"Old Luan, your figure has recovered very quickly." Su Yun sat down and laughed and joked with Luan Yingjie.

"Brother Yun, see what you said." Luan Yingjie sat down and said with a smile: "Didn't this tell me to have a ketogenic diet?"

"It's good." Su Yun asked casually.

"The effect is good. My stomach has gone down and my blood sugar has been controlled. But now I feel deeply about a sentence and eating meat is just an embellishment of life, and carbohydrates are eternal happiness." Boss Luan said with some emotion.

"Hahaha, think about whatever you lack. When you eat whatever you want, you will eat rice and drink cold every day?" Su Yun smiled and said, "Don't chat, talk about serious matters."

"My father is 72 years old this year. He had intermittent dizziness six months ago. Strangely, he only felt dizzy when eating, especially when eating a lot of rice or solid food in steamed buns, it was the most serious." Luan Yingjie said, "At first, I didn't care. I thought I was busy in business and was always not at home. The old man thought of me, so he pretended to be sick and asked me to go back."

"Later, I went home and had a few meals with him. It didn't look like he was pretending to be sick. But I was fine, so I didn't look at him 72 years old. I rode my bicycle every day and walked around the world along the Sijiu City. I was in good health. But even if I got dizzy, I couldn't see any problems when I was eating, and I was very thin."

While listening to Luan Yingjie's introduction of his condition, Zheng Ren looked through the medical records and test forms.

"I went to the hospital for a few checkups, but all of them were fine, and the doctor was stumped."

"Do you have any other medical history?" Zheng Ren asked, "Hypertension, coronary heart disease, diabetes, do you have any? Do you take medicine every day?"

"Not even, I have a great body, but I can't eat it now." Luan Yingjie said.

Zheng Ren looked through various test forms.

The examination and tests six months ago were as Luan Yingjie said, there was no problem. The blood tests were relatively complete, with routine examinations such as liver and kidney function, ions, blood sugar, tumor markers, trace elements, and blood uric acid.

In terms of imaging, there is a little arteriosclerosis on the head ct, which is absolutely no problem and there is no tumor.

The blood supply to the skull base and neck vascular Doppler examination is fine, and it is not caused by insufficient blood supply to the brain.

In terms of the heart, echocardiograms and electrocardiograms are fine, and related blood tests such as d2 aggregates are also performed later, and there is even a coronary angiography film.

There is no problem, this is a good health for the 72-year-old elderly.

Just as Luan Yingjie said, there is no problem.

There is no tumor in the lung CT, and even trachea, bronchitis, and emphysema.

The lung texture is clear, and the lung function is good at a glance.

The CT of the whole abdomen is fine, the colonoscopy is fine, but there is no gastroscopy.

"Why didn't you have a gastroscopy?" Zheng Ren asked.

"I did it once, and just went in and passed the pharynx, and he couldn't do it anymore. Later, the doctor said he wanted to try again. My dad said nothing, and he said that doing it once was equivalent to dying once." Luan Yingjie said distressedly.

"Have you ever had this situation before? I said it was before the attack half a year ago." Zheng Ren asked.

"No, there has never been such a strange thing, and no one in my family has ever had this situation."

"How is the old man now?" Zheng Ren continued to look at the list and asked.

"Because you feel uncomfortable eating, you eat less at first, mainly by liquid food. However, after the appetite has decreased, he said he felt that the difficulty of swallowing became worse."

Zheng Ren put the test form aside and looked at the light with the film in his hand.

He was watching the movie alone while eating hot pot, but Zheng Ren didn't feel anything at all. It seemed that this was normal.

"Strange." Su Yun looked at Liu ct and nagged.

"Well, it's very strange." Zheng Ren said: "All the inspection indicators have no problems."

"Hematologic disease?"

"Not like it." Zheng Ren said: "Whether it is a blood system disease or an endocrine system disease, you should have a reaction when you don't eat, and you will never get sick only when you eat."

Su Yun nodded and continued watching the movie.

Zheng Ren suddenly remembered something and started looking for movies.

"Boss Zheng, what are you looking for?" Luan Yingjie asked.

"Have you done it after the upper digestive tract b is b?" Zheng Ren asked.

"It's done, it's okay." Luan Yingjie started looking for the movie. He looked through it for a while and said embarrassedly: "Maybe he got off the car, I'll go find it."

After saying that, he stood up, bowed politely, and turned around and went out.

"Boss Zheng, it's a mental illness." Lao He turned around and expressed his opinion. "I met a patient from a mental hospital before, who came to our 912 for gastric cancer surgery. When I gave him anesthesia, he told me a story for a long time."

"story?"

"Oh, it's just a miserable life experience, I was deceived, engaged in pyramid schemes, and then I was arrested." Old He said, "Just like the real thing, he is the Tiansha Guxing."

"What's the result?"

"My parents, my wife and children are waiting for him outside the operating room. I wasted my time of surgery." Lao He said, "Later, I asked, and said that he had a performance personality and would feel uncomfortable if he didn't put himself in the play."

"The possibility of mental illness exists, but it cannot be easily diagnosed." Zheng Ren said.

"It's not easy anymore. All test indicators are normal. What do you think of diagnosis?" Su Yun said.

"I'll think about it again." Zheng Ren held the test form in his hand, leaned his back on the sofa, and gently tapped the sofa armrest with his fingers.

Su Yun felt that this guy was becoming more and more similar to Director Pan.

"You can diagnose it by taking the upper gastrointestinal barium permeability film." Su Yun said very simply, "At the age of 72, he didn't even have mild valve reflux, and his body is so good. There is no problem with electrocardiogram, and he doesn't consider heart diseases."

"What do you think?"

"Achalasia, this is a high possibility." Su Yun said.

Achalasia is a disease in which esophageal dysfunction caused by neuromuscular dysfunction in the esophageal cardia caused by insufficiency of the lower esophageal sphincter, food cannot pass smoothly and stays, thereby gradually reducing esophageal tension, peristalsis and esophageal dilation.

But generally speaking, the main complaint of this disease is not dizziness, but difficulty swallowing, food reflux, and weight loss.

Zheng Ren carefully searched various cases of achalasia, and there were symptoms such as dizziness caused by malnutrition. But if you want to say dizziness after eating...

This is so strange, Su Yun also talks about it casually. Zheng Ren considered that it might be caused by tumors in the endocrine system.

Soon, Luan Yingjie got the film and brought petct this time.
Chapter completed!