunhua's son said worriedly.

All three were lost in thought.

Guo Xiang thought about what Wang Chunhua said, going to bed, turning over, bowing his head, and bending over are all changes in his movements. She said that she does not feel dizzy when sitting or standing.

That's when the balance is lost.

I know! Guo Xiang thought for a while.

What? An Zehan asked hurriedly, and Dr. Xiao also looked at Guo Xiang.

It may be otolithiasis! Guo Xiang said.

What's 'earwax'? I don't have earwax. I clean my ears regularly, and I've never heard that earwax can cause dizziness. Wang Chunhua said suspiciously.

Guo Xiang laughed, Auntie, it's not 'earwax', it's 'otolith', the stone of the stone.

What are 'otoliths'? There are still stones in people's ears? Wang Chunhua's son asked.

This otolith is an important organ in the ear, look... Guo Xiang took a pen and paper and drew an ear on the paper, This is our ear, the outer ear can be seen with the naked eye, and the inside is For example, what is inside the eardrum, the deepest part is the inner ear.”

The inner ear is not only responsible for our hearing, but also for our balance! Guo Xiang pointed at the ear on the paper with a pen and said, Once there is a problem with the inner ear, people will feel that they are spinning. It is because of the otoliths inside. Something went wrong.

The ovale and air sac of the inner ear have sac-like plaques with an otolithic membrane on the surface, and many calcium carbonate crystals are otoliths. It is a real stone, born with us, at birth. Under normal circumstances, the otolith is attached to the otolith membrane, but it may fall off for some reason.

These shed otoliths will swim in the fluid called endolymph in the inner ear. When the head position of the human body changes, the position of these semicircular canals will change accordingly, and the settled otoliths will move with the fluid. Flow and movement, thereby stimulating semicircular canal hair cells, leading to intense vertigo in the body.

Are these otoliths making aunt feel dizzy? An Zehan asked in surprise, he really didn't know much about this.

Dr. Xiao also looked at Guo Xiang in surprise. He didn't expect this intern to be so familiar with this. Isn't she an oncology major?

Then, what should I do? Wang Chunhua's son asked. It was the first time he had heard of otoliths in people's ears.

You should see an otolaryngologist. Guo Xiang said, reposition the otolith and the dizziness will be cured.

Ear, nose and throat? Wang Chunhua's son was surprised, the headache was also related to this.

Our hospital is an ENT department. On the third floor, you can go to the ENT department and have a good talk with the doctors there, and tell them what we put forward here. Dr. Xiao said.

Then, can I solve my mother's dizziness by going there? Wang Chunhua's son asked in surprise. Finally, the cause was found. The doctors of Beijing Medical University are very skilled.

Go, it can be solved. Guo Xiang smiled.

The two thanked them again and again and went to the ENT department.

Guo Xiang,

You're amazing, how did you come up with that? An Zehan asked.

I just thought about the dizziness that my aunt said, it doesn't happen in a static state, so it should be caused by the balance being broken. Guo Xiang said with a smile, Look at ordinary times, if we are in a car, we suddenly accelerate or It was a sudden braking, we could feel the acceleration and deceleration of the car, and the body adjusted, otherwise it would have flown out long ago.”

If there is no otolith, we will have no sense of speed, balance, and space, and we will just wander around all day, how can we live? Guo Xiang said, So I thought it was caused by the falling off of the otolith. of.

And the aunt has no other discomfort, and the dizziness time is very short, so the cause of otolithiasis is very large. Guo Xiang said, Otolithiasis is also called 'benign paroxysmal positional vertigo', so it is very suitable.

The reason why I didn't expect it at first, most people think it is a physical illness, and those common diseases are more likely to cause dizziness, otolith fall off is rarely encountered, a person may not encounter it once in a lifetime, and it is not so easy for doctors to think of it. .

How to diagnose and treat ENT? An Zehan asked curiously.

The ENT should use nystagmus to determine which semicircular canal has otoliths. Guo Xiang said, As for treatment...

Some treatment methods in later generations do not know whether they exist now, so they said: The main method is manual reset, that is, through the rotation of the body and head, the otoliths that fall off into the semicircular canals are adjusted to their original positions through changes in body position. Doctors in the department should have experience.

I'm really curious. An Zehan said, I went to the ENT department to see if it was 'otolithiasis'.

After speaking, he thought that he was still at work, and looked at Dr. Xiao, he nodded, Go!

It's good to see and experience, since it's an internship, of course, the more you learn, the better.

Thank you, Mr. Xiao. An Zehan was surprised and raised his eyebrows at Guo Xiang. She smiled, I won't go, you go and come back quickly.

Yeah! An Zehan responded and ran out.

Dr. Xiao looked at Guo Xiang curiously, It's a good study.

Thank you, Teacher Xiao. Guo Xiang smiled.

I saw the departments you rotated before, and the grades were good. How did you learn? Dr. Xiao was very curious. She could become a general practitioner, and she seemed to be able to do everything.

Actually it's nothing, I just have a stronger memory than others, and I won't forget what I've seen. Guo Xiang said.

Dr. Xiao raised his eyebrows, no wonder, this is a talent, and others can't envy him.

An Zehan came down after half an hour.

Guess what? That aunt is already healed. An Zehan said in surprise.

So fast? Guo Xiang smiled.

Well, I asked the ENT doctor, and they said it was indeed 'otolithiasis'. After treatment, some people can get better in one day, some people need several days, and some people can get better in a few months. It varies from person to person, An Zehan said.

The aunt is so happy that her head is finally no longer dizzy. An Zehan said with a smile.

Just as Wang Chunhua and her son came in, Thank you so much, doctor!

After watching it for so long, if Guo Xiang hadn't mentioned it, they would never have thought of looking at their ears and suffered so much.

Although it was favored by the ENT doctor, if Guo Xiang hadn't found out, they might have been delayed for a longer time and suffered more crimes.

Hey, that's what it should be, isn't our doctor just helping your patients out of trouble? Guo Xiang said with a smile.

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