Gastritis - and no meds?

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Lu2011
Regular Member


Date Joined Apr 2011
Total Posts : 291
   Posted 3/29/2013 6:29 PM (GMT -6)   
Hi,
 
A bit of history first...I had ulcerative colitis when I was 15 and ended up having my colon removed (jpouch). Since then I have also developed sacroiliitis, of which I've taken lots of advil over the years and celebrex the past couple years.  Aside from the odd bout of pouchitis, my stomach has been doing pretty good...until 4 weeks ago.

It started as constant nausea. After talking with my GP a couple times, he prescribed a proton pump inhibitor for one week. This helped the nausea but I had burning after I ate.  AT that point, it was just burning, but then discomfort also started and sometimes a bit of nausea. A few days ago my GI did an endoscopy and he responded "good news...it's nothing serious. Just a bit of inflammation or what we call gatritis". He gave me meds for the nausea but nothing else...and told me nothing in terms of diet, meds, or what to do. I am waiting for biopsy results (not sure how long it takes) but he doesn't suspect an infection.

I'm finding that as time goes on, the pain is getting worse. Is it normal not to be given any meds to try (prescription or over the counter)? He also didn't mention any dietary restrictions. He of course doesn't know the cause, but suspects that the daily celebrex is the culprit (which I stopped right away once symptoms started.  Other than that he said nothing.

So what now? Shouldn't I be having some kind of treatment? How long do biopsy results take?  Scared of living with stomach problems for the rest of my life.    

Ulcerative Colitis 1988, had colon removed and now jpouch
Now sufer from sacroiliitis and inflammation of piriformis muscle causing sciatica like pain during flare ups. Joints very bad...take celebrex when needed.
Also suffer from asthma (only triggered when I get a cold) and stuffed sinuses.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 3/29/2013 7:49 PM (GMT -6)   
Hi Lu2011,
Sorry to hear you're struggling. I have a reactive stomach, so I know what you're going through.  I have a few suggestions for you.  If you have good prescription insurance, ask you doctor for a Carafate suspension script.  It is great for coating and protecting your esophagus and stomach and thus facilitating healing.  If you don't have good insurance, ask for the generic version in pill form: Sulcrafate.  It is a very benign drug that was developed to protect ulcers while they heal.  I am never with out Carafate suspension in the house. 
 
Remember that the stomach contracts to mash foods.  Be sure you don't eat anything that will enter the stomach as solid and rough.  Chew everything completely until it is a compete liquid/creamy consistency.  That way when the stomach mashes the food during digestion, the stomach lining won't be scratched by irritating chunks of food.
 
Stay away from spices, acidic foods, and alcohol.  Personally, I have always found that taking a maximum dose PPI helps clear up gastritis more quickly.  If you're feeling you need more help with this, contact your doctor and share your concerns.
 
Good luck!  Hope it clears up quickly.  Don't get discouraged, though.  It always takes quite a while to get my stomach healed when it acts up.
Take care,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Lu2011
Regular Member


Date Joined Apr 2011
Total Posts : 291
   Posted 3/31/2013 5:05 PM (GMT -6)   
Thanks for your reply.  Isn't Carafate used for ulcers?  My lining has inflammation but don't think the GI saw any ulcers.  My insurance covers specific drugs, so would depend which one is on the list.  I will check with him though about trying a PPI again.  Are these always by prescription or are they over the counter?  I'm currently trying Tagamet on my own, but am not even sure if this is the way to go.  I find it strange that my GI gave me no direction at all, whether meds or diet (unless he wants to see the biopsy results first). 
Thanks...since reading your post I have been concentrating to make sure that I chew everything well. 
 
Do I really need to give up coffee?  I've stopped my celebrex and NSAIDs, only have hte odd drink of wine, but I also see coffee as a culprit.  I've cut it down to 1 cup but that's one thing I would hate to have to stop.
 
I hate this...just ate dinner and bad stomach ache. confused
Ulcerative Colitis 1988, had colon removed and now jpouch
Now sufer from sacroiliitis and inflammation of piriformis muscle causing sciatica like pain during flare ups. Joints very bad...take celebrex when needed.
Also suffer from asthma (only triggered when I get a cold) and stuffed sinuses.

Post Edited (Lu2011) : 3/31/2013 5:08:20 PM (GMT-6)


dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 3/31/2013 7:43 PM (GMT -6)   
Hi Lu2011,
Carafate was developed to help heal ulcers, but it works really well to heal plain inflammation as well.  That's why I love it.  I go through stages when my stomach flares up and the Carafate definitely helps it feel better and heal more quickly.
 
Coffee and wine are two absolute no-nos.  They are both highly acidic and will irritate your stomach lining.  The PPI (Prilosec is OTC, but there is a generic version which might be less expensive if you get a script.) works well because it helps reduce the acid and protects the stomach in that way.  I find that it helps heal a gastritis more quickly. 
 
When I asked my PCP if I could still drink coffee during a flare up he'd always say, "It depends on if you want to feel good or not..."  I recommend you skip the coffee until your stomach is healed.  If you want a hot drink, tried tea.  I've given up coffee almost completely and drink tea only, which is much more gentle on the stomach.
 
The NSAIDS and Celebrex were probably the cause of your gastritis to begin with, so it's a good thing to get off of those.  My stomach is so sensitive that I never take pain relievers at all.  I use ice for pain, and lie down and tough out headaches.  It's not worth the stomach issues.
 
You might find the Carafate will help with the pain.  Have you tried Maalox?  If the pain is from bloat, Gas-X is the key.
 
Good luck getting things healed.  I know how frustrating it can be.  It seems to take forever to get things healed and comfortable again.  It'll happen, though! 
Hang in there!
Happy healing,
Denise
 
 
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Lu2011
Regular Member


Date Joined Apr 2011
Total Posts : 291
   Posted 4/1/2013 12:29 PM (GMT -6)   
Thanks Denise.
 
I've emailed my GI and am awaiting a response.  Great to hear that you've found a medicaiton that works for you.  I simply asked about meds in general, but didn't want to ask about specific names as I'm sure doctor's hate the internet with our own research nono
 
Do I have to give up coffee forever or just on bad days?  It's not that i'm addicted to the caffiene but I love the taste and helps get me through my morning at work.  Tea just doesn't cut it.  But...speaking of tea...which kidn do you suggest?  I know that some can aggrevate symptoms as well.
 
I find it all very confusing too as I've read two opposotie things....some say to go to a bland diet of rice, bananas, toast.  And others say to stick with fibre and greens.  I did have a normal dinner last night of pasta and veggies, and woke up nauseous today. 
 
I've tried things like tums, pepto bismul, gaviscon.  All give a small and short lived relief but doesn't last long and symptoms reutrn at next meal.
 
It sounds like from you, that you can feel better from your symptoms but then it always comes back?  Is this a chronic condition?
Ulcerative Colitis 1988, had colon removed and now jpouch
Now sufer from sacroiliitis and inflammation of piriformis muscle causing sciatica like pain during flare ups. Joints very bad...take celebrex when needed.
Also suffer from asthma (only triggered when I get a cold) and stuffed sinuses.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 4/1/2013 7:14 PM (GMT -6)   
Hi Lu2011,
In my case it's a chronic condition, but that doesn't mean it is in yours.  I have what my GI doc referred to is a "reactive stomach".  I had told him I thought I had chronic gastritis, but he said, no.  My stomach can get better for a period of time, then get irritated, and I'm back into a gastritis.
 
Before my Nissen surgery it was much worse.  I'd have esophagitis in addition to gastritis, which was even more painful.  Now, it fortunately stays in my stomach, which is much less painful and easier to heal.
 
I can't answer the coffee question.  It will be answered by you. In my opinion there is no universal list of things that will cause problems.  It's a very individual thing.  Coffee is off my list of things that can be ingested on a regular basis.  I used to drink a LOT of coffee in the morning before going to work.  Over time, it started bothering me.  Now I do drink it occasionally...I only drink really good coffee...if I'm going to be bothered by it, I'm going to enjoy it!
 
I drink black tea, but drink it fairly weak.  If I drink a lot of it and it's strong, even tea can bother my stomach.  I don't know if you have GERD, but if you do, remember that caffeine can weaken your LES and create more reflux.
 
When I spoke to my GI doc, I asked him how long I should baby my stomach before eating normally again.  I'd find that my stomach would feel better after a few days, then I'd eat normally/challenge it, and I'd be back to square one.  He said that I should eat carefully until my stomach feels perfect for two weeks, then gradually introduce more challenging foods.  It's a rule of thumb that I follow when I'm having problems.
 
Good luck getting things better.  Be patient...it takes time!
Happy healing,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 4/3/2013 1:50 PM (GMT -6)   
Lu2011,
I use carafate also and it cleared up my gastritis (suffered for 3/4 yrs, before taking carafate).
 
 

Post Edited (DOGGBONES) : 4/4/2013 5:22:38 AM (GMT-6)


Lu2011
Regular Member


Date Joined Apr 2011
Total Posts : 291
   Posted 5/13/2013 10:26 AM (GMT -6)   
Hi,
 
A bit of an update and I have another question.
At present, my most dominat symptom of the gastritis is nausea (which is awful when i need to function).  about 3 weeks ago, I started taking one PPI a day (tecta), which was actually prescibed by my rheumatologist, and not by my Gi (he prescribed it in the case where I wanted to try taking celebrex again).  I find that the PPI is helping with my nausea and I often have to also take something like zantac and a nausea pill (the only thing my GI did prescribe). 
When I'm nausous, I find that the best cure is to eat little.
 
My question is:  for how long can I take the PPI without risking getting rebound side effects.  I am hesitiant to stop as it does seem to lessen my nauea bouts and I don't want to get it even more than now. 
 
As a note, i do not have GERD, an ulcer of h pylori infection.
Ulcerative Colitis 1988, had colon removed and now jpouch
Now sufer from sacroiliitis and inflammation of piriformis muscle causing sciatica like pain during flare ups. Joints very bad...take celebrex when needed.
Also suffer from asthma (only triggered when I get a cold) and stuffed sinuses.
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