I was diagnosed w/ a bleeding duodenal ulcer October of last year. I was hospitalized several days and needed blood transfusions
. I had no pain really before this episode but did have fairly frequent reflux. I also was taking Aleve a few times a week.
Since last year I have been scoped 3 more times and sill have a persistent erosive duodenitis. I have consistently been on either Omeprazole 20mg BID or Dexilant once daily. I have had absolutely no NSAID's since last year.
All tests (biopsies, serology) have been negative for H. pylori. All biopsies have shown just inflammation - no neoplastic changes or any indications of IBD.
A fasting gastrin test earlier this year was within normal limits.
A prometheus IBD panel was all normal.
Now, my GI doc wants to refer me to the Mayo clinic for further tests. I have had no symptoms since my episode last year (No pain, no reflux). I am willing to do this - unfortunately the wait may be as much as 6 months. Thought I'd see if there were any suggestions to work on in the mean time.
1) It seems controversial how much of a roll diet plays in these. I drink 2-3 cups of coffee a day and average 1-2 beers or glasses of wine a day (never more, no spirits). Do I really have to cut all this out (they are certainly things I enjoy)? Maybe these things don't cause an ulcer but do delay healing?
2) Do some people respond to 1 PPI better than another? Should I consider switching to nexium or something else instead?
3) Should there be any consideration of just trying treatment for H. pylori even though all tests have been consistently negative? Looks like there's always a chance of false negatives occurring.
4) I am an active athlete. Guess the only time I feel any sort of symptom is after finishing a long (15+ mile) run. Sometimes feel a little nauseous at the end. Could this stress be keeping this inflammation active?
Not expecting any miracle answers. Just trying to see if any other things to try for now.