Question 1

gastric bypass 2008, peptic ulcer since 2009, quit smoking seven weeks ago, pain is much worse and more often than before. protonix (pantoprazole) and carafate?

Accepted Answer

Need close follow-up: When symptoms like pain get worse, the questions include:  is the disease spreading, is the medication no longer working, is there a new problem, etc.? An ulcer 3 years ago should have healed. Is there a problem with recurrent gastritis or repeat ulcers? Is there stomach cancer, or is there a gallstone problem?  A G.I. Specialist can recheck to figure things out.  Another endoscopy may be needed.

Question 2

i have stomach ulcers after gastric bypass and i have no desire to eat is that normal?

Accepted Answer

No, but not uncommon: Follow up with surgeon.  Tested for h .Pylori? Can cause ulcers.  Marginal ulcers usually on the intestinal side of the anastomosis (seam) not rare.  Needs follow up, especially if interfering with oral intake, or if vomiting ( a big deal).
See your doc.

Question 3

i had gastric bypass 11 years ago and a leaky gut. they did surgery to clean me out. still wasn't healing did a scope and have a very large ulcer. going to take 1/2 of stomach out. how or what are my chances of making it. started at 400 lbs. now 131?

Accepted Answer

: The surgery outcome depends heavily on your cardiopulmonary status so we can't predict the outcome without a thorough evaluation.

Question 4

i had gastric bypass surgery can i get a ulcer in the bypassed stomach or just pouch or sm. intestine? i have a jejunal ulcer but pain under left ribs

Accepted Answer

Yes: i very often recommend taking anti acid the first 6 months after surgery

Question 5

is it considered to be a normal symptom for a gastric ulcer and gallstone patient to have to sleep sitting up straight due to burning pain in stomach area if lying down. i have no acid reflux. i'm already on 40mg x 2 of ppi. this was after chocolate.

Accepted Answer

Reflux: It's true that the discomfort of reflux occurs in the esophageal area(chest) especially in the reclining position. In my experience gastric ulcers often have atypical symptoms and it could be causing your distress or perhaps reflux is being felt in the lower esophagus near the stomach junction. Chocolate can produce reflux. Since you're so symptomatic, I hope you're under the care of a gastroenter

Question 6

i am almost 7 years out from gastric bypass in 2007. i have upper left quad abd pain and cannot lay on my left side. what could this be? bowel, ulcer?

Accepted Answer

Anything: Luq pain can be any number of things, including: ulcer, colon problems, bowel obstruction, splenic enlargement, and/or hernia, etc.  The only way to know is to see a doctor and have a work up.

Question 7

what can i do about an ulcer i develped after having gastric bypass  ?

Accepted Answer

Proton pump: Inhibitors may be required...Talk to your physician.

Question 8

do doctors see a lot of patients with stomach ulcer?

Accepted Answer

Less common: Stomach ulcers were very common 40-50 years ago.  They still occur, but are not nearly as common.  Some of the decrease is due to medicines like tagamet and nexium, (esomeprazole) but they were declining even before tagamet came out.  Still if you have persistent pain in your upper abdomen, especially with burning, see your doctor.

Question 9

i had the gastric bypass 2007 and i have a anastomotic ulcer. i'm taking raniidine 150 and sucralfate 1 mg 3x/day. suggestions?

Accepted Answer

Be careful: If you smoke or take a lot of medication such as Ibuprofen (nsaids), then stop those things too. Make sure to stay in touch with your surgeon as well.

Question 10

how would be a patient taking plavix (clopidogrel) treated if he/she got a stomach ulcer? would plavix (clopidogrel) be quitted/changed with something else?

Accepted Answer

Plavix (clopidogrel) stopped: Yes, Plavix (clopidogrel) would be discontinued in this situation. Unfortunately it is really not safer than aspirin when it comes to risk for bleeding from ulcers. In this situation all factors would be considered: reason/need for anti-coagulation, how strong is it, etc. Options would include no anti-coagulation, low or intermediate dose aspirin, self-administered shots/heparin, or warfarin/Coumadin.

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Doctor answers about:

Stomach ulcer in gastric bypass patient

A member asked:

Gastric bypass 2008, peptic ulcer since 2009, quit smoking seven weeks ago, pain is much worse and more often than before. protonix (pantoprazole) and carafate?

A member asked:

I have stomach ulcers after gastric bypass and i have no desire to eat is that normal?

A member asked:

I had gastric bypass 11 years ago and a leaky gut. they did surgery to clean me out. still wasn't healing did a scope and have a very large ulcer. going to take 1/2 of stomach out. how or what are my chances of making it. started at 400 lbs. now 131?

A member asked:

I had gastric bypass surgery can i get a ulcer in the bypassed stomach or just pouch or sm. intestine? i have a jejunal ulcer but pain under left ribs

A member asked:

Is it considered to be a normal symptom for a gastric ulcer and gallstone patient to have to sleep sitting up straight due to burning pain in stomach area if lying down. i have no acid reflux. i'm already on 40mg x 2 of ppi. this was after chocolate.

A member asked:

I am almost 7 years out from gastric bypass in 2007. i have upper left quad abd pain and cannot lay on my left side. what could this be? bowel, ulcer?

A member asked:

What can i do about an ulcer i develped after having gastric bypass ?

A member asked:

Do doctors see a lot of patients with stomach ulcer?

A member asked:

I had the gastric bypass 2007 and i have a anastomotic ulcer. i'm taking raniidine 150 and sucralfate 1 mg 3x/day. suggestions?

A member asked:

How would be a patient taking plavix (clopidogrel) treated if he/she got a stomach ulcer? would plavix (clopidogrel) be quitted/changed with something else?

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