Description: Two days ago, I woke up at eleven in the morning and felt pain in my back, thought it was frozen shoulder and cervical spondylosis, took an ibuprofen and put on an ointment, but it didn’t get better for a few hours. The next day it still hurts, and this morning it hurts to move my body, and I found my hair oily when I woke up. Help wanted: Is it a liver or gallbladder problem, or pancreas? The patient is very stubborn and not very obedient, so I hope to get guidance from the doctor. My reply: Hello, from the sent history statement it should be related to cervical spondylosis, why do you sleep until eleven o’clock to get up? What other diseases have you had in the past? What tests have you had? The information was not even sent, why did you bring up the hepatobiliary and pancreatic problems again? If your patient has not had any relevant tests, please take him to the internal medicine department or rheumatology department of your local hospital for a look. If there are still difficulties, please send the medical records and test results to us, okay? Patient’s family: Hello, thank you for your reply. The patient has gallbladder stones, had an attack of pancreatitis in 12 years and has had hyperglycemia ever since. 12 years to now, he has been taking insulin every day. 12 years hospital discharge diagnosis: 1. hepatitis B cirrhosis decompensated stage; 2. chronic pancreatitis; 3. type 2 diabetes; 4. severe anemia. He drinks almost every day and his liver is now alcoholic. He thinks it’s a biliary problem, has eaten 6542, liver and bile anti-inflammatory tablets, not listening to advice, carrying not to go to the hospital, because in the township, 12 years pancreatitis attack, the township hospital diagnosed wrong, resulting in aggravation, so now do not want to go to a nearby hospital. I hope Dr. Sui will provide further guidance, thank you. My reply: Hello! You should be a relative of the disease, read the information sent, really touched by your love! In fact, this is a metabolic syndrome has been a patient with multiple organ damage, can not be said to be the problem of the wrong diagnosis of the township hospital, but should be this patient due to excessive diet and irregular life, resulting in liver and biliary function damage, and then spill over to the pancreas, some of these diseases will be very serious, my emergency department work when many patients are not in a hurry to treat. Your relative is lucky. This type of patient has a lot of psychological problems, coupled with illness, no correct outlook on life, no sense of responsibility to family and society, and no goal in life, so it is very difficult for doctors to help him no matter what medicine he uses. If only to solve his current pain problem, personal opinion should be in the use of anti-inflammatory analgesics on top of anti-osteoporosis drugs may be better, such as the addition of osteoporotic triol, 0.25ug twice a day or Alpha D3 1ug once a day, and should also add calcium carbonate 500mg per day (better to take after dinner), if necessary, add bisphosphonates oral or intravenous. It all depends on your condition. In addition, if necessary, you can use some anti-anxiety and depression drugs to help. The problem of oily hair is related to his current metabolic abnormalities. In fact, in order to improve his current situation, only when he really has a request for treatment and has the right attitude towards life can there be hope, if not, both the doctor and the relatives can only hope. Relatives of the patient: Thank you, doctor, for your valuable advice. Yes, I am the patient’s family. People, it is not terrible to be sick, it is terrible to avoid treatment. I hope he will listen well to your advice My reply: People of this age should be people with a lot of responsibilities, and it is only right to have a positive attitude towards the disease and its treatment. And again, the whole treatment has to be regulated to work. May this painstaking effort of yours will have an effect! If there are still difficulties and he is willing to cooperate, contact again, okay?