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Chapter 788 The Reasoning Must Be After Taking It

Drinks like milk tea have appeared in the domestic streets and alleys since Sun Lien was a primary school student.But unlike the current situation, most of the milk tea at that time was just a few yuan a cup of cheap stuff.It's loaded with creamer flavors and sweeteners.There is no tea ingredient at all.At that time, trans fatty acids were present in large quantities in vegetable creamer, the main ingredient of creamer.Therefore, everyone has a common understanding - cheap milk tea is not a healthy food.

However, the biological habit of human beings to pursue a high-sugar and high-fat diet has protected the survival of this junk food.After people began to gradually increase their health and safety requirements for food, a large number of milk tea made with real tea and milk began to spread in the streets and alleys.The price has also risen from three or five yuan at that time to two or thirty yuan a cup.

Natural tea has its own bitter taste, and real milk is not sweet in nature.Although such drinks are healthy, they are not conducive to sales.Then, the important task of improving sales performance is handed over to cream and white sugar.

In order to give a cup of milk tea the sweet taste and smooth taste, a lot of white sugar and cream are mixed in.A cup of medium-sized milk tea generally contains 49 to 63 grams of white sugar.And if there is a milk cap, more than 20ml of cream and an additional ten grams of sugar are needed to complete.

And as a magic tool for surgeons to relieve fatigue after surgery, the greatest type 500 diabetes maker in modern human society, a close friend of potato chips, a perfect match for fried chicken, and the Fat House Holy Water Coke that has been sold around the world for decades, the 45ml bottle is about Contains 500 grams of sugar.Although the sugar content is still scary, it is a little less than the same [-]ml milk tea.

This is not counting the fat and sugar contained in the pearls, taro paste, taro balls and all kinds of weird additions in milk tea.

In other words, Teacher Zeng Jing drank at least two bottles of fat house holy water almost every day, and had to consume an additional 40ml of cream and [-] grams of white sugar.This is an out-and-out high-sugar and high-fat diet.

After maintaining this lifestyle for more than a year, it is quite natural to develop type [-] diabetes.If there is no problem, Sun Li'en will feel strange instead.

However, there still seems to be something wrong here.

Type [-] diabetes is generally accompanied by obvious weight loss, polydipsia, polyuria, polydipsia and hunger and other symptoms.Although they say they want to stay healthy, they are still keen on junk food, but in modern society, when this happens to normal humans, most of them will choose to see a doctor.They would then be diagnosed with diabetes and start treatment with metformin.

Patients with type [-] diabetes rarely develop fulminant ketoacidosis.Most of the patients with ketoacidosis who are sent to the emergency department have just developed type [-] diabetes.

Zeng Jing really has type [-] diabetes, so this sudden outbreak of ketoacidosis is a bit strange.She couldn't be so overwhelmed today, so she bought six bottles of extra large cups of semi-solid milk tea in one go and finished them all by herself, right?

Of course, Sun Lien would not let go of this doubtful point. He specially asked the headmistress to contact the wechat group of the teacher who made milk tea, and then found Zeng Jing's recent milk tea purchase records from it.

She drank two cups of milk tea today, one was iced milk tea with taro paste and brown sugar pearls, and the other was hot brown sugar ginger tea.

Sun Lien frowned, feeling something was wrong.

For something like brown sugar ginger tea, girls generally order a cup to drink during their menstrual period, so as to relieve menstrual pain and other problems.But the logic of a female teacher with dysmenorrhea who drank brown sugar ginger tea and placed an order for iced milk tea is a bit strange.

You can't just take a sip of iced milk tea and have a stomach ache, and then have a sip of brown sugar ginger tea right away, right?

"In short, please come here as soon as possible." After pondering for a while but not getting any valuable clues, Sun Lien decided to go back and check the results of the examination.He was about to leave, but was stopped by the headmistress again.

"This is Teacher Zeng's bag." She took out an old-looking brown backpack and said, "I heard from her colleagues that Teacher Zeng seems to be taking medicine these two days."

"Take medicine?" Sun Li'en suddenly regained his energy, this may be an important clue. "Can I open it and have a look?"

After getting permission from the headmistress, Sun Lien opened the backpack with her.And in order to prevent accidents, he also specially asked Brother Liang, the security guard at the side, to make a video of the whole process.

There is a mobile phone, a wallet, and a doll that looks a little old in the bag.In addition to that, there are two medicines that have just been opened and a few pills have been taken.One bottle is omeprazole, and the other box is domperidone tablets.

Sun Li'en looked at the two boxes of medicine and fell into a moment of confusion.

As discussed by Yuan Pingan and Zhou Ce, Sun Lien is good at finding clues that can guide him to make a correct diagnosis through the misdiagnosis and missed diagnosis of other doctors.But this time, he was completely confused by these two drugs.

Omeprazole is a drug that doctors have been very familiar with since they were medical students.Its greatest effect is in the treatment of duodenal and gastric ulcers and reflux esophagitis when used alone.If administered intravenously, it can be used for the treatment of acute bleeding from peptic ulcers.If combined with antibiotics, it can be used against pylori bacteria.

Overall, omeprazole is an excellent drug for treating peptic ulcers.And because of its excellent safety profile, the proton pump inhibitor, used to suppress stomach acid, is sold over-the-counter.

And domperidone tablets have a more familiar name - domperidone.It is a completely different digestive drug.Its main function is to promote gastrointestinal peristalsis, thereby relieving the symptoms of indigestion caused by delayed gastric emptying, esophageal reflux and esophagitis.Like omeprazole, it is available over-the-counter.

The common feature of these two drugs is that they are effective against esophageal reflux.Could it be that Zeng Jing originally had symptoms of esophageal reflux?
Reflux esophagitis caused by esophageal reflux is a troublesome disease that can occur in patients of any age.Among them, middle-aged and elderly people, obesity, alcohol consumption, smoking and excessive mental stress are all high-risk factors for reflux esophagitis.And the symptoms of this disease are not very serious and obvious. If there is really reflux esophagitis, it is reasonable to have used these two drugs statically.

However, things are of course not that simple.At least Sun Lien can be sure that these two drugs were not prescribed to treat reflux esophagitis.The reason is also very simple-only two tablets of domperidone tablets were used in this box, and only two tablets of omeprazole were taken.

This is a very simple reasoning process.A bottle of omeprazole capsules is generally 14 capsules.A box of domperidone tablets is 30 tablets.For the treatment of reflux esophagitis, take one to three capsules at a time, one to two times a day.Domperidone tablets need to be taken three to four times a day, one tablet each time.

The remaining dose and symptoms do not match.In other words, Zeng Jing did not use these two drugs to treat reflux esophagitis.

Thinking of this, Sun Li'en suddenly realized.He continued to rummage in Zeng Jing's bag, and after a few seconds, he took a small note and looked at it, showing a satisfied smile.

That's how it is... No wonder the amount of medicine she took was so strange.Looking at the receipt from the pharmacy in his hand, Sun Li'en sighed, feeling uncomfortable, it's better to go to the hospital to have a look, and go to the pharmacy to buy medicine, sometimes there will be big problems.

(End of this chapter)