tinamichele

Where y'all at? I remember when I joined, there were late (20th and beyond) RNYers but nobody for the rest of December.
SW: 366
CW: 329
GW1: 200
RNY Dec 18, 2017!

I was just diagnosed with 2 small anastomic ulcers but am not getting much information about it from the doctor. Can anyone shed light on this diagnosis?

According to the internet:
Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.
So generally what this is saying is
1) stay off all NSAIDs such as aspirin and excedrin that contains aspirin.
2) use a proton pump inhibitor such as prilosec (omeprazole). My surgeon recommended I take this daily for the first year so that my stomach would heal properly. At the end of my first year I discontinued it. I am now 5 years post-op.
3) make sure you were tested for Helicobacter pylori infection. This is a very common infection, one that is somewhat hidden because of a lack of symptoms.
The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. So my first concerns are not focused on food but rather to make sure you are meeting your daily Protein and Fluid requirements.

Anyone else dealing with ulcers? I am 5 weeks out and started having problems with food right after i was advanced to food that can be cut with fork. Had an EGD today and my poor little pouch is a big ol ulcer. So i am back to liquid diet for a week and 2 new ulcer meds.

I have been on the struggle bus since day one and I am starting to get depressed with each set back. I know i am not getting enough Protein. Some days, i just struggle with Water.

I need help. Not sure what to do...i just know i want to be back to normal and not have all this pain and extreme fatigue.

I would recommend the Protein fruit drinks like grapefruit or orange. I also recommend protein Soups which were quite good. You can get them from the store on this site. Also the protein hot chocolate was yum. I also had a hard time with the Protein Shakes. Good luck!

I’m one month out. It does indeed get better. Focus more on staying hydrated for now, then start working the Protein in. You will slowly be able to increase what you drink each day and as your food options increase your goals become easier to reach. Hang in there! [emoji4]

I am 7 days post op and I thought getting my shakes done would be easier. However, i am having a hard time getting any type of Protein down. I have to be on a liquid diet until i go back to dr on January 12....i went out and purchased unflavored whey protein and Tried mixing it with chicken broth.....lets just say that was a bad choice. Any advice? I keep drinking as much as I can with out actually puking.....oh and on top of all of this, I have thrush and a sinus infection. Please tell me this gets easier and how the hell do i make it better???