Ulcer and free fluid in the remnant stomach 3 1/2 months out Lap RNY

scootermedic
on 7/16/09 12:27 am - Norwich, NY
I'm following the rules.  The only NSAIDs I've had since last November when I entered my program were in December with my cycle, and for the 48 hrs after surgery that the surgeons use to reduce swelling to get us started.  In fact I refused it until the surgeon came down and explained that it would be a benefit in just the 48 hour window more than it would hurt by reducing swelling at the anastimosis sites.

That being said, I did do one thing wrong.  At my 3 month appointment I forgot to ask for a new script for PPI, I still had some left and wasn't thinking about the new script.  The NP should probably have thought about it, but I still take responsibility.  I called the program when I needed the new script and was told by the coordinating RN that I didn't need a solutab anymore and could grab anything over the counter.  My bad, I accepted that, knew I couldn't take an extended release (my old standby prilosec) so grabbed famotadine.

Since last week was having pressure like I was full immediately after starting to eat.  By Monday it was constant and even happened when I was only sipping liquids.  Called my program, after multiple times through the story, I was told to wait for the surgeon to call, I'd need to be seen "today".  Spoke with the surgeon and was sent to the ER for a CT scan, could be ulcer, internal hernia that just didn't have enough pressure to cause pn yet or early stricture. 

After about 6 hrs, was told I would be spending the night, finally got the CT a little later, then went upstairs to be told that there was nothing on the ct, egd in the morning and then maybe a more indepth swallow study that would follow the process completely through my intestines. 

In the morning, I saw my surgeon (not thee resident) and she said that there was a worrisome finding regarding fluid and air in my remnant stomach.  It would require a surgical evaluation if the EGD found nothing, and even then might still need to be checked out.  It was likely a kink in my intestine that wasn't causing a full blockage yet.  So I was all reading my self for surgery again, although not happy about it.

After the EGD I was told it was a marginal ulcer.  Then they said I could go home, stay on soft food and take Previcid 2 times a day, see the surgeon in 1-2 weeks.  Don't take any NSAIDS or eat scratchy foods that could irritate the ulcer.  But what about the fluid in my remnant?  Resident--Well, no follow through on that at this time, take things one at a time, all the symptoms could be explained by the ulcer.

Now I'm looking for info.  I'm trying to read a bunch of articles, but they are all abstract only without subscription.  Where do I go next?  And what about that fluid?

I've now had 2 small soft meals, and the thought of drinking just scares me cause the food does create pressure, and I'm afraid the back up will start again if I drink very much?  I want to treat the ulcer and have everything else go away, but will it?

Scootermedic
A Success!!
RNY  3/24/09
Start Weight / Surg. / Last Dr. Appt. 
  248 (plus) / 234 / 133 (5/9/11)          
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