Ulcers ?

[bariutiful 72]

Has anyone developed an ulcer? If so, where did it hurt ?

[Harborgurl 27]

I feel like I have one but my surgeon just shrugged the idea away. My pain is excruciating in the center between breasts. Very sensitive to hit/cold. The first thing I swallow each morning burns so much and then i feel like i get diarrhea from the pain.

[SusieQ2019 567]

Search under ulcer @AlteredReality posted about her experience, she was in the hospital for a few days. If you are not feeling well I suggest you contact your PCP.

[James Marusek 5,244]

Generally if you develop an ulcer, you will find it difficult to keep food down and experience incessant nausea and vomiting. But these symptoms can also happen if you develop a stricture.

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.

[AlteredReality 152]

Generally if you develop an ulcer, you will find it difficult to keep food down and experience incessant nausea and vomiting. But these symptoms can also happen if you develop a stricture.
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.

It was just one very large ulcer. No stricture. I had a CT scan, ultrasound and EGD that showed only one ulcer that was 2 inches in size. Had nothing to do with nsaids, because I stopped taking those close to 3 months before I ever had surgery.

[Ed_NW 684]

4 hours ago, James Marusek said:

wait 2 hours before drinking after solid food is consumed

This part always cracks me up when you post it.

[AlteredReality 152]

This part always cracks me up when you post it.

2 hours ‍♀️...nope I will stick to the recommend 30 minutes

[AlteredReality 152]

I feel like I have one but my surgeon just shrugged the idea away. My pain is excruciating in the center between breasts. Very sensitive to hit/cold. The first thing I swallow each morning burns so much and then i feel like i get diarrhea from the pain.

Make an appointment to see a gastroenterologist. I went through the same thing and it turned out to be an ulcer...a large one

[AlteredReality 152]

Has anyone developed an ulcer? If so, where did it hurt ?

Mine hurt just below my rib cage on the left. I could tell it was around the connection point of my small intestine and my new pouch. It would hurt when I drank it ate. The only comfort I would get was to slowly sip hot chamomile tea. After not being able to hold down food or Water too many days in a row, due to the pain triggering me to vomit...I quickly went to the emergency room and was admitted within 2 hours of my arrival. Stayed in the hospital for 5 days.

[Ed_NW 684]

6 hours ago, AlteredReality said:

Mine hurt just below my rib cage on the left. I could tell it was around the connection point of my small intestine and my new pouch. It would hurt when I drank it ate. The only comfort I would get was to slowly sip hot chamomile tea. After not being able to hold down food or Water too many days in a row, due to the pain triggering me to vomit...I quickly went to the emergency room and was admitted within 2 hours of my arrival. Stayed in the hospital for 5 days.

Thanks for sharing your experience. You will undoubtedly be helping people going through the same thing. Sometimes these forums are more valuable than the doctor-patient relationship.

[Harborgurl 27]

I called my dr and told him to just listen to me for a moment. I am positive i have an ulcer. I experienced this exact pain when i was banded. He called in a script for carafate and protonix. So its been 12 hours and i kinda restarted eating bland again. I need to heal. Hopefully i will feel better soon.

[FloraBama Girl 116]

I am experiencing my second ulcer. Never was nauseous or had vomiting. Just really excruciating pain. The second one hurts below my breastbone about 4 inches. Nothing heals the ulcer, I can’t take Protonix anymore as it was becoming toxic to me. Don’t know why I have recurring ulcers.

[AlteredReality 152]

I am experiencing my second ulcer. Never was nauseous or had vomiting. Just really excruciating pain. The second one hurts below my breastbone about 4 inches. Nothing heals the ulcer, I can’t take Protonix anymore as it was becoming toxic to me. Don’t know why I have recurring ulcers.

Ask your doctor to put you on dexilant. It's way better than protonix. Also see if they can give you carafate, it helps coat. The ulcer so it can heal

[FloraBama Girl 116]

My doctor did put me on dexilant and it was good. I have been unemployed and have not been able to get it refilled. I hope next week I get it refilled. My plain ompertole is not cutting it.

[Frustr8 7,886]

Sure hope you will be able to, that's also my PPI of choice, on Omeprazole both times they tried giving it to me I developed ulcers. It may work for many people but it was not gastroprotective for me. And I have been on Carafate(sucalfate) since last October trying to heal all the ulceration I have. I'm on Medicare/ Medicaid myself so I have 2 special target days each month, the 3rd for Social Security and the 6th when my food stamp card reloads. Not how I expected to spend my 70s but one does what one must to keep alive and kicking. My ulcers are primarily in my jejuneu(small intestine- second segment) right subcostal pain, was worried it was my liver, Dr Noria,my surgeon's partner, said Nope, Liver is fine and dandy, it's those ulcers. I also have a tempermental pouch with some ulceration and a stricture of the opening. Precious Pouch keeps me on a liquid/very pureed diet, vomited yesterday, vomited today from well- chewed roast chicken. Hope my Protein levels are still okay enough to heal. I am stuck between what my doctors say I should be able to eat and what she actually permits. So I stir Protein Powder in most everything, Miralax my shakes and hope I don't get constipated from the Iron in my Vitamins. I had to have an Iron INFUSION in March as well as a anti- osteoporosis INFUSION. That's only once a year but my iron may be every 3-4 months depending on my blood levels. Sounds like I have a lot on my plate? Well I still am healthier than before surgery, and the things they find? We are getting these blips on the radar fixed before they get worse. Still a pretty good life, I keep losing weight down I might make Onederland on or just after my 1 year anniversary in September. That's a goal I can endorse!😝🍀