I got an ulcer through NSAIDs due to lower back, unpleasant to say the least but not as bad as you.

Now I don't take them and invest a lot of time receiving physio or do the exercises I have been taught.

When I was expecting a large hospital bill I topped up my credit card online and used that. Don't over do it because it costs to take the cash back out. I left excess there and spent it.

@Sheryl’s first reply was “You have a GI bleed and must go at once to a hospital ER.”

This was the proper response. Why don’t you get off the high horse and comment appropriately?

When I first read this title, I thought of BLACK WATER FEVER.

And, in fact, this reminds me:

AMERICAN EXPRESS.....

NEVER LEAVE HOME WITHOUT IT......

A word to the wise, I guess.

There, but for the grace of God, go we......

(Please Apply for a Credit Card, with a high credit limit, TODAY.....and this is what I have learned, here, on this Health Topic!...and so...THANK YOU.)

Life is just so uncertain.

Even AmEx is uncertain, these days.....

9 hours ago, Lacessit said:

As I understand it, the Bank of Thailand requires multi-factor authentication of all transactions 50 K or more to be done by all Thai banks. That may be the problem.

Do you know your daily draw limit? Standard is 50 K for Kasikorn.

Suggest you try drawing 49K with the balance in cash.

I was in hospital recently, needed to pay 200k, opened the app, changed the limit and paid via QR code, no drama

Very disturbing that someone with these symptoms would consult a forum rather than going directly to a hospital. Fairly sure even a Google search would say seek immediate medical attention.

20 hours ago, fredwiggy said:

Did they just say an ulcer or also H Pylori, which is a major cause of ulcers?

Thankyou for this feedback.

Note on attachment reference to H Pylori.

Will follow up with your advice

So bit of a sign off.

COST: 158K.

PAYMENT: Used WISE. Note the cashier and her English speaking assistant has to set up the "new recipient" This was outlined by @Upnotover I previously did a 150k transfer to x partner (bbl) that however was not going to arrive until Thursday. That was unacceptable to hospital and I had to do another transfer to their kasikorn account. Instant.

Now single will need to obtain banking app along with many other things. I don't even have a phone account to make calls however that is not simple with mobility issues.

Thanks: Such positive support from posters in this thread. AseanNow can be a bit of bickering at times in forum I spend time.

To many to shout out to but don't worry the support was extremely helpful.

Ta

33 minutes ago, DrJack54 said:

Thankyou for this feedback.

Note on attachment reference to H Pylori.

Will follow up with your advice

H. Pylori not good. I assume they provided you some meds to kill it off?

Did they also test for C. difficile (C. diff)? That's another nasty stomach bacteria that can cause some or all of the symptoms you noted.

1 minute ago, Alpha84 said:

H. Pylori not good. I assume they provided you some meds to kill it off?

Yep have little bag of pills. Start on that this morning. Hopefully will get on top of it.

5 minutes ago, DrJack54 said:

Yep have little bag of pills. Start on that this morning. Hopefully will get on top of it.

Good stuff. Best wishes for a speedy recovery. I hope you aren't in pain or great discomfort.

2 minutes ago, Alpha84 said:

I hope you aren't in pain or great discomfort

Thanks. No pain from this.

As indicated I have constant nag in lower back but that's long term.

Only mention it as seems use of NSID,s is pretty much off limits and the doctors at hospital agreed with our Sheryl that the ibruphen + anticoagulant were basis aggravating factors.

Must be lot of folk managing back pain without NSID

13 minutes ago, DrJack54 said:

Thanks. No pain from this.

As indicated I have constant nag in lower back but that's long term.

Only mention it as seems use of NSID,s is pretty much off limits and the doctors at hospital agreed with our Sheryl that the ibruphen + anticoagulant were basis aggravating factors.

Must be lot of folk managing back pain without NSID

NSAID stands for “nonsteroidal anti-inflammatory drug.” Ibuprofen is one of the main NSAIDs that can cause significant stomach irritation. Celebrex (celecoxib) is also an NSAID and can be a more effective anti-inflammatory for some people than ibuprofen, while generally being easier on the stomach. That said, NSAIDs can still have risks, including to the kidneys, especially with long-term use.

If you haven’t already, you could also look into cannabis for pain management. Tylenol (acetaminophen/paracetamol) is another option. It’s a pain reliever, but not in the NSAID class, so it doesn’t carry the same stomach-irritation risks. It does have its own risks, though, particularly for the liver if taken in excessive amounts or combined with too much alcohol.

Some people use tramadol for pain management, but it’s an opioid-like medication and can be habit-forming. With continued use, tolerance can also develop, meaning higher doses may be needed over time to achieve the same effect.

Personally, I’d focus on stretching, gradually improving mobility, and avoiding positions that trigger your back pain. A local physical therapy or rehab clinic, such as FixMe might also be worth looking into.

If you need medication for pain, I’d discuss Tylenol with your doctor and cannabis could be worth experimenting with.

32 minutes ago, DrJack54 said:

Must be lot of folk managing back pain without NSID

Two notable books that could change your life. I've read both and both are also available as audio books:

The Way Out: A Revolutionary, Scientifically Proven Approach to Healing Chronic Pain by Alan Gordon

Healing Back Pain: The Mind-Body Connection, by Dr. John Sarno

Trolling post along with reply removed

21 minutes ago, DrJack54 said:

Trolling post along with reply removed

Thanks. Dr. Sarno died recently, but this video is poignant. Watch starting from 11:12 onward for about 5 minutes. The link below should take you right there.

1 hour ago, DrJack54 said:

Thankyou for this feedback.

Note on attachment reference to H Pylori.

Will follow up with your advice

When they give you the 3 medication course, make sure you follow up to see that H Pylori has been eradicated. To this day, after 2 tests, I think some might still be remaining, so I will again go for an upper endoscopy to make sure.

You can get a secondary breath test that requires fasting at some hospitals, but the hospital I went to didn't do them, so the second upper was necessary with the test.

The gut microbiome takes a beating because of the 2 antibiotics and PPI you'll be taking, so that's why it's best to start on probiotics asap. eating Kimchi, yogurt, sauerkraut and any other fermented foods is also necessary to maintain that microbiome while taking the course.

H Pylori is likely the reason you got the ulcers, and it needs to be treated asap so it doesn't lead to cancer. You can also get it from kissing or water. Up to 70% of people already have it and SE Asia is a hotbed for it with the dirty water possibilities.

Edited August 27Aug 27 by fredwiggy

1 hour ago, Alpha84 said:

H. Pylori not good. I assume they provided you some meds to kill it off?

Did they also test for C. difficile (C. diff)? That's another nasty stomach bacteria that can cause some or all of the symptoms you noted.

A lot of people have it.... like 50%

H pylori doesn't cause these symptoms

5 minutes ago, fredwiggy said:

The gut microbiome takes a beating because of the 2 antibiotics and PPI you'll be taking, so that's why it's best to start on probiotics asap. eating Kimchi, yogurt, sauerkraut and any other fermented foods is also necessary to maintain that microbiome while taking the course.

You are right about that. Many people who fail to rebuild their good gut flora with probiotics after a course of strong antibiotics often end up with a secondary fungal infection that replaces the previous bacterial infection. Then they need to move onto antifungal meds. And so starts the doom loop.

1 minute ago, Alpha84 said:

You are right about that. Many people who fail to rebuild their good gut flora with probiotics after a course of strong antibiotics often end up with a secondary fungal infection that replaces the previous bacterial infection. Then they need to move onto antifungal meds. And so starts the doom loop.

It's a fine line trying to rid your gut from one bad infection and keeping it healthy with the right amount of right bacteria. Some get SIBO, an overgrowth in the small intestine, which I thought I might have, and without follow up testing, you can't know as the gut has many problems no matter what you do right or wrong. Constpation, diarrhea, IBS, IBD, gas, bloating, pain and it can be anything or a combination of them. The most important system we have and I have eaten healthy all my life and I get H Pylori. Not fair but what is? I've taken Turmeric, probiotics, Oil of Oregano and Slippery Elm powder, and will look into Butyrate soon.

Edited August 27Aug 27 by fredwiggy

10 minutes ago, fredwiggy said:

It's a fine line trying to rid your gut from one bad infection and keeping it healthy with the right amount of right bacteria. Some get SIBO, an overgrowth in the small intestine, which I thought I might have, and without follow up testing, you can't know as the gut has many problems no matter what you do right or wrong. Constpation, diarrhea, IBS, IBD, gas, bloating, pain and it can be anything or a combination of them. The most important system we have and I have eaten healthy all my life and I get H Pylori. Not fair but what is? I've taken Turmeric, probiotics, Oil of Oregano and Slippery Elm powder, and will look into Butyrate soon.

The stomach is a complex system of nerves, all tied to the central nervous system. Many uncomfortable chronic stomach symptoms are linked to stress and anxiety. If you have a flare-up, it can take a few months for the various symptoms to resolve, even after the stressful trigger has long passed. They call some of it "functional dyspepsia." Basically, a lot of it comes from psychosomatic triggers, just like the back pain.

One of the best probiotics is Saccharomyces boulardii. Can get it on iHerb. Not inexpensive, but best thing I've found. I often pop a few even when I don’t have stomach issues, just to keep the gut balanced and healthy.

11 minutes ago, Alpha84 said:

The stomach is a complex system of nerves, all tied to the central nervous system. Many uncomfortable chronic stomach symptoms are linked to stress and anxiety. If you have a flare-up, it can take a few months for the various symptoms to resolve, even after the stressful trigger has long passed. They call some of it "functional dyspepsia." Basically, a lot of it comes from psychosomatic triggers, just like the back pain.

One of the best probiotics is Saccharomyces boulardii. Can get it on iHerb. Not inexpensive, but best thing I've found. I often pop a few even when I don’t have stomach issues, just to keep the gut balanced and healthy.

The gut-brain connection, which is another reason we have problems. I brought probiotics back from Texas when I visited last year. Just opened up a new one today and have enough to last until we visit again in November.

1 hour ago, Alpha84 said:

often end up with a secondary fungal infection

How does one tell?

Trolling post removed

1 hour ago, Celsius said:

A lot of people have it.... like 50%

H pylori doesn't cause these symptoms

It definitely does cause stomach ulcers.

7 minutes ago, NewGuy87 said:

It definitely does cause stomach ulcers.

Does sometimes

1 hour ago, scubascuba3 said:

Does sometimes

Yes, I know that.

But the person I was responding to said "it doesn't"

6 hours ago, VocalNeal said:

How does one tell?

It's not that common, but can happen from heavy antibiotic use. Similar symptoms to a stomach bacterial infection. Pretty easy to treat with anti fungal medicine.

9 hours ago, NewGuy87 said:

Yes, I know that.

But the person I was responding to said "it doesn't"

Never said that

16 hours ago, DrJack54 said:

Thanks. No pain from this.

As indicated I have constant nag in lower back but that's long term.

Only mention it as seems use of NSID,s is pretty much off limits and the doctors at hospital agreed with our Sheryl that the ibruphen + anticoagulant were basis aggravating factors.

Must be lot of folk managing back pain without NSID

There is another category of NSAIDs called Cox 2 inhibitors which cause less GI irritation (not zero,but definitely less than the first generation NSAIDs like ibuprofen), especially if a PPI like omeprzole is also taken.A common example available in Thailand is celecoxib (Celebrex and generic equivalents) . However, it is contraindicated in people with history of cardiovascular disease. and you would definitely not want to take it until your ulcers are fully healed.

In the case of neuropathic pain (as back pain sometimes is), gabapentoid drugs are sometimes used. Prof. Wicharn often advises Tarlige (mirogabalin) which is a new generation of these with more specific , targeted action on pain than gabapentin or pregbalin. Like all drugs it can have side effects, mainly sleepiness and dizziness in some people, but it is not associated with GI bleeding.