The days when I was an obstetrician and gynecologist in Chang'an

Chapter 201 Childbirth Injuries (thanks to jinhong113 for the monthly pass~)

Because Li Sanniang smelled a very obvious smell of urine, which came from Grandma Cai.

Sure enough, according to what Grandma Cai and the woman next to her told, Grandma Cai has been unable to control her urination since the year before last.

In layman's terms, it's called peeing pants, and in professional terms, it's called urinary incontinence.

Although it is a wealthy family, there are plenty of clothes to change, and there are servants to take care of them, but even if they are changed in time and cleaned, there will always be a smell of urine on their bodies.

Therefore, Grandma Cai used a relatively strong aromatherapy to cover up.

But in fact, if you get close, the strong scent of flowers mixed with the vague smell of urine makes people want to vomit even more.

"Grandma Cai, can you lift up your shirt and let me have a look?"

Grandma Cai herself wanted to see Li Sanniang because Li Sanniang was a female doctor, so she would not refuse what Li Sanniang said.

"The old woman is dirty, the female doctor forgives me."

The maidservant and another younger woman who didn't speak after they came came together to help Grandma Cai take off her clothes. Qiuxiang also consciously pulled up the curtain, making the inside a small independent space, isolated from the outside world. open.

Li Sanniang put on the mask, cleaned her hands in the wooden basin on the shelf beside her, wiped them dry, rubbed them, and felt no cold anymore, then put on the white cotton cloth that was custom-made by Chou Niangzi to fit the shape of Li Sanniang's hand Gloves.

After asking Qiuxiang to fasten the glove tie up to the upper arm, Li Sanniang told Grandma Cai to go and see the private parts.

Li Sanniang's very particular way of thinking made Grandma Cai feel that it was really a very correct decision to come to Li Sanniang, a female doctor, for a consultation.

Otherwise, how can I talk to those male doctors about this private part disease in detail?Not to mention checking it out.

Even if Grandma Cai is over 50 years old, the old doctors who see her are about the same age. In the past, it was only the women around her who relayed the symptoms of Grandma Cai, and the old doctors prescribed prescriptions.

No matter how much medicine I drank, the disease has not recovered.

It was only when rumors began to circulate on the street that the first female doctor in Chang'an City rebelled against the murderers, did they notice that there was a female doctor.

Later, Li Sanniang met a bad guy on the street, and the story of him sewing intestines in a wine shop was spread by seven or eight shopkeepers on that street when they were gossiping together.

Grandma Cai heard such flamboyant news from her servant, so she became interested and wanted to see Li Sanniang.

Grandma Cai wanted to come, but the young woman who followed Grandma Cai, that is, Mrs. Cai, did not agree at first.

Mrs. Cai heard the rumors and felt that a woman like Li Sanniang who could fight back and kill evil people must be a cruel woman, not a good person, and she should not have contact with her, or she might cause trouble to her upper body.

In the end, it was Mrs. Cai who saw that Grandma Cai didn't eat well and couldn't sleep at night. She always felt that she was getting old and had such a sickness. She didn't dare to get close to her grandchildren for fear of being rejected by her son.

The uncomfortable look made Mrs. Cai think, come on, let's go to the female doctor to see it, and it can be regarded as a solution to a matter on Grandma Cai's mind.

However, Mrs. Cai, who was standing aside now, looked at Li Sanniang's smooth and smooth manner, and she changed her mind a little bit towards Li Sanniang.

Li Sanniang inspected it carefully, and found out that Grandma Cai definitely had many consecutive births in her early years, and she must have done heavy physical labor for a long time.

Grandma Cai not only has urinary incontinence, she also has second-degree severe uterine prolapse.

A part of it has protruded from the abdominal cavity and exposed outside the body.

While checking, Li Sanniang asked Grandma Cai when she gave birth?How many children were born in total?The time in between?When will you stop coming to Kuishui?
After listening to Grandma Cai's answer, it really matched what Li Sanniang guessed.

"After Jiji, I got married and gave birth to my eldest son when I was sixteen. The first Lang Xu passed away due to an accident. I took my eldest son and married the second Lang Xu, and I had two sons and a daughter in five years. I gave birth to Xiao Lang. This sunflower water was gone about seven or eight years ago, I can’t remember clearly.”

"Grandma Cai, what protrudes here is the uterus like a ball. Granny Gein, you gave birth many times in a row when you were young, and you didn't recover well, so it showed up at this age.

I'll use a clean cloth towel dipped in water to wipe it off for you in a while, and then help you take it back. It should be a little uncomfortable. If it hurts, grandma can call me. "

Li Sanniang took the cool white cloth towel that Qiu Xiang handed over, gently wiped Grandma Cai's prolapsed uterus, and then cleverly helped her put it back in her abdominal cavity.

During this process, Grandma Cai didn't yell, but judging from her facial expression, there should be some discomfort and pain, but it is estimated that the elderly are used to it, so they don't make a sound.

When everything was tidied up and everyone sat down, Li Sanniang saw a thin layer of sweat on Grandma Cai's forehead.

"Grandma Cai, this time I will return it for you. If you don't pay attention in the future, it may fall out again. I see that grandma's dress is not bad, so you can cut some new cloth and use that Soft fine cotton cloth, made into this pattern," Li Sanniang turned upside down the drawing she had drawn for the three of them to see.

Li Sanniang painted the most common panties in modern times, "Putting on trousers with this pattern can relieve my grandmother's illness. However, the finished trousers must be boiled in boiling water for half an hour. It’s better to expose it to the sun for half an hour, then it will be clean.”

Mrs. Cai stepped forward and put away the blueprint given by Li Sanniang, folded it, and put it in her sleeve pocket. She planned to buy cloth on the way home, light the lamp to make it at night, and cook it to dry tomorrow. Granny Cai used it.

"Although you are not young, Grandma Cai, we girls don't care how young or old, this private part is the most delicate."

As soon as these words came out, except for Li Sanniang, the four girls of different ages present were a little bit astonished.

Li Sanniang didn't care about their surprise, and continued: "Grandma, the tailbone often hurts?"

Li Sanniang turned around and stood up, touched her lumbosacral region and said to Grandma Cai: "It's here, does Grandma have pain every day?"

"It really makes the female doctor talk, there is indeed pain and discomfort here."

"I will prescribe a decoction for my grandma to invigorate the middle and nourish Qi, and I will teach my grandma a method to relieve the symptoms."

Li Sanniang first wrote down the prescription, and then wrote down the specifics of how to do the Kegel exercise, that is, the levator ani exercise.

To put it simply, it is to contract the anus and pelvic floor muscles for five seconds and then relax for three seconds. In fact, they are the two muscles that girls need to use for big and small solutions. Exercise these two places for a quarter of an hour each time ( 15 minutes), at least three times a day, try to do it when you have time.

The purpose is to strengthen the muscle tension by stretching the pubococcygeus muscle of the pelvic floor, so as to better control the sphincter and relieve the impact of urinary incontinence and uterine prolapse on people.

　Thanks to jinhong113 for voting for 2 monthly tickets~ I am very grateful to Baozi for supporting and encouraging me~
　　
　
(End of this chapter)