Are ulcers a side-effect of treatment?

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Ouch_Ouch_Ouch
Ouch_Ouch_Ouch Member Posts: 508 Member
edited September 2014 in Anal Cancer #1

About 2-1/2 weeks ago, after eating, I started having big pain under my navel area that lasts for hours. It's the classic site of duodenal ulcer pain. I started Mylanta 4 x day - it cut down the pain, but gave me lots of watery stools. (Apparently, it's the magnesium in the formula. Who knew?) Since I couldn't find a magnesium-free liquid antacid, I switched to Zantac tabs.

Are ulcers a side-effect of all the trauma that I put my GI tract through and/or all the stress that has accompanied it? Of the threads I've read, nobody has mentioned GI ulcers.

When I saw the gastroenterologist today, he advised upping the dose to 2 Zantacs per day and since the pain has already begun reducing, continue on while whatever causes the inflammation resolves. If it doesn't disappear, then he will consider endoscopy. He wants to see my CT scan result when it's done next month. (I already had a cholecystectomy years ago.)

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  • mp327
    mp327 Member Posts: 4,440 Member
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    Ouch

    I don't know the answer to your question.  However, it seems entirely possible to me that there could be a connection between our type of treatment and an ulcer. 

    I have had multiple episodes of intestinal blockage in my small intestine since treatment 6 years ago, one of those episodes severe enough to land me in the hospital.  I always experience vomiting when I have an episode, my most recent being a couple of months ago.  Something very different happened that time--my emesis was black and matched the description of "coffee grounds," which is commonly seen when emesis contains blood.  My immediate thought was stomach bleeding, which could indicate a possible ulcer.  If it happens again, I will be seeing a gastro who will most likely scope me.  While I do have some big strssors in my life right now, I highly suspect that if I do have an ulcer, radiation treatment would be a contributing cause.  Perhaps I should be concerned about any other causes, such as stomach cancer.  However, I have no other symptoms and have had 3 scans, including 1 PET, since the beginning of June to monitor the vague area on my liver, which is believed to be benign but bears watching.

    I hope you get some answers! 

  • Ouch_Ouch_Ouch
    Ouch_Ouch_Ouch Member Posts: 508 Member
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    mp327 said:

    Ouch

    I don't know the answer to your question.  However, it seems entirely possible to me that there could be a connection between our type of treatment and an ulcer. 

    I have had multiple episodes of intestinal blockage in my small intestine since treatment 6 years ago, one of those episodes severe enough to land me in the hospital.  I always experience vomiting when I have an episode, my most recent being a couple of months ago.  Something very different happened that time--my emesis was black and matched the description of "coffee grounds," which is commonly seen when emesis contains blood.  My immediate thought was stomach bleeding, which could indicate a possible ulcer.  If it happens again, I will be seeing a gastro who will most likely scope me.  While I do have some big strssors in my life right now, I highly suspect that if I do have an ulcer, radiation treatment would be a contributing cause.  Perhaps I should be concerned about any other causes, such as stomach cancer.  However, I have no other symptoms and have had 3 scans, including 1 PET, since the beginning of June to monitor the vague area on my liver, which is believed to be benign but bears watching.

    I hope you get some answers! 

    Coffee grounds = not good

    Thank you, mp327. Due to the rawness of my GI tract during treatment and afterward, all the IV antibiotics I had, and the disruption of my friendly bacteria, ulcers don't seem far-fetched. (Of course, I reactively think CANCER!!!)

    As for you: Coffee grounds generally refers to vomitous and can indeed signal bleeding. Tarry-looking refers to stools and likewise can indicate bleeding. Bleeding can also be red; it all depends on the location of the lesion within the GI tract. Bleeding episodes are very serious, especially when accompanied by pain, but lack of pain doesn't make it un-serious.

    Caveat 1. Unfortunately, there can be bleeding in your vomitous, stool, and urine that isn't visible to the naked eye. This is the "occult blood" of which you've probably heard and can be tested for chemically. Still serious!

    Caveat 2. If an intestinal blockage is extremely severe, and highly critically serious, one can vomit fecal matter that backs up, but it will smell like that.

    Caveat 3. Some foods and meds can mimic that coffee ground/tarry looking appearance: iron, Pepto Bismol, beets, and supposedly dark wines and beers.

    The upshot is, don't put the doctor off. It's better to find nothing than to quietly hemorrhage at home.

    http://www.webmd.com/digestive-disorders/bleeding-digestive-tract?page=2

    All the best.

  • mp327
    mp327 Member Posts: 4,440 Member
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    Coffee grounds = not good

    Thank you, mp327. Due to the rawness of my GI tract during treatment and afterward, all the IV antibiotics I had, and the disruption of my friendly bacteria, ulcers don't seem far-fetched. (Of course, I reactively think CANCER!!!)

    As for you: Coffee grounds generally refers to vomitous and can indeed signal bleeding. Tarry-looking refers to stools and likewise can indicate bleeding. Bleeding can also be red; it all depends on the location of the lesion within the GI tract. Bleeding episodes are very serious, especially when accompanied by pain, but lack of pain doesn't make it un-serious.

    Caveat 1. Unfortunately, there can be bleeding in your vomitous, stool, and urine that isn't visible to the naked eye. This is the "occult blood" of which you've probably heard and can be tested for chemically. Still serious!

    Caveat 2. If an intestinal blockage is extremely severe, and highly critically serious, one can vomit fecal matter that backs up, but it will smell like that.

    Caveat 3. Some foods and meds can mimic that coffee ground/tarry looking appearance: iron, Pepto Bismol, beets, and supposedly dark wines and beers.

    The upshot is, don't put the doctor off. It's better to find nothing than to quietly hemorrhage at home.

    http://www.webmd.com/digestive-disorders/bleeding-digestive-tract?page=2

    All the best.

    Ouch

    Thanks for your concern.  I appreciate all of the info very much.

  • Ouch_Ouch_Ouch
    Ouch_Ouch_Ouch Member Posts: 508 Member
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    mp327 said:

    Ouch

    Thanks for your concern.  I appreciate all of the info very much.

    Better...

    I don't for sure that I have an ulcer (vs, say CANCER!!! .^_^. ), but the Zantac seems to have the situation under control. Maybe that will be enough to let it heal.