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Marginal/anastomotic ulcer anyone?

I had RNYGB on 7/19/16. I still say it is the greatest surgery I have ever had. My BMI is down from 37 to 21.

I had no problems until I had to go to the ER on 4/10/18 with horrific abdominal pain, nausea, and vomiting. My surgeon put me on Prilosec and Carafate for 6 weeks, but I found out later the Prilosec caps were not bioavailable and just went through without being effective. So on Mother's Day I went back to the hospital for pain control and an upper scope to look for a marginal ulcer. Unfortunately the GI MD had no expertise in looking for marginal ulcers and said my scope was normal. So, I had 6 more weeks of unbelievable pain. My surgeon said maybe I had gallbladder disease so I had my gallbladder removed on 5/29/18. Did not help my pain at all. Finally, my surgeon referred me to a bariatric subspecialist who repeated my upper scope, and he found my marginal/anastomotic ulcer.

This is potentially very serious in that the ulcer could perforate and require emergency surgery. I am concerned because I was pain-free after starting Prilosec liquid for the first four weeks, but the crippling pain has returned. My patients compliment me on my weight loss, but nausea and pain is a horrible way to do it!

Does anyone else have experience with having a marginal ulcer?

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  • I's so sorry that you have gone through all of that, but I'm really surprised that they had such a problem finding it, as that is the classic place for ulcers to form on an RNY, and that should be the

  • Born in Missouri
    Born in Missouri

    My daughter is a PharmD and, believe me, I ask questions. I am sadly not surprised that you were given a drug with poor availability. Omeprazole capsules are all delayed-release. They are dosed at 10m

  • Yeah I have been living in my body for yeatrs and years. And often I think of song titles, maybe music overload but. Conway Twitty had a hit" You've never come this far before", a minor hit but still

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Yeah I have been living in my body for yeatrs and years. And often I think of song titles, maybe music overload but. Conway Twitty had a hit" You've never come this far before", a minor hit but still there!

My husband likes Conway Twitty and my ringtone in his phone is HELLO DARLIN .

I ❤this! Never met him but Wow-That Voice! Really enjoy what I call "purrie" voices. Kind of like a tomcat purring.?
Well I see my surgeon this afternoon , I believe 1:45 but I always show up early. Some family members tease me about that. Maybe I don't want to miss Life's Parade. Figure I still will have to submit to the EGD Friday. Well submit isn't exactly right, I really want answers and that should do it. I feel so limited now.My friend Kathie ditched on me,her husband Ray has an appointment too, she can't be in Cleveland and Columbus at the SAME time. So I am scrambling to find a sure ride.
And I really,really need to do this. If I miss Friday , they can't gaurentee another appointment. until after Thanksgiving, and possibly,January 2019. So I am even thinking of high school classmates, church , just don't know who I can find.

Hope all goes well, and yes do not put off the procedure. I know my poor husband had to take off so much work, and my job was so very kind to me, as I lost a lot of hours at work as well.

Much success let all know how it goes.

Update: after nearly exhausting all ideas, I called my late husband's 1st girlfriend. Well she really was,but there is more to the story. Kay and I had been friends long before I found out they used to date. I was getting pretty sad, all the people who I had numbers on, seem to have them changed or disconected. I think many are discontinued their. landlines and going with cell alone. So I called Kay to ask if she could think of anyone, and she said "Why not me?" Gosh I wasn't go8ng to ask because I thought she'd be busy. Funny she had been thinking about me, before I called So yes,i am going. Asked on Tuesday, and they said if I missed Friday, they were booking out until after Thanksgiving, and into January 2019. No thank you very much! Up to 3 more months of a bland liquid diet, I am not sure I can handle that.
So think good thoughts on Friday and hopefully there w8ll be answers.

Well thank goodness, so glad you found someone. I am curious how everything pans out for you. I have heard so many stories like mine of late with people having difficulty with the surgery I have seen it go both ways. Will be thinking about you.

And my Bari-bud Ellie123 was off to her ER , has been vomiting and hadn't stopped. I hope everything is Okay, her pouch is 2 weeks older than mine so now nearly 2 months since surgery.

good luck tomorrow hope you start feeling better soon. I just booked my bypass 11/15 its all a bit scary.

Well that's not good. There are so many things that we can bring upon ourselves by not eating correctly, two fast or not chewing enough, or drinking with a meal or to soon after or before. It does bother me when people jump to the conclusion that our suffering might be self inflicted. If you monitor all the above and you know good and well something is wrong then the ER is the safest place to be. Unfortunately, I had a lot of trips that were useless as they did not know how to treat by-pass patients, but when I went in and told them I was so weak that I was falling and dizzy constantly they admitted me and ran the right tests instead of simply doing a stomach scan and pumping me full of radiation. Push the envelope and make sure they are thorough.

Don't give up and sure hope your buddy has good success as well.

Although I usually name things, have every since mini-Frust8hood I AM NOT naming these 5 new ulcers in my stoma and jejunem are, that is because I want them GONE! Maybe the Carafate will heal them so I will be without them. Script is for 3 months, shoot that is past New Years isn' it? Seems an awful LONG TIME to me.???
On 10/13/2018 at 21:06, Frustr8 said:

Although I usually name things, have every since mini-Frust8hood I AM NOT naming these 5 new ulcers in my stoma and jejunem are, that is because I want them GONE! Maybe the Carafate will heal them so I will be without them. Script is for 3 months, shoot that is past New Years isn' it? Seems an awful LONG TIME to me.???
So is that what your EGD showed 5 ulcers??
yep and a moderate stricture of my stoma. That's why she repulsed all the different types of food, she couldn't pass it on to the intestine without a big enough opening. so i have a change of medication and I hope,the next scope shows it has resolved.,That should be donevagaijs Ervin
done within this 2 week time period. Gonna 'be busy bunny for a while.

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