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Doctor insights on:
Perforated Ulcer Diet
1
1.5yrs after 36hr ulcer perforation, peritonitis &severe ab adhesions, I have gastroperesis due to the adhes. Beside liquid diet, what r my options?
Surgical Evaluation: I would confirm a diagnosis of gastroparesis first with a nuclear medicine gastric emptying study. If various medical remedies have failed, i.e. Reglan, (metoclopramide) you may be a candidate for a surgical procedure such as pyloroplasty, depending on the surgical procedures you had previously. ...Read more
Diet (Definition)
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
2
How do you know if you have a perforated ulcer?
Pain gets worse:
Pain in the stomach area (above your navel) usually gets worse with nausea, vomiting, sometimes accompanied by fever, dizziness.
Any symptoms that get worse, seek medical advice.
Here are risk factors for developing stomach irritation or ulcers - too much intake of caffeinated drinks, alcohol, spicy foods,
leading a stressful life/type a personality.
Hope to be of help.
...Read more
3
What is the definition or description of: perforated ulcer?
Hole In the Gut: A perforated ulcer is an area of the stomach or intestine that has eroded through the wall, exposing what's normally inside the stomach and intestines to the inside of the belly, and often causing significant pain and swelling, as well as bleeding. It is a medical emergency. ...Read more
4
Are all perforated ulcers serious enough to have to be operated on?
Yes: Yes any perforated ulcer need to be operated as soon as possible to prevent damage of other organd also to prevent peritonitis and other serious condition. ...Read more
5
What foods can be eaten after surgury for a perforated pepetic ulcer?
Depends: On how long after the surgery. Your treatment will be the best to advise ...Read more
6
What is the recovery/survival rate like for a perforated ulcer victim?
A lot depends on: Other co-morbid factors and the type of operation that was needed, assuming that you are talking about perforated duodenal ulcer. If the person is otherwise healthy and an extensive resection was not necessary, then prognosis is very good. Ask the surgeon for specific details. ...Read more
7
Can a person have a perforated ulcer without any pain? I've had two before with a lot of pain and requiring surgery. Symptoms seem similar but no pain
In doubt: If in doubt it is better to see physician for evaluation. ...Read more
8
What is the treatment for a perforated duodenal ulcer?
Surgery: Perforated doudenal ulcer is a surgical emergency and needs surgical intervention, as the ulcer can burn through the wall of the stomach and it is life threatening and needs surgical intervention and fluid replacement. ...Read more
9
Do I need to take an acid reducer for the rest of my life after having a perforated ulcer?
Depends: If your ulcer was a result of hyperacidity induced by infection with helicobacter pylori and you have been treated it may not be necessary to continue this therapy. Check with your GI doctor. ...Read more
10
Will my sister be ok? She was rushed into surgery for perforated ulcer. She is age 28 smokes and has daily migraines. Takes Excedrin everday. Advise?
I hope so: I hope she'll be ok. The daily excedrin may be the problem. There are good medications for treatment of migraines that don't erode the stomach lining. There are also medications that can be taken daily to prevent migraines. ...Read more
11
How can a perforated stomach ulcer kill you?
Acute abdomen: Death from internal bleeding, infection, peritonitis can be seen following a perforated stomach/ulver. Sometimes the diagnosis can be missed at first as the initial presentation may mimic less life threatening conditions. This is a surgical emergency. ...Read more
12
I think I have an ulcer, what symptoms warrant a trip to the ER? 2 ulcers perforated before & symptoms are similar. Abd pain and more pain when eating
Go to ER:
With history of two perforated ulcers in past and having same symptoms go to ER
You are eating means there is no vomiting. With past history of two oerforations go to ER, you need to be treated right away to prevent perforation. IV Fluids, iv acid suppressing medications
Do not eat any solid food, if no vomiting can drink flids
...Read more
13
I suffered a perforated ulcer for 36 hrs 1 yr ago. I have ulcers again while on script prilosec, not otc, 2 x day. H-pylori neg. What else can I try?
Peptic ulcer: You can try ppis high doses and Carafate (sucralfate) 1gm four times a day. Discuss it with your doctor as it is a prescription drug. ...Read more
14
1 yr ARDS survivor after barely living through 36 hrs of a perforated ulcer (misdiagnosed in er). Any short/long term effects from ards? Have issues.
Yes: Research shows that survivors of ARDS suffer from long term impediment in cognitive function such as memory, recall, concentration. Both quality of life and functional status are affected with improvement in the first six months. Improvement after a year varies between individuals. ...Read more
15
How long does it take before a stomach ulcer completely perforates your stomach?
No set time: We are unable to say how long it takes for ulcer to perforate- most of the time if someone perforates- they did not know they had an ulcer. It is depends on the cause of the ulcer and how much exposure the lining of stomach is getting from it- like alcohol, nsaids, aspirin, steroids, etc. Also if the bacteria assoc w ulcers if present is treated and how thick the lining of your stomach is. ...Read more
16
Suffered 36 long hours with a perforated ulcer. Now severely full of scar adhesions. Is there any therapy to break them down, like ultrasound therapy?
Glad you survived: Hopefully the delay in emergent life saving surgery for your perforated ulcer was well fetted. Now you have adhesions, a separate problem related to the ulcer and repair. I do not recommend surgical therapy for adhesions unless they are causing bowel obstruction. If you are not bowel obstructed, massage and ultrasound will not hurt you. ...Read more
17
Had stomach ulcer 6 or more months ago, would drinking soda now be risky? Can soda cause ulcers to perforate/bleed?
Not risky: We know that most ulcers are not caused by door or stomach acid, but by a bacteria which leads to gastritis. Soda won't cause ulcers. I suggest you moderate your intake, of course. You can have too much of a good thing. I am assuming you're following up with your doctors. If not, do so. Good luck. ...Read more
18
Losing a massive amount of red blood through rectum and vomiting after an oversewing of a perforated duodenal ulcer. What could it be? Please advice.
Red blood: Red blood passed rectally comes from lower in the intestinal tract-usually the colon. Bleeding from the duodenum produces black tarry stools. Red rectal blood may be from diverticulosis, hemorrhoids, inflammatory bowel disease like ulcerative colitis or from tumors in the rectum or colon. A gastroenterologist or colorectal surgeon are best to evaluate you. You should go to the hospital emergency rm ...Read more
19
If you have a stomach ulcer can vomiting cause it to bleed or perforate?
Yes:
Dear Girish,
Vomiting can increase the pressure in your stomach and if there is an ulcer the blood vessels can pop and cause you to bleed or perforate. If you have a stomach ulcer your physician should have you on a proton pump inhibitor. Please avoid alcohol or NSAIDs as these can make ulcers worse. Please seek care from a doctor if you have pain or any kind of bleeding.
...Read more
20
Could a stomach ulcer from using celebrex (celecoxib) be asymptomatic perforate suddenly and cause pancreatits?
Yes: It is surprising how often ulcers are asymptomatic. Perforating ulcers usually cause pain. Pancreatic inflammation is an uncommon complication of ulcers. I hope that helps and that whoever had this unfortunate event has recovered fully. ...Read more
21
I've had a perforated ulcer and hiatal hernia both corrected in the past two years and still experience nausea, bloating, chest pains, and reflux. Will this eventually go away?
Probably not.: If you continue to have symptoms, you need to go back to your doctor because you may have reflux even after your ulcer and hiatal hernia have been repaired. ...Read more
23
Can an untreated bleeding stomach ulcer that perforated the stomach lead to an aortic thrombus?
No:
Aortic wall is thick enough to withstand the acid from perforated ulcer. There will be a lot of symptoms from perforated ulcer before it would affect the aorta, if ever.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
...Read more
24
Two years ago, underwent surgery perforated duodenal ulcer. After surgery yellowed eyes. Examined liver healthy. Elevated bilirubin in the blood. No k?
What is your health?: If liver is healthy now, and you are in good health now then yellow eyes after emergency GI surgery was transient/normal. During recovery the liver processes hematoma left over from bleeding. Yellow eyes, high blood bilirubin occur commonly as the liver works. It often takes time before you are ready to review and learn what happened to you during an emergency. Ok to ask your doc. ...Read more
25
Can Coumadin levels be accurately monitored by a finger stick instead of a blood draw? Following a roux-n-y gastric bypass I suffered a perforated ulcer, splenectomy, collapsed lung, disconnected bowel, numerous septic infections, 18 months of picc lines,
Yes. A finger stick: It sounds like you have suffered some real problems. I know it seems hard to believe, but you will likely have a full recovery. There is a bright light at the end of the tunnel. ...Read more
26
I m always alarmed about my health (anxiety) and I always have worries, Can I have peritonitis or ulcer perforation without pain, fever or vomiting?
Health phobia?: Please go to your doc for an exam to rule out medical conditions. Then go to a mental health professional, preferably a clinical health psychologist for treatment of what MAY be a phobia about your health. Peace and good health. ...Read more
27
My grandma had ulcer perforation of duodenum it was treated conservatively w/ antibiotics surgeon did xray & wants to do scope next would CT be better?
Endoscopy:
Ct scan would only show pictures.
Endoscopy allows biopsy of any suspicious lesions as well as the surrounding anatomy.
...Read more
28
How long after a severe peptic ulcer perforation before peritonitis and sepsis will kill a person? (let's assume the person is in his sixties)
Days: Left untreated ulcer perforation and sepsis could cause death within days. Ardis can cause body functions to shut down. This is an emergency situation. ...Read more
29
Best diet for ulcer reduction, gastric problems?
What Works: Lots of various foods choices long promoted but little scientific evidence any really work. The larger issues are internal controls of micro-erosions, presence/resistance to heliobacter pylori bacteria (can be hard to eradicate ; can recur), ingestion of nsaids ; other irritants, internal controls of local blood flow, emotions, etc. ...Read more
30
How would you encourage someone with ulcers to get on a diet?
In the olden times: The diet was the only answer. Dairy and especially milk, liquid antacids and avoidance of spiced foods. We now know that ca++ stinulates gastrin, a hormone that stimulates acid prodcution. The modern attack is on the systems that produce gastric acid, the focus of treatment like ranitidine, famotidine, omeprazole. Avoid foods causing dyspepsia. ...Read more
Ulceration (Definition)
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
Ulcer (Definition)
An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more