

Li Jin Quan

About me
Loudi Central Hospital, General Surgery, attending physician, engaged in clinical work in surgery for many years, with rich clinical experience in the diagnosis and treatment of surgical systemic diseases.
Proficient in diseases
Specializes in common diseases such as gallstones, cholecystitis, bile duct stones, liver cysts, liver hemangiomas, etc.

Voices

Is intestinal obstruction serious?
When the contents of the intestine cannot be normally expelled through the intestinal tract, it is called intestinal obstruction. Its clinical manifestations mainly include abdominal pain, bloating, vomiting, cessation of defecation and flatulence from the anus. The treatment of intestinal obstruction mainly includes conservative treatment and surgical treatment, with the vast majority of patients receiving conservative treatment. This includes gastrointestinal decompression, abstinence from drinking and eating, enhanced anti-inflammatory therapy, and maintenance of electrolyte balance. Only a small portion of patients require surgical treatment. After treatment, the vast majority of patients with intestinal obstruction can recover normally, which means that intestinal obstruction is not a very serious illness.

How long does vomiting last with a mild concussion?
Patients with mild concussion typically exhibit brief disturbances in consciousness lasting from several seconds to several minutes after the injury, usually not exceeding half an hour, along with retrograde amnesia. Some patients may also experience varying degrees of headache, dizziness, nausea, vomiting, and other clinical symptoms. The vast majority of mild concussion patients can recover within five to seven days with rest and conditioning, meaning that mild concussion symptoms, including vomiting, can resolve within 5-7 days.

How to diagnose a concussion?
Concussion typically involves functional impairment of brain activities. His head CT showed no organic damage. The main clinical symptoms include transient consciousness disturbances and recent memory loss after the injury. Some patients may experience significant symptoms such as headache, dizziness, nausea, vomiting, and insomnia, among other clinical symptoms. For concussion patients, the first step is to conduct a head CT to rule out intracranial organic injuries, followed by cerebrospinal fluid examination, and then an electroencephalogram test.

Symptoms of intestinal obstruction
Intestinal obstruction is caused by any factor that causes blockage of the intestinal tube. Compression and twisting cause the intestinal contents to not pass normally, leading to obstructive symptoms. Clinically, intestinal obstruction mainly presents with four major symptoms: first, intermittent abdominal pain; second, vomiting, where the higher the location of the obstruction, the earlier and more frequent the vomiting, consisting mainly of food or gastric fluid. If the location of the obstruction is lower, the vomiting is delayed and less frequent and may include fecal matter; third, abdominal distension, which generally occurs after the obstruction has been present for some time, and its severity is related to the location of the obstruction; fourth, cessation of gas and feces discharge through the anus.

What will happen with tetanus?
Firstly, it should be noted that tetanus is a curable specific infection. Typically, after being infected with tetanus, the early symptoms mainly include dizziness, headache, fatigue, decreased appetite, refusal of weakness, jaw pain, or some hyperreflexia. As the condition worsens, symptoms such as muscle spasms, muscle rigidity, risus sardonicus, difficulty opening the mouth, lockjaw, opisthotonos, and stiffness in the neck can occur. In severe cases, there may be difficulty breathing, respiratory arrest, and even cardiac arrest. The vast majority of tetanus patients can fully recover through proper and systematic treatment.

Can tetanus be treated?
Tetanus is a specific infection caused by toxins produced by the bacterium Clostridium tetani in the human body. If treated systematically and without severe complications, the vast majority of tetanus patients can be cured. Whenever there is a wound, it should be cleaned with hydrogen peroxide or saline and the patient should go to the hospital as soon as possible for a tetanus vaccine injection. If tetanus occurs, it is imperative to seek timely treatment at a hospital. Most tetanus patients exhibit muscle tension and rigidity, such as risus sardonicus, difficulty opening the mouth, neck stiffness, and opisthotonus. In severe cases, respiratory arrest or difficulty breathing may occur. Therefore, tetanus patients, as long as they go to the hospital for early treatment, the vast majority can be cured.

How is a concussion diagnosed?
Concussion diagnosis usually includes, first, a history of head trauma; second, after a head CT scan, no significant substantive changes are observed, but the patient has experienced a transient loss of consciousness, typically not exceeding half an hour. Third, there is approximated amnesia where the patient cannot recall the incident. Some may show symptoms such as decreased blood pressure and pale complexion, while others can experience dizziness, headache, nausea, loss of appetite, insomnia, memory deterioration, and lack of concentration among a series of clinical presentations. Diagnosis of concussion can be confirmed through medical history, supplementary examinations, and clinical symptoms.

How long does it take for tetanus to develop?
Tetanus is a specific type of infection caused by the toxin produced by the growth and reproduction of Clostridium tetani, which enters the body through damaged skin and mucous membranes and thrives in an anaerobic environment. Clinically, it is mainly characterized by lockjaw, muscle rigidity, and muscle spasms. After being infected with tetanus, people generally show symptoms within seven to eight days; in quick cases, symptoms can appear within twenty-four hours, while in longer scenarios, the onset can take several months or even years.

Tetanus allergic symptoms
The primary allergic reaction to tetanus is anaphylactic shock. Some patients may experience skin redness, itching, chest tightness, difficulty breathing, pale complexion, and cold sweats within minutes after receiving the tetanus vaccine. Some may also experience nausea, vomiting, and even abdominal pain. Additionally, blood pressure may drop, and the pulse may slow down. In severe cases, coma can occur, and even cessation of heartbeat and breathing. The second type of allergic reaction is serum sickness, which can occur after a tetanus injection, characterized by erythema, edema, and itching at the injection site.

How is intestinal obstruction diagnosed?
The main clinical manifestations of intestinal obstruction include abdominal pain, abdominal distension, vomiting, and cessation of gas and bowel movements from the anus. During the physical examination, tenderness in the abdomen can be observed, as well as hyperactive bowel sounds. Laboratory tests may reveal increased red and white blood cell counts, and electrolyte imbalances. Supplementary examinations, such as abdominal X-ray films, can show dilation of the intestinal tube, air and fluid accumulation within the abdominal cavity, and the presence of fluid-air levels. Abdominal ultrasound can also reveal air and fluid accumulation in the intestinal tube. Through the above examinations, intestinal obstruction can be diagnosed.