![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
医生您好:母亲,73岁,常年便秘和胃病,近期到地方医院做了肠镜和胃镜检查,检查结果:慢性非萎缩性胃炎(胃体、胃底糜烂,充血,水肿)。医生开的是四磨汤口服液、康复新液;还有治疗便秘的药。服药半个月后,排便黑色,还时常有胃部不适感,请问药物是否对症,排便黑色是否正常?(女,73岁)
谢谢您!
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
下午好,稍等我查看一下您母亲的情况
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
不知道她这种便秘情况应该如何治疗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您那边的内镜报告有吗?发给我看一下吧
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您母亲,服用四磨汤后,很快出现了黑便,还是服药一段时间后出现黑便呢?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
黑便一共有几天了?多久一次?什么形状的黑便呢?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
这些药物倒是算对症,助消化促排便,保护胃黏膜;
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
报告就是我发的检查结果
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您母亲之前的症状,除了便秘,胃病是怎么不舒服呢?疼吗?餐前餐后疼?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
服用这两个药物后症状是否有改善呢?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
她还服用抗焦虑的药物
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
她有事干时候就没有不适感
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
闲时候就会有不适感
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
看来也有点情绪波动的因素
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
前面关于老人排便,发黑的几个细节,请您看一下前面的问题,补充一下吧
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
老人除了胃部不适之外,还有其他不舒服吗
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
胃痛?近期感觉不舒服有加重吗?有没有头晕、心慌发力呢?
1元咨询心理医生,立即查看 >>
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
黑便是做完肠镜和胃镜之后使用开塞露排便出现的,之前没有黑便,但是也排便困难。黑便一共是10多天了,两三天排便一次,一直需要使用开塞露帮助,前天正常排便也是黑色,形状是一小块、一小块的。胃部之前不是疼痛,就是有不适感,餐前和餐后不明显,主要是忙起来就会消失。服药半个月效果不是很明显。
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
四磨汤,有部分患者确实服药后大便颜色会偏暗色,但是应该是服药后很快就出现了
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您母亲,平时吃完饭后会有不消化、胃胀的感觉吗?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
有
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
服药后有改善吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
有改善
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
黑色大便有照片吗?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
没有留
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
是哪种黑色呢。像沥青一样的颜色吗
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
还是暗褐色
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
黑色带绿色
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
是一块一块的吧?不是稀糊糊的吧?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
对一块一块的
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
像是胆汁分泌后,没有和食物充分混合的粪便
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
这样哈
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您那边方便接听语音的留言吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
可以
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
不急
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
谢谢
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
她经常放屁
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
语音文件已过期,无法显示该消息
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
还有就是您母亲,之前做过腹部超声吗
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
没有做过腹部超声
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
需要做这个检查吗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
能否把药名用文字表达一下
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
开塞露还可以用吗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
有的医生建议芦荟胶囊
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
替普瑞酮在这里没有药物,开不出处方来,替换成了铝碳酸镁
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
如果您那边有药物的话,优先推荐替普瑞酮,口感好一些
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
谢谢您,病因分析深入细致,治疗方案全面具体!两周后会向您反馈治疗情况!
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
💝💝很高兴能够帮助您
提示:疾病因人而异,他人的咨询记录仅供参考,擅自治疗存在风险。
咨询时间: 2020-07-16