Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Lasted 4 days with paroxysmal pain in the upper left abdomen and pain in the back of the left side. No anorexia, decreased stool frequency, normal color, red rash and itching on the left lumbar region. Symptoms worsen after lying in bed, feeling better when standing or sitting. Yesterday, I went to Beijing Chaoyang Hospital to see the emergency room. The ultrasound taken last night showed no lesions in kidney, spleen, liver, bile and pancreas. Blood count showed WBC 9.92. ly#4.47. Urinalysis was normal. No gastroscopy was done and the doctor confirmed the diagnosis of acute gastroenteritis and stress ulcer. Last night infusion, took famotidine, levofloxacin mesylate, live bacillus licheniformis. The condition has not improved. Do you need to do gastroscopy and intestinal examination? Can I tell from the above symptoms what the disease is? Qingdao Hai Ci Hospital Acupuncture and Tuina Center Qu Henian: Although it is impossible to confirm the cause of this disease, it is recommended to go to the dermatology department to rule out herpes zoster. I have seen a case of similar atypical episodes in the clinic, which developed gradually and finally developed a large rash before being diagnosed as this disease. At least let the dermatologist rule it out to avoid missing the diagnosis. In case it is shingles, the pain is more powerful and must be treated in time, acupuncture treatment is very effective. I wish you a speedy recovery! Patient: Thank you Dr. Qu, I have been to Peking University Hospital in the morning to confirm the diagnosis of shingles in its early stages. The medication can be