(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient is a 33-year-old male, due to abdominal pain, stool abnormalities, accompanied by sweating, emaciation, seriously affecting the life and work, came to our hospital for medical treatment. Enteroscopy was performed for the patient, and it was seen that the ascending colon and ileum were ring-shaped ulcers under enteroscopy, and the patient had a history of contact with tuberculosis patients, and the pathological examination could confirm the existence of intestinal tuberculosis with acute inflammation, and finally diagnosed as intestinal tuberculosis. After anti-tuberculosis drug treatment, the patient’s abdominal pain, stool abnormalities and other symptoms improved, sputum culture did not see tuberculosis bacilli. Basic information] Male, 33 years old [Disease type] Tuberculosis (intestinal tuberculosis) [Hospital] The First Affiliated Hospital of Chongqing Medical University [Date of consultation] September 2021 [Treatment plan] Oral medication (isoniazid tablets, ethambutol hydrochloride tablets, rifapentine capsules, pyrazinamide tablets, cotrimoxazole enteric-coated capsules, pivoxil bromide tablets) [Treatment period] Hospitalization for 7 days, continued medication for six months Treatment effect] The patient’s abdominal pain and stool abnormality did not recur, and no tuberculosis bacilli were found in sputum culture. I. Initial Consultation When the patient came to the clinic, he complained of abdominal pain half a year ago, which was easily triggered or aggravated by eating, and he had long-term stool abnormality, which was often loose, with pasty or watery feces and no pus or blood, and did not accompany with acute or severe pain, and sometimes had diarrhea and constipation alternately, sometimes 3-5 times a day, with cold sweats in the middle of the night. accompanied by cold sweat in the middle of the night. The patient became thin and had a poor appetite. After taking oral probiotics on her own, the treatment was ineffective, and because it had a serious impact on her life and work, she was accompanied by her family members to seek systematic treatment, and was recommended to be hospitalized, to which the patient agreed. The patient was admitted to the hospital and perfected enteroscopy, chest CT examination, the patient’s enteroscopy of the ascending colon, ileum can be seen ring-shaped ulcers, so the biopsy was taken and sent to the pathology, the pathological results suggest that the end of the ileum, the ascending colon in line with the tuberculosis with acute inflammation, fecal culture, liver and kidney function, immune suite, chest CT and so on, there are no obvious abnormalities. The patient was questioned in detail and complained that he had been in contact with patients with tuberculosis. Combined with the patient’s above manifestations and various examination results, the final diagnosis was intestinal tuberculosis, which is a kind of tuberculosis. For tuberculosis, we should first avoid cross-infection, and instruct the patient to pay attention to clean the bathroom, but the usual living does not need to be isolated, in the usual diet, the patient should pay attention to prohibit spicy, stimulating, greasy food, eat more easy-to-digest vegetables, fruits, and supplement enough nutrition, and at the same time, pay attention to rest, and combine work with rest. For treatment, patients were given oral anti-tuberculosis drugs isoniazid tablets, ethambutol hydrochloride tablets, rifapentine capsules, pyrazinamide tablets, as well as mucosal repair drugs compound glutamine enteric-coated capsules, antispasmodic and analgesic drugs pivacurium bromide tablets, and patients were advised to review liver function regularly during the period of treatment, and the patients’ symptoms such as abdominal pain and stool abnormalities were improved after the treatment. Third, the treatment effect of patients with abdominal pain, and stool abnormalities, after hospitalization to improve the colonoscopy, chest CT and other related examinations, a clear diagnosis of intestinal tuberculosis, followed by the patient actively cooperate with the treatment, regulate their own dietary habits and lifestyle, as well as emotional control, after oral anti-tuberculosis drugs, mucosal repair drugs and antispasmodic and analgesic drugs, hospitalized for 7 days, the patient’s abdominal pain, stool abnormalities, and other symptoms improved, to be discharged, followed by the patient to follow the instructions of the doctor to review liver function regularly, after treatment, the patient’s abdominal pain, stool abnormalities and other symptoms improved. The patient was discharged from the hospital, and subsequently the patient followed the doctor’s instructions to take oral medication, and pay attention to regular follow-up. After six months of medication, the patient’s symptoms of abdominal pain and abnormal bowel movements did not recur, and no tubercle bacilli were found in the sputum culture, indicating that the patient had been cured. After oral drug treatment, the patient’s abdominal pain and stool abnormalities improved, and I was very happy for the patient. However, for the sake of the patient’s health, the patient still needs to pay attention to follow the doctor’s instructions to take medication regularly after discharge, and at the same time, he should develop good habits, regular work and rest, and forbid spicy, stimulating, greasy food, as well as avoiding smoking and alcohol. In daily life, patients can eat some easy-to-digest vegetables and fruits, supplement enough nutrition, pay attention to maintain an optimistic mentality, at the same time, patients can carry out appropriate exercises to increase the body’s immunity, pay attention to cleanliness and hygiene in life, and if there is any discomfort, consult the doctor in time, and pay attention to the regular outpatient rechecking. Fifth, personal perception of intestinal tuberculosis is a chronic specific infection of the intestinal tract, mainly caused by human-type Mycobacterium tuberculosis, patients suffering from intestinal tuberculosis clinical manifestations of abdominal pain, stool abnormalities, accompanied by night sweats, emaciation and other manifestations of good prevention is the fundamental prevention and treatment of the work of the patients after diagnosis of tuberculosis after active treatment with anti-tuberculosis drugs, its abdominal pain, stool abnormalities improved, after discharge from the hospital, still need to take oral medication, the patient’s diet, life and health. After discharge, the patient still needed to take oral medication and maintain good dietary and living habits, and the patient’s discomfort was better controlled and his condition was more stable.