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Doctor insights on: Stomach Ulcer In Gastric Bypass Patient

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What are Main symptoms and sign of stomach ulcer? And what is the epidemology?

What are Main symptoms and sign of stomach ulcer? And what is the epidemology?

Ulcer: With stomach ulcer the pain gets worse with food, with small intestine ulcer the pain is worse while hungry and in the middle of the night.
The most common causes of user is H Pylori infection, Non Steroidal Anti Inflammatory medications like Motrin, Smoking and Alcohol. ...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


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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?

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?

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. ...Read more

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

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

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. ...Read more

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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.

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.

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 ...Read more

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5 yrs. Postop gastric bypass, not able to have solid food 3 months, now passing old stool and have anastomotic ulcer. Blockage possible?

5 yrs. Postop gastric bypass, not able to have solid food 3 months, now passing old stool and have anastomotic ulcer. Blockage possible?

Anastomotic ulcer: Yes. A blockage or narrowing of your gastro jejunal anastomosis can occur if you have an anastomotic ulcer. The ulcer needs to be aggressively treated with proton pump inhibitors and carafate (sucralfate). Also make sure you are not taking any nsaids or smoking. ...Read more

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I am having epigastric pain with excessive belching that leads into rlq abd pain. I have had a gastric bypass done 8 yrs ago and a ulcer. What's wrong?

I am having epigastric pain with excessive belching that leads into rlq abd pain. I have had a gastric bypass done 8 yrs ago and a ulcer. What's wrong?

Ulcer or GB: The pain in upper abdomen could be an ulcer. You absolutely must avoid tobacco and Aspirin compounds. Might also be due to sludge or stones in gallbladder. You should see your surgeon to evaluate. ...Read more

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Do doctors see a lot of patients with stomach ulcer?

Do doctors see a lot of patients with stomach ulcer?

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. ...Read more

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

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

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. ...Read more

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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?

Abdominal pain: It could be an ulcer in your gastric pouch. It could be a gastro-gastric fistula. It could be an ulcer in your gastric remnant. It could be an internal hernia. You need to see your surgeon. If a ct scan is normal, then get an upper endoscopy. ...Read more

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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?

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?

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. ...Read more

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Can you please describe the difference between gastric acid and stomach ulcer?

Can you please describe the difference between gastric acid and stomach ulcer?

See details: Gastric acid is a normal substance secreted to help digest food. An ulcer is an erosion or damage to the wall of the stomach. ...Read more

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I had the gastric bypass 2007 and I have a anastomotic ulcer. I 'm taking raniidine 150 and sucralfate 1 mg 3x/day. I in pain and 8yrs is too long?

It's too long: It's likely that you have an underlying cause of the ulcer that needs to be addressed. Cigarette smoking, alcohol, anti inflammatory medications are often the cause, but there are many other possibilities. See your bariatric specialist. ...Read more

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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,

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

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Recently ended 2 week course of antibiotic for h. Pylori and gastric ulcer. Why does coffee still aggravate my stomach?

H pylori => ulcer: 2 week course of antibiotics only gets rid of h pylori if taken as directed. But that may not be enough time for stomach lining to heal, which is why coffee & other foods may still aggravate your stomach. Ask your doc if a short course of proton pump inhibitor like Omeprazole or Pantoprazole would be ok to tie you over until you're completely healed (which is never quickly enough). ...Read more

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If they have a gastric ulcer or one in the duodenum, can they have pernicious anemia due to the stomach of duodenum being destroyed somewhere?

Possibly.: Pa is associated with antibodies that attack cells in the stomach. Besides interfering with B12 absorption, the stomach can develop atrophic gastritis, an inflammation of the stomach that results in the loss of all glandular tissue and scarring of the stomach. But ulcers are not a sign of this, and definitely not duodenal ulcers. The B12 problems come first, other stomach issues later. ...Read more

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What is the best medication to treat gastric ulcer. My stomach produces much Gas and upper part of it got swollen up. Being using omeprazole?

What is the best medication to treat gastric ulcer. My stomach produces much Gas and upper part of it got swollen up. Being using omeprazole?

Maybe not just ulcer: Feeling full of "gas" may reflect malabsorption of food (like gluten, lactose), intake of poorly digested food, or choosing foods known to promote gas (beans, fizzy drinks). Sometimes its more complicated--a stomach emptying too slowly, bacterial overgrowth syndrome, delayed intestinal function, partial obstruction from any cause, infection, rectum problems, &/or pathology outside the gut. ...Read more

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Hi ive had a number of stomach complaints and am due to have a camera down my throat last week my doctor sent me to hospital with gastric ulcer pains?

Hi ive had a number of stomach complaints and am due to have a camera down my throat last week my doctor sent me to hospital with gastric ulcer pains?

Endoscopy: It sounds like you are describing an endoscopy or EGD. This a common method to get direct visualization of your gastrointestinal tract and to solve your problem. Endoscopy is a fairly common procedure and many patients tolerate it very well. Best of luck :) ...Read more

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I had a nissen for GERD 2 yrs ago. It has failed and esophagus shortened and ulceration. Dr advises gastric bypass. I'm very concerned. Bmi is 23.

I had a nissen for GERD 2 yrs ago. It has failed and esophagus shortened and ulceration. Dr advises gastric bypass. I'm very concerned. Bmi is 23.

Really?: Nissan repair is highly effective for gerd. A gastric bypass would never be recommended for someone with a bmi of 23. See a gastric specialist for options that aren't surgical. ...Read more

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Gastric bypass, lapband, stomach stapling, what's the difference?

Bariatric surgery: It's gastric bypass, lap band, and sleeve gastrectomy. Stomach stapling can mean a lot of different things. Not enough room to answer your question here. Look on the web, like http://www. Realize. Com to read about the various operations. ...Read more

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I'm having stomach pain 10 years after gastric bypass?

I'm having stomach pain 10 years after gastric bypass?

See yourMD: You need a work up. I have gastric bypass patients in our practice. Of those with pain we have sent to GI for work up...Most of the time they find a cause. Do not delay! ...Read more

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Is it true that carbonated sodas really bad for gastric bypass patients?

Soda: Carbonated soda is bad for everyone. Regular soda has way too much sugar. Diet soda has sugar substitutes that are bad for you. So soda isn't good for anyone. For bypass patients, the co2 gas can build up in the gastric remnant and you can't burp that out. This can cause discomfort, but will eventually get absorbed. I tell my patients not to drink soda anymore. ...Read more

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Can a gastric bypass patient take correctol laxitive?

Can a gastric bypass patient take correctol laxitive?

Short term: Constipation is fairly common after gastric bypass. Correctal laxative is ok for a short course. Long term constipation is best managed with fiber or miralax (polyethylene glycol). ...Read more

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What diet should be followed by gastric bypass surgery patients?

What diet should be followed by gastric bypass surgery patients?

Diet: High protein, small meals, with vitamins like b12 and other multivitamins. ...Read more

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Please help! What is the difference between gastric bypass surgery, stomach stapling and gastric band surgery?

Please help! What is the difference between gastric bypass surgery, stomach stapling and gastric band surgery?

Bypass and band: Lap band is the safest and is reversible which attracts a lot of patients, but failure rates are high, it is easy to cheat, weight loss is slower. Bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, but has a higher risk. Stomach stapling can mean many different things. You probably mean sleeve gastrectomy, also good, the newest. ...Read more

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Why do many gastric ulcer patients respond to antibiotics?

Why do many gastric ulcer patients respond to antibiotics?

H. Pylori causes it: A bacterial infection of the stomach (helicobacter pylori) causes most ulcers. About 10-15% of the population carries this bacteria in their stomach, often without symptoms. In some cases, extra stress, aspirin, or other issues might further aggravate your stomach, leading to ulcers when combined with the h. Pylori. A combination of antibiotics can usually cure this infection. ...Read more

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Why do many gastric ulcer patients respond favorably to antibiotics?

Why do many gastric ulcer patients respond favorably to antibiotics?

H. Pylori causes it: A bacterial infection of the stomach (helicobacter pylori) causes most ulcers. About 10-15% of the population carries this bacteria in their stomach, often without symptoms. In some cases, extra stress, aspirin, or other issues might further aggravate your stomach, leading to ulcers when combined with the h. Pylori. A combination of antibiotics can usually cure this infection. ...Read more

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Patients with gastric bypass can they gain weight back?

Patients with gastric bypass can they gain weight back?

Yes: Regaining weight frequently happens. It used to be thought that it had to do with enlargement of the gastric pouch, but more recent studies suggest that it is related to a gradual widening of the gastrojejunal anastomosis (the joining between the stomach pouch and small intestine that is created). ...Read more

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Is the 5 day pouch test ok for gastric bypass patients?

Is the 5 day pouch test ok for gastric bypass patients?

Yes, but? Need: Many bariatric programs routinely do a pouch leak test in the early post-operative period, some the day after, some waiting 5-7 days after surgery. The overall leak rate is low and does not always pick up all leaks, especially if done too early. In one study from UCLA, routine pouch leak studies after laparoscopic gastric bypass did not contribute signi´Čücantly to postoperative patient care ...Read more

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Is the Lipozene effective in patients that have had a gastric bypass?

Is the Lipozene effective in patients that have had a gastric bypass?

No it doesn't work: No. You need to lern to eat correctly. For some pointer see www. Weighstation. Net hope this helps. ...Read more

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Do many gastric ulcer patients respond to treatment with antibiotics?

Do many gastric ulcer patients respond to treatment with antibiotics?

Depends: If they have infection with helicobacter pylori which has been associated with some ulcers, the patients often improve with antibiotics and acid lowering medications. ...Read more

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My friend had gastric bypass (stomach stapling) surgery and now has constant problems with dumping, gross.?

Yes one of complicat: Morbid obesity it self is a lethal disease if untreated. Gastric by pass several will have benefits, will lose weight, will be able to go back to work if they are not working due to disability, b p & diabetes will be under control or even cure, quality of life improves, how ever some will have untoward effects or complications due to by pass as you mentioned all patients will have this info. ...Read more

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I had gastric bypass 2 weeks ago Would marijuana smoke do the same harm as cigarettes would to my new stomach?

I had gastric bypass 2 weeks ago Would marijuana smoke do the same harm as cigarettes would to my new stomach?

Not usually: Tobacco smoke contains a number of substances that increase stomach acid and reduce the lower esophageal sphincter pressure, which increases reflux and esophagitis, while reducing the effectiveness of gastric mucous. Marijuana smoke does much less of this, but if you have had problems with peptic ulcer, gastritis or esophagitis, you are far better off not smoking ANYTHING. ...Read more

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I had gastric bypass surgery on may 2nd 2012 and it's been great up till now I have and belching and having stomach pains radiating around my back?

I had gastric bypass surgery on may 2nd 2012 and it's been great up till now I have and belching and having stomach pains radiating around my back?

Biliary colic: These may be new symptoms unrelated to the bariatric surgery. Weight loss increases risk and incidence of gallstones. Gallstones can cause biliary colic: belching, bloating, upper abdominal pain after eating fatty foods that radiates into back. Okay to get see your doc. An ultrasound of the gallbladder can lead to a diagnosis. Avoid big meals and fatty meals until you can get evaluated. ...Read more

Dr. Scott Bolhack
2,091 Doctors shared insights

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


Dr. Gregg Nishi
473 Doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more