Could use some prayers.....or something
For about the last month, I've suspected that I might possibly have some ulcer activity going on. I've had several ulcers in the past since my RNY and started feeling like I might have it again.
SO, fast forward to yesterday afternoon....I woke up from a sound sleep just completely nauseated. It was about 3:30 and I hadn't eaten since 11:30 and my pouch empties very quickly so it was just odd. I've been on Zofran but hadn't taken any since 11:00pm the night before. So, I pop one real quick with a sip of ginger ale. Not a minute later, I throw up and there's blood all in there.
So, I call my OB to see if I need to drive the 30 minutes to the hospital up there or just go to one here. They said go to one here since it wasn't pregnancy related. I told them they always send you to L&D no matter what if you're over 20 weeks, but that I know I needed to be seen regardless.
I get to the local ER (which is a nice brand new facility by the way) and of course, they wheel me up to L&D. So I'm thinking, God I hope this isn't a big waste of time. But, I'm thinking they'd at least draw some blood to check my blood counts since I'm bleeding from somewhere. Well, no. They hook me up to all the monitors (HR and contraction monitor) and make me pee in a cup. They come in an hour and a half later and said that my OB said I could go home. I'm like, without even finding out where I'm bleeding from? Without even drawing blood to check my blood counts? I'm like, he just checked my pee! The nurse tells me that sometimes you can be nauseated if you have a UTI and I'm thinking.....You don't vomit blood with a UTI. !!!! I'm just dumbfounded at this point and told her I'm not comfortable with this. She said she would be happy to take me down to the ER to have them check me. And I'm thinking.....isn't that what I was trying to do in the first place?? I KNOW it's not pregnancy related. I could've bled to death the hour and a half I wasted up there in L&D. BUT anyway......
They take me down to the ER and the Dr. wants to do a blood count (thank God for competency), put in an IV and give me Protonix (for ulcers) and some Zofran (but at this point I was no longer nauseous). He also wanted to drop an NG tube down in my stomach and suck up anything that would be down there and see if there was blood present. Well, right about then I get this really awful feeling that maybe I should've called my GI Dr. in Dallas and got his opinion. I tell him he's not going to be able to suck up anything cuz I don't have a pyloris and there's nothing in my stomach. He said there would be secretions......yada yada, but I told him I'd rather him just check my blood counts, I'd do the IV and we'd go from there.
So, my blood counts come back and of course my hemoglobin and hematocrit are low. They weren't at like a critical point that I would need a blood transfusion, but it was on it's way. They wanted me to go home, call my GI Dr. and call my OB the next day to get a repeat blood count to see how much more it dropped (if any) or if it was staying constant or what.
I have my calls in to my OB and GI Dr. to see what they want me to do and where they want me to go and I'm worried. I've never had a bleeding ulcer and my blood counts have never been that low. And with pregnancy, your blood counts are supposed to be more on the higher side with the increased blood volume so I've definitely got a bleed somewhere. I'm just scared with getting a scope because I've usually required Propofol (the sleeping 'milk' that killed Michael Jackson) during all my scopes because the Fentanyl and the Versaid they normally give don't knock me out enough and I've had to have an anesthesiologist present to administer that. I'm scared what effect it would have on the baby. And what if the bleed is coming from the remnant stomach? They can't visualize that with a scope. They'd have to do a laproscope for that. And then any anesthesia or surgery or anything could cause you to go into labor and I'm only 26 weeks. I'd have to be at the big hospital in Dallas to do any type of procedures and that's an hour and a half from home and my family wouldn't be able to really be there......unless it was over the weekend. It's just a scary situation.
Anyway, I just need a little support, prayers, thoughts, whatever. I really wanted this pregnancy to be nice and easy and simple. And until yesterday, I never had to go to L&D for anything during this pregnancy, unlike my previous pregnancies. Heck, besides continuous nausea and vomiting, the Down's scare at 15 weeks and my low Vit. D level, I really haven't had any major issues with this pregnancy and wanted to keep it that way.
Well, thanks for listening. I don't know if or when I'd be able to update on anything. I'm still waiting to hear what my Dr's are going to do. I'm just really concerned.
SO, fast forward to yesterday afternoon....I woke up from a sound sleep just completely nauseated. It was about 3:30 and I hadn't eaten since 11:30 and my pouch empties very quickly so it was just odd. I've been on Zofran but hadn't taken any since 11:00pm the night before. So, I pop one real quick with a sip of ginger ale. Not a minute later, I throw up and there's blood all in there.
So, I call my OB to see if I need to drive the 30 minutes to the hospital up there or just go to one here. They said go to one here since it wasn't pregnancy related. I told them they always send you to L&D no matter what if you're over 20 weeks, but that I know I needed to be seen regardless.
I get to the local ER (which is a nice brand new facility by the way) and of course, they wheel me up to L&D. So I'm thinking, God I hope this isn't a big waste of time. But, I'm thinking they'd at least draw some blood to check my blood counts since I'm bleeding from somewhere. Well, no. They hook me up to all the monitors (HR and contraction monitor) and make me pee in a cup. They come in an hour and a half later and said that my OB said I could go home. I'm like, without even finding out where I'm bleeding from? Without even drawing blood to check my blood counts? I'm like, he just checked my pee! The nurse tells me that sometimes you can be nauseated if you have a UTI and I'm thinking.....You don't vomit blood with a UTI. !!!! I'm just dumbfounded at this point and told her I'm not comfortable with this. She said she would be happy to take me down to the ER to have them check me. And I'm thinking.....isn't that what I was trying to do in the first place?? I KNOW it's not pregnancy related. I could've bled to death the hour and a half I wasted up there in L&D. BUT anyway......
They take me down to the ER and the Dr. wants to do a blood count (thank God for competency), put in an IV and give me Protonix (for ulcers) and some Zofran (but at this point I was no longer nauseous). He also wanted to drop an NG tube down in my stomach and suck up anything that would be down there and see if there was blood present. Well, right about then I get this really awful feeling that maybe I should've called my GI Dr. in Dallas and got his opinion. I tell him he's not going to be able to suck up anything cuz I don't have a pyloris and there's nothing in my stomach. He said there would be secretions......yada yada, but I told him I'd rather him just check my blood counts, I'd do the IV and we'd go from there.
So, my blood counts come back and of course my hemoglobin and hematocrit are low. They weren't at like a critical point that I would need a blood transfusion, but it was on it's way. They wanted me to go home, call my GI Dr. and call my OB the next day to get a repeat blood count to see how much more it dropped (if any) or if it was staying constant or what.
I have my calls in to my OB and GI Dr. to see what they want me to do and where they want me to go and I'm worried. I've never had a bleeding ulcer and my blood counts have never been that low. And with pregnancy, your blood counts are supposed to be more on the higher side with the increased blood volume so I've definitely got a bleed somewhere. I'm just scared with getting a scope because I've usually required Propofol (the sleeping 'milk' that killed Michael Jackson) during all my scopes because the Fentanyl and the Versaid they normally give don't knock me out enough and I've had to have an anesthesiologist present to administer that. I'm scared what effect it would have on the baby. And what if the bleed is coming from the remnant stomach? They can't visualize that with a scope. They'd have to do a laproscope for that. And then any anesthesia or surgery or anything could cause you to go into labor and I'm only 26 weeks. I'd have to be at the big hospital in Dallas to do any type of procedures and that's an hour and a half from home and my family wouldn't be able to really be there......unless it was over the weekend. It's just a scary situation.
Anyway, I just need a little support, prayers, thoughts, whatever. I really wanted this pregnancy to be nice and easy and simple. And until yesterday, I never had to go to L&D for anything during this pregnancy, unlike my previous pregnancies. Heck, besides continuous nausea and vomiting, the Down's scare at 15 weeks and my low Vit. D level, I really haven't had any major issues with this pregnancy and wanted to keep it that way.
Well, thanks for listening. I don't know if or when I'd be able to update on anything. I'm still waiting to hear what my Dr's are going to do. I'm just really concerned.
Allie
Mom to 5 cuties!! 
Ages 15, 7, 6, 4 & a 3 month old sweety!
-250 Pounds since GBS!
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Sept 2009 
Sending thoughts and prayers your way!
I wouldn't imagine that the bleeding would be coming from the "old" stomach, you wouldn't throw up blood from that. I had horrible ulcers about a year out and it is like you want to die. I hope that you feel better soon and they can get to the bottom of this quickly without you having to be in a hospital so far from your family.
I wouldn't imagine that the bleeding would be coming from the "old" stomach, you wouldn't throw up blood from that. I had horrible ulcers about a year out and it is like you want to die. I hope that you feel better soon and they can get to the bottom of this quickly without you having to be in a hospital so far from your family.
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