Patient: Description (onset, main symptoms, hospital, etc.): Patient male, 26 years old, July 16 this year, began to abdominal stuffiness and discomfort, diarrhea twice, thought it was gastritis, ate 4 days after the omeprazole ineffective, and then find a gastroenterologist to see, recommended gastroscopy: chronic superficial gastritis mixed with bile reflux, prescribed drugs are: mixed tolazol, morphine and magnesium aluminum carbonate. After two weeks of medication, I feel better, but I feel discomfort in my right lower abdomen, mainly a little bit of vague pain at the beginning, below the navel to the right, and then they move around, and the lump is aggravated after activity. I went to Guangdong Provincial People’s Hospital: the prescribed medication is compound ah zinmit enteric soluble tablets, trimebutine maleate and compound glutamate enteric soluble tablets, no effect. From a week or so of loose stools, unformed stools, stool examination 3 times normal. Now the main discomfort is: abdominal pain, abdominal distension, abdominal pain mainly in the left and right upper abdomen and lower abdomen, vague pain, vague pain in the left and right upper abdomen in the morning when walking to work, feeling tired and fatigue, both knees are sore and tired, the frequency of stools increased, no fever. Since the onset of the disease, the mental sleep is average, the urine is a little yellow, 3 months lost 7 pounds 09-01 just had a colonoscopy diagnosis: colon, rectal mucosa no organic lesions appendix opening and ileocecal valve no abnormalities. Blood sedimentation: 6/MM/H, C-reactive protein 2.50MG/H. Hemoglobin: 136G/L. No abnormalities in liver, gallbladder, spleen, pancreas, both kidneys and ureter. The total working time of the capsule endoscope in the body was: 7 hours and 04 minutes. The capsule entered the stomach 23 seconds after swallowing, passed through the pylorus into the duodenum in 0 h 5 min 32 sec, and passed through the ileocecal valve into the colon in 3 h 21 min 39 sec. The gastric mucosa seen was smooth, no obvious abnormalities were seen, no obvious abnormalities were seen in the duodenum, hemispherical mucosal elevation changes were seen at 0 h 45 min, the surface was smooth, the rest of the small intestine mucosa seen was smooth, the villi structure was intact, no obvious abnormalities were seen, the colon had more fecal water, which affected the observation, no abnormalities were seen in the mucosa. Endoscopic diagnosis: mucosal elevation changes in the upper part of the small intestine. I had a laparoscopic appendectomy on the night of October 8 for chronic appendicitis, the appendix was inflamed and the doctor explored the whole abdominal cavity by the way, they did not see any organic lesions inside the abdominal cavity and the operation went well. However, it took me 28 hours after the operation to pass gas, and for 10 days after the operation, I had abdominal distension, sometimes abdominal pain, and sometimes some contraction pain near my belly button. Recently, the abdominal distension has been much better, but I feel that the upper abdomen (the midpoint of the line between the prominence of the sword and the navel is the horizontal line} is distended and painful here, and I feel a little distended and painful, as if there is something holding it up. In September, I was treated by a doctor for gastrointestinal dysfunction, but it was not effective. I have also checked the intestinal tumor markers and they are fine. I would like to see you, can you advise me on what to do next? Thank you! Diao Dechang, Department of General Surgery, Guangdong Provincial Hospital of Traditional Chinese Medicine: From your description, the main problem is still gastritis as well as functional intestinal disease, which can be treated by replacing other similar drugs. Patient: Thank you for your reply, Mr. Diao! But now it has been uncomfortable ah, before all in accordance with gastritis as well as functional enteropathy treatment for more than a month, just no effect. Now the abdominal pain has started to be obvious, more than 10 hours a day, mainly in the upper and middle abdomen, usually to the left and right below the glabella, sometimes with pressure pain. I feel the pain when I walk. The stools are formed 2-3 times a day, but the digestion is not good. My appetite was good at first, but for the last week I didn’t want to eat, and I felt very tired and weak all day. I hope you can help me, thank you! The actual fact is that you can find a lot of people who have been in the marketplace for a long time, and they’ve been in the market for a long time. The actual fact is that you can use a lot more than just a few of these to help you to digest, and you can also use a lot more than just a few of these to regulate the intestinal micro-ecological environment. Take the medicine for a week and see. Patient: Hello, Dr. Diao! It’s been almost 2 months and I’m still uncomfortable. Now the main discomfort is: abdominal distension, abdominal pain, fatigue, muscle pain and emaciation. Sometimes there are some vague pains around the navel. These pains are constant throughout the day. The last 3 days, I felt bloating in my upper and middle abdomen, and I felt even more bloated after eating, as if I still had food in my throat after eating. I take Mosapride by myself, but I don’t feel much effect. Still tired, easily tired. All limbs are obviously thinner, but the stomach is bigger. Leg muscles are sore. In the morning and at noon, I felt a hot and stuffy sensation near the glabella. I’ve looked it up on the internet and it’s a bit like a small intestine tumor. I want to go to the hospital for a checkup to find the cause as soon as possible. Thank you! Diao Dechang, Department of General Surgery, Guangdong Provincial Hospital of Traditional Chinese Medicine: Your idea is a bit too much, you have done capsule internal meridian and laparoscopic exploration, basically you can exclude small intestine tumor, you are now mainly gastritis and intestinal functional problems, which is also related to excessive psychological concern, you can continue to take stomach medicine, intestinal aspects with Desutex and Gulviso.