Guest guest Posted December 15, 2003 Report Share Posted December 15, 2003 Hi , sorry to hear you are having such a rough time with constipation, and now this ulcer thing. I battled ulcers for a few months post op and Dr. Gagner had me on Nexium too. About the time released meds: are you proximal or distal? I am a 100cm proximal, and I can only relate to you what I know to be true for me, then you must ask your doctor for yourself, okay? I take Wellbutrin SR 300 mgs a day, which is a time released med. I have been taking it for several months now, and when I heard the caution on this list about " us " taking TR meds, I was concerned and asked my surgeon (Dr. Gagner). Mind you, I have been feeling the effects of the Wellbutrin working in my system for all these months I have been taking it too. What Dr. Gagner told me was that a 100cm proximal still has 3/4 of her bowel, which is MORE than sufficient to absorb a TR med. Maybe someone very distal would have a problem, but he also said in that case, if you are not absorbing the TR med, you would SEE the damn things in the toilet when you moved your bowels, or at least parts of them. This is the advice I was given for ME by MY doctor. I am more than satisfied with his opinions, but I think it wouldn't hurt for you to check with your own doctor, particularly if you are more than 100cm bypassed. Good luck to you and I hope you feel better IMMEDIATELY! Lucille In a message dated 12/15/2003 5:03:17 PM Eastern Standard Time, Graduate-OSSG writes: > He prescribed 40 mg Nexium to be taken one time a day > for ulcer & Miralax in the a.m. and 2 tbsp. of Milk of > Magnesia before bed to see if that combination will > help with constipation. > > So, question two. I know I've read threads before > about time released meds not being ideal for us. I > can't remember the exact reasoning behind this. Please > enlighten me. I wonder if I should bring this up to > him? Perhaps I should be taking it twice a day? > > Any suggestions on how I can bring the issue up? > > Also, since I'm seeing him in two weeks, do any of you > have any suggestions on questions I should ask? > > As always, thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2003 Report Share Posted December 15, 2003 On timed release. The reason being that it doesn't go into the " vat of acid " in the lower stomach. The lil balls of meds are not broken down in the timely manner as was intended. The result is that you don't know what " time " it will " release " . It could underdose or overdose you, because we simply cannot use all the lil balls correctly. We're way different than the models the mfrs had in mind. I can post a canned version of what a marginal ulcer is, if you'd like? I've had several myself. Thanks, Vitalady, Inc. T www.vitalady.com If you are interested in PayPal, please click here: https://www.paypal.com/affil/pal=orders%40vitalady.com EGD & Ulcers > Hello, friends. > > Let me preface this message by saying that I haven't > had the opportunity to read the posts in the last two > weeks or so. Please forgive me if any of this is a > repeat, but I really need your thoughts/suggestions. > > As I have shared a few times before, I've been > suffering from chronic constipation since my surgery. > > After trying Miralax for a few months without > satisfactory results, my gastro performed a > colonoscopy last Wednesday as well as an EGD. The > colonoscopy was normal. EGD showed " quite a large > ulcer " not on but close to my staple line. > > I'm really not sure what causes ulcer - can our > surgery be a link? I've been adamant about not taking > anti-inflammatory meds. > > As you all can relate, I was a bit woozy still when he > talked to me and my family member following the tests. > > When I asked him how big my pouch was, he said you > really can't tell but that it is bigger than most > gastric bypass patients he's scoped. He said that > varies because of surgeon technique. > > So, here's question one. I know many of you have had > EGD & have mentioned finding out the size of your > pouch from the test. How did your doctor know? Why > would mine say he can't tell? > > He also mentioned my stoma looked normal - whatever > that means - and so did the staple line. > > He prescribed 40 mg Nexium to be taken one time a day > for ulcer & Miralax in the a.m. and 2 tbsp. of Milk of > Magnesia before bed to see if that combination will > help with constipation. > > So, question two. I know I've read threads before > about time released meds not being ideal for us. I > can't remember the exact reasoning behind this. Please > enlighten me. I wonder if I should bring this up to > him? Perhaps I should be taking it twice a day? > > Any suggestions on how I can bring the issue up? > > Also, since I'm seeing him in two weeks, do any of you > have any suggestions on questions I should ask? > > As always, thanks. > > > __________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 In a message dated 12/16/2003 3:37:13 PM Eastern Standard Time, jnerlove@... writes: And it seems that the ulcer had been having such a good time in there with no food getting to it to sooth it, the gastric acids had finally eaten a large enough hole in the back of the old stomach and was leaking gastric juices ============================================= I am confused. How do the meds get to the old stomach. Fay Bayuk **300/168 10/23/01 Dr. Open RNY 150 cm Click for My Profile http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 ok i just got my bone density test results they did left hip and spine now how do i read it ? LOL janice Re: EGD & Ulcers On timed release. The reason being that it doesn't go into the " vat of acid " in the lower stomach. The lil balls of meds are not broken down in the timely manner as was intended. The result is that you don't know what " time " it will " release " . It could underdose or overdose you, because we simply cannot use all the lil balls correctly. We're way different than the models the mfrs had in mind. I can post a canned version of what a marginal ulcer is, if you'd like? I've had several myself. Thanks, Vitalady, Inc. T www.vitalady.com If you are interested in PayPal, please click here: https://www.paypal.com/affil/pal=orders%40vitalady.com EGD & Ulcers > Hello, friends. > > Let me preface this message by saying that I haven't > had the opportunity to read the posts in the last two > weeks or so. Please forgive me if any of this is a > repeat, but I really need your thoughts/suggestions. > > As I have shared a few times before, I've been > suffering from chronic constipation since my surgery. > > After trying Miralax for a few months without > satisfactory results, my gastro performed a > colonoscopy last Wednesday as well as an EGD. The > colonoscopy was normal. EGD showed " quite a large > ulcer " not on but close to my staple line. > > I'm really not sure what causes ulcer - can our > surgery be a link? I've been adamant about not taking > anti-inflammatory meds. > > As you all can relate, I was a bit woozy still when he > talked to me and my family member following the tests. > > When I asked him how big my pouch was, he said you > really can't tell but that it is bigger than most > gastric bypass patients he's scoped. He said that > varies because of surgeon technique. > > So, here's question one. I know many of you have had > EGD & have mentioned finding out the size of your > pouch from the test. How did your doctor know? Why > would mine say he can't tell? > > He also mentioned my stoma looked normal - whatever > that means - and so did the staple line. > > He prescribed 40 mg Nexium to be taken one time a day > for ulcer & Miralax in the a.m. and 2 tbsp. of Milk of > Magnesia before bed to see if that combination will > help with constipation. > > So, question two. I know I've read threads before > about time released meds not being ideal for us. I > can't remember the exact reasoning behind this. Please > enlighten me. I wonder if I should bring this up to > him? Perhaps I should be taking it twice a day? > > Any suggestions on how I can bring the issue up? > > Also, since I'm seeing him in two weeks, do any of you > have any suggestions on questions I should ask? > > As always, thanks. > > > __________________________________ > Homepage: http://groups.yahoo.com/group/Graduate-OSSG Unsubscribe: mailto:Graduate-OSSG-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 >>>Thanks, . We can always count on you to educate us. This may sound silly, but I've never had an ulcer before, does the medicine help them simply disappear? >>>>>> , Thanks for asking this question. You took the words right out of my mouth. I have been dealing with one of these nasty ulcers for the last year or so. My first ulcer was in my old transected stomach and showed up about 7 months after surgery. There is no way they can scope that part, and the docs didn't seem to know what was wrong with me, except they thought it was the old gall bladder thing because sometimes the symptoms can be quite similar. Anyway, they yanked the gall bladder out and I was still in a great deal of pain and frankly, just plain sick as a dog. My PCP even screamed at me and accused me of being a druggie because I kept asking for pain meds....needless to say he is no longer my PCP. Come to find out, when my surgeon couldn't figure out what was wrong, he finally sent me to a gastroenterologist who took one look at me and figured it out. And it seems that the ulcer had been having such a good time in there with no food getting to it to sooth it, the gastric acids had finally eaten a large enough hole in the back of the old stomach and was leaking gastric juices onto my pancreatis, causing me to have pancreatitis. No wonder I was such a sick puppy for such a long time. Once I started on Aciphex, within a week I was almost human again. Now, I still take the Aciphex, but I know this current ulcer is a marginal one. I just think it's " cured " and it rears its ugly head again. I have to be extremely careful about what, when and how I eat, you'd think I was a fresh postie. I've found that anything remotely acidic, like tomatoes, will set it off. I was using a little squirt of lemon juice on my salads and finally determined that I couldn't handle that either. Extremely spicy stuff gets to me too. When it acts up, or I've irritated it in any way, a lot of what I eat just doesn't stay down. It's either because the irritation has made the stoma too small and stuff gets " stuck " , therefore, must come back up, or because it also causes what I call " foaming " in my pouch (the pouch's response to being irritated is my guess). When that happens, there's not much room for food and if I take half a bite too much then I lose the whole thing plus a ton of " foam " . Anything not chewed well or eaten too fast also sets it off. Short of any kind of surgery, do these things eventually heal?? The other one seemed to, but then it's not getting bombarded with acidy, spicy foods either. The Aciphex does help control the acid but I've now lost my medical coverage so I'm going to have to find something OTC to take it's place. Also, if there's anything I can take to really " heal " the darn thing, I'd love to know what it is. I have come to look on this as a blessing of sorts. It makes me keenly aware of what, when and how I eat and in some ways I attribute that to helping me with the whole weight maintenance thing. Thank you all so much for your infinite wisdom. Don't know what I'd do without you all. Hugs, Judi -150 4/24/00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Through your bloodstream. I currently have ulcers in my old stomach and I'm in the same boat. Nexium seems to be calming the situation down a bit, but I still have GERD. Z Open RNY 09/17/01 125 cm http://www.ziobro.us http://www.GreatKibble.com Re: Re: EGD & Ulcers In a message dated 12/16/2003 3:37:13 PM Eastern Standard Time, jnerlove@... writes: And it seems that the ulcer had been having such a good time in there with no food getting to it to sooth it, the gastric acids had finally eaten a large enough hole in the back of the old stomach and was leaking gastric juices ============================================= I am confused. How do the meds get to the old stomach. Fay Bayuk **300/168 10/23/01 Dr. Open RNY 150 cm Click for My Profile http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 >>>>>I am confused. How do the meds get to the old stomach. >>>> Fay, As said, it goes through the blood stream. It's supposed to either dry up any production of stomach acid or at least keep the production to a minimum. Taking these meds I would think, probably does mess up any digestion that should take place in our little pouches and because the unused part of the stomach is (or shouldn't be because of the meds) producing any of those gastric juices that eventually meet up at the Y junction (if you're an RNY), a lot of digestion can be kind of iffy. It's really important for those of us with ulcers keep up with supplements....at least that's my take on it. And I never had a problem with GERD before, but lately it wakes me up at night. My throat feels like it's being burned with a hot poker and it takes me a couple of hours of drinking water, taking Maalox, chewing Tums.....anything to get rid of that burn and taste in the esophagus. Judi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 actually if you are taking the class of drugs called protein pump inhibitors, or PPI's such as prevacid, nexium, prilosec. The stomach in the lower portion has these cells that pump out acid. Like the name says little pumps. The drugs for lack of a better explanation turns off these pumps. This gives the stomach a chance to heal. That's the simple explanation. Deb Sellman Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 In a message dated 12/16/2003 8:36:43 PM Eastern Standard Time, iluvirises@... writes: The drugs for lack of a better explanation turns off these pumps. ======================================== So many knowledgeable people here with good writing skills. Thanks to you all. Fay Bayuk **300/168 10/23/01 Dr. Open RNY 150 cm Click for My Profile http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 If the PPI you're using isn't working, sometimes switching to another in that family will work. I've done better on Prilosec than any other one, personally. When my SLD, my pouch was ON FIRE from the sudden setting free of the contents of the lower stomach. WHOA! They gave me Prilosec 40, 4 per day. AND Carrafate (sucralfate). Apparently it is kinda old fashioned, but it quieted the raging beast RIGHT NOW, within minutes. And that's the pill form! Will they ever go away? Mine did, once I was revised and my SLD was fixed. Have not had a marginal ulcer since. BUT I had always been an ulcer sufferer, since my teens. And no, I never had h. pylori. Another reason, besides SLD, for acid to make its way into the pouch is if the junction of the Y is too close to the pouch stoma. Then the goes-outta from the old stomach can climb back uphill and enter the pouch via the stoma. Very bad thing. I was terrified of an ulcer in the lower stomach with my hideous history, so when I was revised, I elected to toss the troublemaker. It was full of old ulcer scars, anyway, and I felt as if I was carrying a time bomb. Thanks, Vitalady, Inc. T www.vitalady.com If you are interested in PayPal, please click here: https://www.paypal.com/affil/pal=orders%40vitalady.com Re: Re: EGD & Ulcers > >>>Thanks, . We can always count on you to > educate us. > This may sound silly, but I've never had an ulcer > before, does the medicine help them simply disappear? > >>>>>> > > , > Thanks for asking this question. You took the words right out of my mouth. > I have been dealing with one of these nasty ulcers for the last year or so. > My first ulcer was in my old transected stomach and showed up about 7 months > after surgery. There is no way they can scope that part, and the docs > didn't seem to know what was wrong with me, except they thought it was the > old gall bladder thing because sometimes the symptoms can be quite similar. > Anyway, they yanked the gall bladder out and I was still in a great deal of > pain and frankly, just plain sick as a dog. My PCP even screamed at me and > accused me of being a druggie because I kept asking for pain > meds....needless to say he is no longer my PCP. Come to find out, when my > surgeon couldn't figure out what was wrong, he finally sent me to a > gastroenterologist who took one look at me and figured it out. And it seems > that the ulcer had been having such a good time in there with no food > getting to it to sooth it, the gastric acids had finally eaten a large > enough hole in the back of the old stomach and was leaking gastric juices > onto my pancreatis, causing me to have pancreatitis. No wonder I was such a > sick puppy for such a long time. Once I started on Aciphex, within a week > I was almost human again. Now, I still take the Aciphex, but I know this > current ulcer is a marginal one. I just think it's " cured " and it rears its > ugly head again. I have to be extremely careful about what, when and how I > eat, you'd think I was a fresh postie. I've found that anything remotely > acidic, like tomatoes, will set it off. I was using a little squirt of > lemon juice on my salads and finally determined that I couldn't handle that > either. Extremely spicy stuff gets to me too. When it acts up, or I've > irritated it in any way, a lot of what I eat just doesn't stay down. It's > either because the irritation has made the stoma too small and stuff gets > " stuck " , therefore, must come back up, or because it also causes what I call > " foaming " in my pouch (the pouch's response to being irritated is my guess). > When that happens, there's not much room for food and if I take half a bite > too much then I lose the whole thing plus a ton of " foam " . Anything not > chewed well or eaten too fast also sets it off. Short of any kind of > surgery, do these things eventually heal?? The other one seemed to, but > then it's not getting bombarded with acidy, spicy foods either. The Aciphex > does help control the acid but I've now lost my medical coverage so I'm > going to have to find something OTC to take it's place. Also, if there's > anything I can take to really " heal " the darn thing, I'd love to know what > it is. I have come to look on this as a blessing of sorts. It makes me > keenly aware of what, when and how I eat and in some ways I attribute that > to helping me with the whole weight maintenance thing. > Thank you all so much for your infinite wisdom. Don't know what I'd do > without you all. > Hugs, > Judi > -150 > 4/24/00 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Whoa ! I had an ulcer in my remnant too! I got the impression from Dr. Gagner that he hadn't seen this too very often either. You're absolutely right, the remnant can't be scoped. If they wanna check out what's going on in there, it requires another surgery. What happened with me was that I developed the typical very nasty marginal ulcer immediately post-op, so I was put on Nexium for a few months. When that ulcer was healed, and I went off nexium, I started getting those unmistakeable ulcer pains again. Scoped again, no marginal ulcer, everything there perfect. Then Dr. G put his (formidable) thinking cap on and figured it was an ulcer in my remnant. Continued the nexium for another few months, at which time when I went off everything was AOK. Thankfully, cause I sure as s**t didn't want to undergo exploratory surgery to see what was happenin' in that remnant. Haven't had a problem since then (knock wood.) Just wanted to add: along with the ulcer formation (marginal) that can be caused by irritations from food, there is also the ole H pylori that can cause trouble too. Lucille In a message dated 12/16/2003 4:24:48 PM Eastern Standard Time, Graduate-OSSG writes: > , > Thanks for asking this question. You took the words right out of my mouth. > I have been dealing with one of these nasty ulcers for the last year or so. > My first ulcer was in my old transected stomach and showed up about 7 months > after surgery. There is no way they can scope that part, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 They get there Fay, it just takes a bit longer. Lucille In a message dated 12/16/2003 7:45:07 PM Eastern Standard Time, Graduate-OSSG writes: > I am confused. How do the meds get to the old stomach. > > > Fay Bayuk > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 UGH! Hang in there . The Nexium will work, IN TIME. I am curious, were you told this situation with ulcers developing in the remnant is " unusual " or " not typical " ??? It seems to me that every friggin' thing I had was " unusual " or " not typical " . Always knew I was a maverick, but sheesh! LOL! Hope you feel better soon (it sucks, I know), Lucille In a message dated 12/16/2003 7:45:07 PM Eastern Standard Time, Graduate-OSSG writes: > > > Through your bloodstream. I currently have ulcers in my old stomach and > I'm in the same boat. Nexium seems to be calming the situation down a > bit, but I still have GERD. > > Z > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2003 Report Share Posted December 17, 2003 Absolutely! I had that occasional writhing stomach pain. I thought it might be an ulcer, but my PCP believed it to be Gastritis. He put me on Prilosec, with a 2-week dose of Bentyl, initially. It worked for about a month, then a MUCH milder pain started up again. I asked for Nexium because so many on here have had success with it. It's been about 5-6 months now, and so far, so good. As they say, same church, different pew. If one doesn't cut it, another might. in NJ ************************* > If the PPI you're using isn't working, sometimes switching to another in that family will work. I've done better on Prilosec than any other one, personally. > Quote Link to comment Share on other sites More sharing options...
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