Postoperative digestive symptoms on follow-up

CAPTIONS / IMAGE LABELS MYYL Liver cancer PATIENT FOLLOW-UP RECORDS Wang Dingguo · 60 · Qujing, Yunnan English translation · Original medical images retained CASE RECORD · Liver cancer · 60 Wang Dingguo had partial right liver resection and a biliary-enteric anastomosis. The postoperative record described enlarged nearby lymph nodes. He reported poor appetite, dry mouth, acid reflux, heartburn, cough with sticky phlegm, gas, yellow urine and loose stools. FOLLOW-UP After about two months, the family reported better appetite, no further reflux or heartburn, less cough and phlegm, and normal bowel movements. A follow-up described smaller upper and middle abdominal retroperitoneal nodes. The original report and messages remain below. CHAT PANEL S106-P01 Wang Dingguo · Liver cancer 10 Apr 17:45 He is okay, but still gets acid reflux when eating. He is afraid to eat fruit. He keeps feeling nauseous. Could it be because he had part of his stomach removed? What might be happening? Most fruits are considered cooling in traditional Chinese medicine. If he wants some, he could heat it, such as steaming or boiling an apple. That will certainly have some effect. Reply to: Could his stomach surgery be contributing? How are the other symptoms: poor appetite, dry mouth, cough and phlegm, and passing gas? 10 Apr 18:02 His appetite is a little better. His mouth is not dry and he is not passing much gas. CHAT PANEL S106-P02 Wang Dingguo · Liver cancer No. 23 Apr 20:17 Good. Keep taking the medicine. 27 Apr AM 09:54 Good morning. How are his cough, acid reflux, dry mouth and heartburn recently? 27 Apr AM 11:00 The other symptoms are okay, but he still has acid reflux. Has the reflux eased compared with before? A little better than before. He still has to be careful with what he eats. What does he usually eat? The same rice and dishes as us. CHAT PANEL S106-P03 Wang Dingguo · Liver cancer Voice message: 19 seconds. 19″ Tomorrow, then. Okay, around 10 tomorrow. Shall we video-call your father directly again? Yes. That is right. Okay. 15 May AM 10:28 Does he still have acid reflux? Not anymore. 15 May AM 10:34 Voice message: 32 seconds. 32″ Okay. CHAT PANEL S106-P04 Wang Dingguo · Liver cancer He may need to stay in hospital for a few days before coming home. We will arrange the next medicine after seeing the follow-up results. 28 May 19:50 Okay. 10 Jun 20:51 I recommended your WeChat to a friend. Please accept her request. She would like a consultation. 11 Jun AM 09:02 Okay, I only just saw your message. How did the follow-up go? All normal. He is in hospital receiving injections now. He will be discharged in a couple of days.