The first thing that happens in a visit to a doctor is the questioning of the doctor and the statement of the patient’s condition. This is the communication between the doctor and the patient in order to understand the cause of the disease. This process of what to talk about and how to talk about it is the first thing to do when seeing a doctor, for the doctor is to ask questions and for the patient is to state the condition. This is the communication between the doctor and the patient in order to understand the cause of the disease. This process of what to talk about and how to talk is a learning process. If you talk well, your condition will be clear, your judgment will be accurate, and your treatment will be appropriate; if you don’t talk well, you may have a misdiagnosis! The director of Beijing St. Mark’s Hospital, Zhao Baoming, will tell us how doctors and patients should talk. The first thing that the doctor will ask is how long have you been unwell? This is to understand how long you have been sick. You can say: I have been constipated since middle school; as soon as I got married, constipation started; as soon as my lover was hospitalized, I didn’t have a bowel movement for a week, and finally became a habit …… Here, middle school, as soon as I got married, and as soon as my lover was hospitalized are the onset time points, so try to explain clearly. Key point two: the degree of development of the disease mastered the above, the doctor can initially determine whether it is an acute disease, or chronic disease. For example, a patient, small abdominal cramps, diarrhea for 3 days, is an acute disease. The doctor will then ask about the number of stools in the past 3 days, whether there is blood in the stool, whether there is bloody stool, mucus stool, and whether there is pus and blood. If any of these symptoms are present, it can be tentatively determined to be an infectious disease of the gastrointestinal tract. This process is to trace the condition and the doctor is gradually determining which tests should be done. Acute disease refers to diseases with rapid onset, rapid changes in condition and severe symptoms, and most medical judgments are limited to two weeks. Chronic disease is a disease that is gradual and does not show symptoms very strongly. Generally, the appearance of symptoms for more than three years is mostly classified as a chronic disease. Key point three: whether you belong to a special group of people with the same symptoms, but also in combination with the onset of the population, a comprehensive analysis of the judgment. If the sickness is a special group of people, the elderly, children, pregnant women …… even if the symptoms are similar, the cause of the disease may be completely different. Therefore, if you are in a special situation, such as a short period of pregnancy, which is not yet visible, you must take the initiative to inform your doctor. Key point four: whether the living environment and habits have changed Once met an old man, originally living in the countryside, his children received to live in the city in order to honor him, this is good, can not pass stool. Why? Because the countryside is squatting pit ah. Into the city, sitting on the toilet, not used to it! Moreover, the squatting pit and sit on the toilet posture is different, the abdominal pressure is also different, there is an impact on defecation. There are also people who defecate every day at home on time, very regular, a business trip became 5 days once …… these are affected by lifestyle habits. Habit is a consciousness that is developed over a long period of time. Once changed, the body is prone to uncomfortable reactions. Therefore, it is important to clearly state the changes in living habits and environmental conditions when seeing a doctor. Key point five: whether there is a relevant medical history The medical history mentioned here includes two aspects. One is whether the same kind of disease before “I always do, five years I’ve been like this ……” to explain clearly. It also includes diseases related to this disease, diseases of related organs. A mayor’s wife was once seen by a doctor. Because of chronic constipation, she ran to all the major hospitals in Beijing, but for many years she was not cured, and was later referred to me. After careful examination, I found that her spine was severely collapsed at the end, with a crater when pressed by hand, and she also had a not-so-small uterine fibroid. These two causes were compressing the intestines, so could the bowel movements be smooth? Later, the spine was surgically treated and the fibroids were removed, and the constipation disappeared on its own. This is why it is important for doctors to have a full picture of the patient’s condition and to consider all factors.