Farmers cough up bile a cough this newspaper hearing normal people from the bronchial cough is phlegm, can live in Pulandian rural Ms. Song from the bronchial cough is bile, and this cough is 50 years. Yesterday, Ms. Song told reporters about her 50 years of medical experience. The 52-year-old Ms. Song said that she has been coughing up that bitter “yellow water” for as long as she can remember, and at most, she coughed up a mineral water bottle. 50 years, she always thought she was coughing up yellow phlegm. And every time she went to the local hospital, doctors treated her for pneumonia. Ms. Song has lost track of how many anti-inflammatory drugs she has taken, how many Chinese herbal soups she has drunk, how many suspensions she has had and how many CTs she has had, but not only has her coughing up “yellow water” not improved, but the more injections and medications she takes, the more “yellow water” she coughs up and the more frequently she coughs. The frequency of coughing became faster. In recent years, Ms. Song’s cough became more and more severe, and the “yellow water” she coughed up became more and more bitter. Every time she coughed, her hair was dizzy, her eyes were swollen, and she was as tired as if she had been doing farm work all day, and she was getting thinner and thinner. Earlier this year, Ms. Song heard a story on the TV program “Wang Gang Tells the Story”: a patient who had been coughing for 26 years finally found that the “culprit” causing the cough was actually a small bone left over from the bone soup she drank 26 years ago hidden in her bronchus. Ms. Song, who had been ill for a long time, suspected that her bronchial tubes also had a foreign body, so she and her partner came to the county hospital to tell the doctor about their suspicions. The doctor suggested that Ms. Song go to a large hospital in Dalian to do a bronchoscopy to see what was going on. At the beginning of April this year, Ms. Song went to the first hospital affiliated with the University Hospital and found Professor Tan Qingwei of the Department of Thoracic Surgery, who also suggested her to have a tracheoscopy. During the examination, the doctors were stunned when they inserted the bronchoscope into Ms. Song’s bronchial tubes. The bronchoscope showed that Ms. Song had a 15 cm long, 1 cm diameter “fistula” between her bile duct and bronchus, which connected the bile duct to the bronchus. This caused a portion of the bile that should have been secreted down the bile duct into the intestinal tract to be secreted retrogradely into the bronchus, causing Ms. Song’s bronchus to be filled with a large amount of bile. It turns out that the “yellow water” that Ms. Song coughed up was bile, so it’s no wonder that Ms. Song always had a hard time tolerating the bitter taste of yellow water. Doctors finally found the real reason why Ms. Song kept coughing up yellow water. In more than 20 years of medical practice, he has never seen or heard of such cases. It is known that there are only six documented cases of this kind in the world. The limited level of medical understanding of such cases has resulted in patients never being able to get the right treatment. Ten days ago, Professor Tan performed a bronchobiliary fistula excision and ligation, removing the fistula that connected the bronchus and bile duct through the right side of the patient’s chest and ligating and suturing the two duct terminals. The fistula was removed, so Ms. Song’s bile could finally go the “right way” and be secreted down the bile ducts into the intestines, no longer retrograde into the bronchi. After the operation, Ms. Song’s coughing yellow water symptoms completely disappeared. Yesterday, when the reporter met Ms. Song in the ward, she looked a little excited, and in the middle of talking, Ms. Song subconsciously coughed a few times. She said she didn’t expect a normal person’s cough to be such a smooth affair.