Medical Questions? Ask a Doctor Online!
If you have persistently elevated gastrin it certianly can
this is a hormone that can predispose to ulcers
and people with something called Zollinger Ellison syndrome have quite a big problem with this.
HERE IS A LIST OF POSSIBLE CAUSES OF ELEVATED GASTRIN LEVELS
and have you had an elevated gastrin level?
also, have you had a test for something called 'helicobacter pylori' and an upper endoscopy?
HELICOBACTER PYLORI REFERENCE
are you there?
what's next in the evaluation?
I take it you are under the care of a gastroenterologist....
Are they talking about the possiblity of Zollinger Ellison syndrome?
GENERAL REFERENCE ON GASTRIC AND PEPTIC ULCERS
are you on suppresive therapy? a proton pump inhibitor like prilosec and other medicines like sucralfate?
also, do you take anything like motrin or aspirin?
I'm very sorry you continue to have problems
I'm very sorry to hear that
How can I help you today?
what question about this can I try to answer for you?
yes, particularly if you have a gastrinoma or ZE syndrome... persistently elevated gastrin can do this.
Well, first of all you need to tell you GI doc about this, and secondly you need to take your medicine as prescribed,
if you are having acute abdominal pain you need to be seen
as you may or may not know
ulcers certainly cause pain, but ulcers can perforate through the lining of the stomach or intestines and this creates a true medical emergency
doubtful that this is going on
but very important to get examined while you are having this new pain and get labs drawn and probably an Xray
but there must be an urgent care or ER near you?
no, that's not what i'm saying
if you are developing new symptoms of abdominal pain and you are already taking your medicines it is very important to get seen today
as you could have a complication from the ulcers such as a perforation (which would require surgery now)
which can also occur as a complicatino of ulcers
this new pain might not be related to ulcers
the evaluation of acute abdominal pain is very tricky and requires testing
and an exam
it would not be wise to assume that this new pain is from new ulcers, though it is certainly possible,
the point is
that you have new abdominal pain
and this in and of itself
whether you have a history of ulcers or not
requires an evaluation today
you need to go to the ER as this is a very dangerous symptom. you need to go now, an ambulance would not be unreasonable. You are bleeding in your stomach and the source needs to be found.
this does not change my answer. you need to be seen now. I'm sorry i can't tell you to stay at home and take some Tums and you may choose to do this, but from a doctor's perspective you need to be seen now.
they will draw labs and they may do a nasogastric tube to check for blood in your stomach.
IM not sure how to respond to that. I am going to open up this question for other experts to see if someone may have more information for you. I think you should go now to the ER.