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Last Year I Injured My Ribs And I Took Ibuprofen

Posted on Tue, 1 Dec 2020

Question: Last year I injured my ribs and I took ibuprofen pills for several days for pain relief. On 09/11/19 a perforated ulcer happened. I had an emergency open Pyloroplasty surgery with XXXXXXX Patch. These days sometimes I have stomach rumbling and growling. I don't think I had it before the surgery. Is it something to be concerned about? My stool is normal (twice per day). My H Pylory test is negative. I watch my diet and I have 6 small meals per day. And have no other issues. Is an upper endoscopy usually done after such operation?

Answered by Dr. Ramesh Kumar (1 hour later)

Brief Answer:
Can be done after a year.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns,
As per the query asked by you I would suggest you to go for a test called stool for occult blood(just to rule out presence of microscopic blood in stools from repaired ulcer).
You could give a sample of stool to nearest lab for check up.
Endoscopy could be done initially after a year and then after 5 years if patient is asymptomatic.
Have you tried any antacid like Prisolec?
Grumbling sounds in abdomen could also be due to presence of large amount of gases formed due to fermentation of food/Excessively rich fiber food.
I would suggest you to take probiotic like VSL#3 twice daily for few days.
Waiting for reply.
Thank you.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Ramesh Kumar (8 hours later)

I forgot to mention: I had this occult blood test done. It came negative. I do eat mostly raw foods (fruits, vegetables, coconut, soaked nuts and seeds), some steam fish, but no meat. I'll try probiotic you suggested. Overall I feel very good. But after what I went through, I would like to know: From your experience, what is the usual prognosis for the Pyloroplasty surgery with Grapham Patch is? Does EVERYONE must take antacid pills after this operation? When I do take it, my food is not properly digested and my stomach doesn't feel good.

Answered by Dr. Ramesh Kumar (7 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hello my dear patient,
Prognosis is usually ok but again every thing depends on you life style and food habits.
Keep eating good food.
Home cooked and healthy.
I would suggest you to take probiotic for minimum of 5 days and then revert me how you are feeling.
You issue seems more related to gut Flora then surgery for ulcer right now.This is supported by fact that blood was absent in stools.
I would strongly recommend you to take probiotic twice daily for 5 days and follow up after that.
Thanks!

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Above answer was peer-reviewed by : Dr. Raju A.T