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A little blood in reflux


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#1 sherrytrifle

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Posted 04 August 2010 - 09:49 PM

Hello again,

I sometimes have blood in my reflux in the morning has anyone else noticed this. I think the consultant was only concerned if the blood was a very dark colour.

#2 Jeannie McClelland

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Posted 05 August 2010 - 02:12 AM

Hi Sherrytrifle,

I might be wrong, but I thought they were concerned with bright red blood (indicating an active 'bleed') in vomitus/reflux and dark blood in the stool (also described as 'tarry'), indicating it was probably coming from the stomach. If it were me, I'd play it safe and report it. I think any bleeding probably ought to be checked out, especially if it happens regularly. The only thing I would feel safe in ignoring was blood that was obviously coming from a hemorrhoid.

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#3 Shelley Ensz

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Posted 05 August 2010 - 05:54 AM

Hi Sherrytrifle,

Please keep in mind I have no medical training at all, not even a current First Aid certificate, and verify everything I say with a much more reliable source.

Pardon me, but besides the blood, isn't the main problem that the acid reflux is under such poor control that it is actually coming all the way up, on a regular basis? I'd get a second opinion from another gastroenterologist, to make sure your treatment program for reflux is absolutely maximized to help prevent such occurrences, if at all possible. The blood could be an issue, too, as you might have an ulcerated esophagus. If you've had a thorough battery of tests to rule that out, then fine. But I'd still get a second opinion regarding management of the reflux, to make sure I was on the best possible program to prevent this, as much as possible. If medications don't work, you could also inquire about surgical options, like a Nissen fundoplication.
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Shelley Ensz
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#4 Amanda Thorpe

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Posted 05 August 2010 - 08:50 AM

Hello Sherrytrifle

I'm with Shelley, the reflux needs to be better controlled. When I was put on a low dose of omeprazole for infrequent reflux the rheumatologist stressed the preventative side of using medication, preventing damage from the acid.

Please let us know how you get on and take care.
Amanda Thorpe
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#5 Snowbird

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Posted 05 August 2010 - 09:03 AM

Hi Sherrytrifle

Me four! I would definitely look for a second opinion if it was me. Never any harm in playing it safe but bad to ignore any sign that causes any little inkling of doubt...which I think I'm hearing a whisper of from you perhaps? Even if it just makes you feel better by going to another doctor to have it reaffirmed (or not, whichever the case it turns out to be?), then it's time well spent to which I would say, I'm glad you did just that! :) Keep us updated.
Sending good wishes your way!

#6 sherrytrifle

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Posted 05 August 2010 - 08:51 PM

You've all been so helpful. I take your point Jeannie about the bleeding even though it is only a little bit first thing in the morning, and will mention it. Shelley and Amanda, your suggestion really rings true for me, the reflux is really under poor control, I just remembered that years ago my local general practitioner's surgery took away the original prescribed anti reflux pill, pantoprazole that my own rheumatologist had recommended and put me on omeprazole and at a much lower dose too, this was to help manage their finances (cheaper for them). The rheumatologist was very unimpressed at the time and said "mm if it works". So I'm booked to see my general practitioner soon to correct this issue, will keep you informed. Due to see rheumatologist next month although I have lung function and ECG sooner.