Chapter 769 - 358: The Heart Is Too Troubled, But Humanity Has Compassion

Chapter 769: Chapter 358: The Heart Is Too Troubled, But Humanity Has Compassion

Han Siying switched to the child’s right hand for measurement, and the result was the same.

The systolic pressure was normal, but the diastolic pressure was high.

The blood pressure cuff for the child was a specialized one, and the clinic only had this one to save costs.

The likelihood of the blood pressure monitor malfunctioning was very low.

"Have you ever measured the child’s blood pressure before?"

Li Jingsheng asked the child’s parents.

"Never measured it."

The child’s father shook his head.

"Our child has never been to the hospital since birth. We’ve always learned about child-rearing. His health has always been good. This is the first time he’s had a stomachache for more than a day and a fever."

The child’s mother seemed quite proud when talking about child-rearing.

Many new mothers start learning various child-rearing knowledge during pregnancy, which is good. Scientifically and rationally raising children can indeed help them grow up healthily and robustly.

"The child should have had free health checks at a hospital or community health station at birth, three months, six months, and one year, right?"

Li Jingsheng decided to look for the child’s previous health check records through other means.

Now every child has a health file, and check-ups are required regularly at different ages.

"We did! But I didn’t bring it with me!"

"Is your home far from here?"

"It’s about a ten-minute walk."

"In that case, you can go back and bring the child’s health check-up booklet for me to see. Or if there’s someone at home, they can send a photo. The child currently has normal systolic pressure but high diastolic pressure, which is early hypertension. Comparing it with the child’s records will greatly help in the diagnosis."

Li Jingsheng insisted on understanding the child’s previous blood pressure situation, for the child’s sake.

For such a young child to have high blood pressure, the first thing to consider is congenital heart disease.

But the family did not mention this issue.

The best way is to check the child’s past health check records.

The child’s father went home to fetch the health check records.

Li Jingsheng continued to examine the child.

Listening to the child’s bowel sounds, they were normal.

There was slight abdominal distension upon pressing the abdomen.

"Little friend, where does your tummy hurt?"

The little boy, still very young, looked at Li Jingsheng with some fear.

"Baby, the doctor uncle is asking where your tummy hurts. Can you point it out?"

"This..."

He timidly pointed to his lower left abdomen.

Li Jingsheng’s mind immediately thought of the organs in the lower left abdomen and the common abdominal pain-related diseases.

If it were right lower abdominal pain, in children, appendicitis would be likely.

Now it was the lower left abdomen, and possibilities included enteritis, intestinal hernia, intestinal colic, etc.

However, the child was still very young, with limited expressive and pain perception abilities. He might not describe it accurately.

Therefore, Li Jingsheng only took the child’s description as a reference.

"Close your eyes, relax, I’ll check your tummy."

Li Jingsheng began to perform a tenderness test on the child.

When pressing around the navel, the child showed a painful expression, brows furrowed, but he endured it quietly.

Continuing to press, the tenderness around the lower left abdomen was similar, only mild.

No mass was felt.

Moving to the right, when pressing the right lower abdomen, the child let out a painful hum, nose wrinkled, and his body instinctively wanted to arch.

It was evident that his right lower abdominal pain exceeded the left lower abdomen and periumbilical area.

Seeing this, Li Jingsheng began suspecting appendicitis.

Because early appendicitis pain usually starts around the navel and isn’t particularly pronounced. It also has characteristics of radiating and shifting pain.

However, the possibility of acute gastroenteritis in the child could not be ruled out.

A child’s gastrointestinal function isn’t fully developed; eating something cold or unclean can easily cause stomachaches.

In clinical practice, acute gastroenteritis is very common in children.

"Has there been any vomiting?"

"Yes! He vomited once this morning."

"Is the stomach pain intermittent or continuous?"

"I think it’s continuous! Because even when he was asleep last night, his brow was furrowed, and he spoke feebly."

"Was the vomiting ordinary or projectile?"

"I’d say it was normal. He retched first, then vomited."

"Is the diarrhea stool a watery liquid or thicker?"

"It’s okay!"

The child’s mother thought for a moment and replied.

"Are there any white mucus or blood threads?"

"No, there aren’t."

"During the tenderness test, the child’s right lower abdomen was more painful. I’m a bit worried it might be appendicitis or something similar, shall we take an abdominal X-ray for the child, what do you think?"

Li Jingsheng asked the child’s mother.

"How about we wait for the child’s father to come back before deciding!"

The child’s mother seemed a little indecisive.

"Alright then, you can hold the child and rest for a while over there. If the child wants water, there’s hot water over there." Li Jingsheng proceeded to attend to the next patient.

After about twenty minutes, the child’s father returned, sweating heavily.

Judging by the situation, he must have run there and back.

"Dr. Li, is this the booklet?"

"Yes!"

Li Jingsheng took it and leafed through it. The child’s blood pressure had always been normal.

But the health check records stopped at two years old and were not continued.

The possibility of congenital heart disease was small.

He listened to the child’s heart sounds, which were normal.

"The child has hypertension! We need to take an abdominal X-ray to check, what do you think?"

"How could such a young child have hypertension?"