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