Fish bile poisoning patients may experience gastrointestinal symptoms within half an hour to 14 hours after taking fish bile, including pain in the upper abdomen, navel circumference, lower abdomen, frequent vomiting, repeated yellow watery stools or sparse feces without pus and blood, which are easily confused with general gastroenteritis. Therefore, having a "history of taking fish bile" has become an important basis for early diagnosis of fish bile poisoning.
In addition to the above gastrointestinal symptoms, patients with severe fish bile poisoning also have manifestations of liver damage, such as Hepatomegaly, tenderness and tenderness in the liver area, yellowing of skin and eye sclera, and elevation of serum Transaminase; Renal manifestations such as low back pain, kidney area pinch pain, oliguria, anuria, Proteinuria, and microscopic observation of red blood cells and casts in urine; Damage to the cardiovascular system, such as increased or decreased blood pressure, facial, lower limb, or systemic edema; Damage to the nervous system, such as headaches, drowsiness, confusion, delirium, convulsions, and coma. Some individuals with fish bile poisoning may also experience pathological processes such as fever, shock, and disseminated intravascular coagulation (DIC).
First aid measures
Due to the lack of special detoxification therapy for fish bile poisoning, the development of the condition may lead to multiple organ failure, leading to patient death. Therefore, when fish bile poisoning occurs, it is advisable to promptly seek medical attention from the unit. If it is far away from the medical unit, you can prepare transportation or contact an ambulance, and at the same time, seek medical attention from a nearby health worker or neighbor with medication for symptoms such as abdominal pain, vomiting, and diarrhea, and give oral gastrointestinal spasms and pain relievers such as belladonna; Due to frequent vomiting and diarrhea, patients may experience dehydration in the body. If infusion conditions are available, intravenous fluid replacement can be given. If infusion conditions are not available, oral light sugar water, honeysuckle water, raw licorice water, ginger water, etc. can also be given. If close, seek medical attention immediately.