Monday, September 6, 2010

A long week for us all

My truly remarkable parents turned 85 in February and March. This past Monday they visited the Dr about intermittent stomach pain my mother had been having. Tests the doc ordered showed she was extremely anemic- hematocrit of 7 (is this really possible?, must be hemoglobin) and extremely low B-12 and I don't know what else re blood chemistry. Also weight loss of 14 pounds since she began taking Aggrenox last March.
Abdominal ultrasound Wednesday found a swollen or inflamed bile duct part of the gall bladder without any obvious stones as a cause. Thursday night found them in the ER Mom having severe abdominal pain. This began a stay in the hospital as docs tried to alleviate Mom's pain, figure out why she was so anemic, and if they should /could operate for gall bladder.
Long story short, they gave her 2 units blood on Friday, which brought her hematocrit? level up to 11.4. The hematologist, whom they were scheduled to talk to on Friday anyway, came by and told them she should stop taking the Aggrenox. Turns out she was taking 3 different NSAIDS.
Barb M spent the night with her both Friday and Sat nights so Dad could go home and sleep more easily. Sat seems to have been spent trying to get her stable.
Iron count had dropped to 9.7 by Sun morning. Sue got there Sun morning. They gave her another unit of blood Sunday. Hemoglobin 11.5. Found occult blood in her stool. But she was feeling much better and they ordered Chinese for dinner. She had two eggrolls and some fried rice. I guess they weren't thinking about how a clogged gall bladder was going to allow her to process all that fat.
Sue spent the night with her in the hospital. Mom was sick as a dog from 2-5 am. Found blood in her vomitus (coffee grounds), so know she is bleeding in stomach. Hemoglobin 10.5 Monday morning. Monday evening she is feeling better again, but back on the liquid diet.
She is delighted as she has been untethered from all hospital equipment. Docs plan upper GI scope for Tues morning and then Dad hopes they can go home. I do too. It has been an emotional week for all of us. Mother is wild to get out of the hospital.
Addendum Tues 9-7.
Upper GI scope showed ulcer in duodenum. Also a bacterial infection from the bleeding.
So... She will go on antibiotics and maybe special diet. Also she is to stop taking her 3 NSAID's for now.
Did procedure at 10 am. Will repeat in 8 weeks. However, her hemoglobin had dropped down to 8.1 today. Plan is to give her another two units of blood and looks like she will not get sprung from hospital today. She is NOT going to like that.
Now the thought is the ulcer accounts for all her pain and the gallbladder is not culprit. Barb will spend the night with her again tonight.
Addendum 2 Sept 8
She managed to bust out of the hospital and got home at 9 pm. Basically the bleeding seems to have stopped. Her hemoglobin levels have been constant since the transfusion. She is so happy to be home, and so is Dad. The meds cultured H. pylori from the ulcer, so they at least have a cuase and plan of treatment. She is on the mend and that is a wonderful thing!

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