Dugaan dtg lagi. Selasa lepas tiba2 aku diserang gastrik yg teruk dek akibat terlewat sket amik lunch. Bila dah kena, cam biasa aku akan muntah2 non stop dari tgh hari sampai la ke esok paginya. Rabu, ku pegi menyerah diri berjumpa doktor sbb badan dah terlampau lemah and dehydrated and as expected, surgeon ku tahan masuk wad. Berkampungla aku di KPJ lagi skali dari rabu-ahad lepas.
Rabu, first day di wad blood test dibuat and yg tak best, result ku sangat abnormal. Doc suspect masih ade saki baki gall stones yg tertinggal dlm common bile duct (CBD)ku. Aku dilarang mkn hari tu, hanya bergantung kpd IV drip and clear fluids jer.
Khamis bermula 6am, aku diarahkan berpuasa mkn dan minum dan pukul 9++, aku pegi buat ultrasound. Result ultrasound nampak macam ok, CBD looks normal tp blood test result masih belum improving, maka doc arahkan aku membuat MRCP (ala2 MRI scan). Dlm pukul 12noon aku pegi buat MRI, time tu nak jln mmg dah tak larat, badan huyung hayang sbb terlalu lemah dek kerana hampir sehari setengah berpuasa. Sebelum masuk ke bwh mesin MRI tu aku dah start muntah2...rasanye gastrik dtg balik. Sepanjang discan di bwh MRI perut bergelodak, tekak loya and aku struggle giler menahan diri dari termuntah. Dahla sejam duduk dlm mesin tu,badan langsung takleh gerak, sejam yg penuh penyeksaan. In fact ade few steps yg terpaksa ku ulang lagi skali kerana aku tak berjaya ikut arahan pegawai imaging tu, dia suruh aku tarik nafas, buang nafas, tahan nafas...benda simple camtu pon tak dpt kubuat sbb dah terlalu lemah. Habis MRI, kluar je dari mesin tu ku muntah lagi berkali-kali. Result MRI menunjukkan ade 3-4 biji gall stones yg masih tertinggal dlm CBD ku yg dah dilated (inflammed). Gastro ku dipanggil turun dan lepas dia tgk result MRI, terus dia ckp yg aku perlu menjalani ERCP (procedure utk kluarkan gall stones) ptg tu jugak. Aku cuma mampu mengangguk kepala je...kepala dah tak boleh nak digest pepe info dah dek kerana terlalu lemah and hampir pengsan...(malangnyer tak pengsan betul2 hehe). Dlm pukul 3pm, aku masuk ke bilik procedure. Ku diberi local anestetik (LA) bukan GA, bermakna aku separa sedar sepjg procedure dijlnkan. Aku disuruh meniarap, kepala disengetkan, mulutku disumbat benda supaya terbuka, dan beberapa tiub dimasukkan thru mulut. Then aku pengsan. Tiba2 ku tersedar, ku dengar gastro ku marah2 nurse, sekali sekala dia tersebut '4 letter words' and aku tahu, sekali lagi kes ku kali ni agak complicated. Then aku batuk terbahak2, and muntah byk kali disebabkan rasa tak selesa dgn tiub2 dlm mulut ku. Adus sgt trauma bila teringatkan procedure hari tuh....kenapala aku tak pengsan sampai habis procedure.
Esoknyer, gastro dtg ke wad. Katanye procedure kurang berjaya, hanya satu gall stone yg berjaya dikluarkan , yg lain tak berjaya. A straightforward case cuma amik masa dlm sejam, tapi ERCP ku mengambil masa hampir 2 jam, dan disebabkan conditionku yg dah teruk procedure terpaksa diberhentikan. Sangatla kecewa bila kudengar, especially bila teringatkan what has happened throughout the procedure. It was damn horrible and terrified, lagi teruk dari surgery baru2 ni. Tapi disebabkan aku masih lemah, aku cuma angguk2 mendengar je...tak mampu nak komen pepe.
Ahad, alhamdulillah aku berjaya discharged nevertheless sampai skarang perutku senang rasa bloated, dek kerana post-effect dan infection yg berlaku selepas procedure. Kata gastro ku, a second ERCP will be done after hari raya, which scares me a lot when come to think about it. Sekarang ni, aku cuma berharap yg aku kekal sihat sampailah ke hari raya, harap2 takde kes kena tahan wad lagi. Apa yg bakal berlaku lepas raya, kita tunggu dan lihat jela yer :p
In terms of diet, ku masih berpantang cam biasa. Satu perubahan besar, sejak surgery hari tu, the most i can eat at one time hanyalah about 1/4 of the plate (rasanye firas mkn lagi byk hehe), couldnt go more than that kalau tidak immediately perut rasa sakit and bloated. Kalau breakfast, cuma sekeping roti dan sedikit milo, nak habiskan satu mug pon tak boleh. Perut obviously dah tak buncit hehe, kempis terus you....berat confirm dah hilang few kilos. Ku kira Dia mendugaku dgn menarik nikmat makanku buat sementara waktu kali ni...dan hikmahnya aku skarang menjadi manusia yg sgt berhati-hati dgn soal pemakanan....insaf rasanye. Physically badanku masih lemah, belum fit lagi. Ku cuma larat masak makanan utk diri sendiri...husband tapau food dari bazar ramadhan jer kesian dia :(
oklah sekian updates buat kali ni....doakan saya cepat sihat yer kengkawan... :)
Showing posts with label gastric. Show all posts
Showing posts with label gastric. Show all posts
01 September 2009
19 August 2009
the KPJ episode
salam sumer,
rasanyer ramai yg tak tahu saye sebenarnyer tgh warded di KPJ kajang :p
Dan baru saje selesai undergo laparoscopy surgery membuang gall bladder isnin 17/8. Skarang tgh recuperating alhamdulillah...condition wise i felt a bit better, though the pain is still there.
Sebenarnyer saye dah ulang alik ke hospital since last tuesday, masuk drip, amik blood test, etc sbb kena gastric attack yg sgt teruk dan muntah2 lebih 20x. Badan dah dehydrated, body cramp all over dan disebabkan saya almost collapse doc di klinik memanggil ambulan utk antar saya ke KPJ last week. Memikirkan firas yg masih bf dan kecik, saya decide not to be warded dan bertahan dari selasa hinggala ke kamis. Tapi come friday, badan saya dah terlalu lemah...akhirnye saya menyerah diri, mintak dekat doc utk wardedkan saya sbb tak tahan dgn gastrik, muntah dan loya2 yg sgt teruk. Makan mmg tak lalu langsung, menyebabkan bdn saya bertambah lemah. Teringat lagi hari rabu kot, pukul 12 lebey tgh mlm saye dan suami antar kekanak ke nursery sbb saya kena gastrik pain yg sgt teruk....kami pegi ke emergency utk mintak jab malangnyer Q terlalu pjg, last2 kami ke klinik jer. Itu kali pertama saya berpisah dgn anak2. Dan masuk hari ni, dah 6 hari saya tak berjumpe firas dan idlan....sedih mmg sedih, tapi sakit di badan kenala jaga juga.
actually saya mmg dah lama ade gall stones, since the past 2 yrs bila buat ultrasound doc dah detect ade few tiny gall stones. tapi katanye tak payah buat surgery or anything considering saya tak sakit. Bila dah kena recurrence gastric attack yg terlalu kerap dan teruk, doc buat lagi ultrasound and inform gall stones saya dah bertambah byk dan membesar, the largest was 1.3cm, and my gall bladder was badly inflammed. Terus dia refer kpd surgeon dr kumar. Ahad mlm, Dr kumar dtg and inform saya utk proceed with surgery to remove the gall bladder, sbb dah badly inflammed, plus he said there's no point of keeping a bladder yg tak serve its purpose. Gall bladder adalah storeroom utk bile, yg diproduce oleh liver utk mengemulsifikan lemak2. Dr kata a lots of people are living without gall bladder and they just live like any other normal person. Instinct saya mmg terus agree to proceed wth the op bcoz i just couldnt stand the pain, it was so unbearable yg pada saya sakitnyer lagi teruk dari sakit hendak bersalinkan firas. husband plak balik rumah terus search the net for alternative treatment n watnots.
Isnin 17/8, saya dah ade keputusan saya...pruzz pon agree with the surgery. Pukul 4pm, saya disorong ke OT bertemankan pruzz, MIL dan SIL. Dr kata a straightforward case will take about 30-45min for the whole procedure. Tapi mine may take a bit longer considering gall bladder saya yg tgh inflamme tu. Apa2 pon saya hepi sepjg ke OT tu, dgn harapan biarlah sakit ini pergi once and for all.
Op saya selesai dalam pukul 8ish pm....husband kata dia risau kerana terlalu lama, plus nobody informed them on the progress of the Op.
Selasa 18/8, Dr Kumar dtg and explain the whole thing about the procedure. Dia kata i was lucky, sbb kalau saya tak op skarang, probability for my bladder to get ruptured was very high sbb mmg dah seriously inflammed. saya terus nangis bila dgr, rasa spt nyawa di hujung tanduk. My case was a big challenge to dr kumar, in fact in the middle of op derang terpaksa tukar instruments and watnots to suit my case. horror saya dgr...tapi syukur Allah masih sayangkan saya. Sampai skarang saya rasa macam fobia bila dgr kata2 doc tu...tak tahula ape akan jadi should i decided not to do the op...mungkin condition saya makin parah, dan infection to the whole system....dan sebagainya masya allah takut utk saya bayangkan. Saya sendiri dpt rasakan dr kumar was some sort of proud dpt resolvekan case saya....dan syukur dia hanya buat laparoscopy and not change to open surgery. Dia dah remind saya katanye kalo kes terdesak he may end up doing an open surgery to take out the bladder. Dia kata gall bladder saya dah melekat di liver, susah sgt instrument dia nak cangkup bladder tuh....and dia terpaksa go a bit farther and upper to catch the bladder. Well CD sepjg op tu ade di tepi saya ni, tapi i still do not have the guts to take a look at it. Bila saya dah sihat, mental and emosi dah stabil, barulah saya cuba beranikan diri tgk cd tu.
tak pasti brape lama lagi saya akan berada di wad ni, yg pasti saya mmg rindukan anak2. dah 3 hari saya tak perah susu....rasanyer perjalanan saya utk menyusukan firas akan berakhir tak lama lagi. stok yg ade mungkin cuma bertahan selama sebulan je lagi. Mungkin setakat ini je rezeki firas. Kata husband, idlan dah lama tak bertanyekan pasal saya...mungkin dia mrajuk sbb dah lama tak jumpe saya. husband reluctant nak bwk dia ke spital, dgn kes H1N1 yg byk ni...biarlah mereka tak dtg jumpe saya. Firas plak ntahla...dia mungkin tak faham lagi. saya sgt2 rindukan mereka....sabar ye sayang....insya allah tak lama lagi mama akan keluar.
Syukur saya dikelilingi insan2 yg tersayang sepjg saya sakit ni. MIL dan SIL yg temankan saya siang dan mlm. Husband yg slalu terkejar dari opis ke hospital, menguruskan anak2 lagi. Kalau takde mereka, mungkin saya makin depress. Ibu saya takde di kl, skarang di kelantan menemankan nenek yg kurang sihat. Tima kasih mak, tima kasih unda....and to my lovely hubby, i just couldnt find the right words to thank you. You're one greatest gift god ever gave to me in this life. Kpd opismate, bos dan kengkawan yg dtg melawat, time kasih ye semua....sesungguhnye time sakit ni kata2 semangat korang sgtla saya perlukan.
Doakan saya sihat ye kengkawan.
Luv,
-yatipruzz-
19/8/08
rasanyer ramai yg tak tahu saye sebenarnyer tgh warded di KPJ kajang :p
Dan baru saje selesai undergo laparoscopy surgery membuang gall bladder isnin 17/8. Skarang tgh recuperating alhamdulillah...condition wise i felt a bit better, though the pain is still there.
Sebenarnyer saye dah ulang alik ke hospital since last tuesday, masuk drip, amik blood test, etc sbb kena gastric attack yg sgt teruk dan muntah2 lebih 20x. Badan dah dehydrated, body cramp all over dan disebabkan saya almost collapse doc di klinik memanggil ambulan utk antar saya ke KPJ last week. Memikirkan firas yg masih bf dan kecik, saya decide not to be warded dan bertahan dari selasa hinggala ke kamis. Tapi come friday, badan saya dah terlalu lemah...akhirnye saya menyerah diri, mintak dekat doc utk wardedkan saya sbb tak tahan dgn gastrik, muntah dan loya2 yg sgt teruk. Makan mmg tak lalu langsung, menyebabkan bdn saya bertambah lemah. Teringat lagi hari rabu kot, pukul 12 lebey tgh mlm saye dan suami antar kekanak ke nursery sbb saya kena gastrik pain yg sgt teruk....kami pegi ke emergency utk mintak jab malangnyer Q terlalu pjg, last2 kami ke klinik jer. Itu kali pertama saya berpisah dgn anak2. Dan masuk hari ni, dah 6 hari saya tak berjumpe firas dan idlan....sedih mmg sedih, tapi sakit di badan kenala jaga juga.
actually saya mmg dah lama ade gall stones, since the past 2 yrs bila buat ultrasound doc dah detect ade few tiny gall stones. tapi katanye tak payah buat surgery or anything considering saya tak sakit. Bila dah kena recurrence gastric attack yg terlalu kerap dan teruk, doc buat lagi ultrasound and inform gall stones saya dah bertambah byk dan membesar, the largest was 1.3cm, and my gall bladder was badly inflammed. Terus dia refer kpd surgeon dr kumar. Ahad mlm, Dr kumar dtg and inform saya utk proceed with surgery to remove the gall bladder, sbb dah badly inflammed, plus he said there's no point of keeping a bladder yg tak serve its purpose. Gall bladder adalah storeroom utk bile, yg diproduce oleh liver utk mengemulsifikan lemak2. Dr kata a lots of people are living without gall bladder and they just live like any other normal person. Instinct saya mmg terus agree to proceed wth the op bcoz i just couldnt stand the pain, it was so unbearable yg pada saya sakitnyer lagi teruk dari sakit hendak bersalinkan firas. husband plak balik rumah terus search the net for alternative treatment n watnots.
Isnin 17/8, saya dah ade keputusan saya...pruzz pon agree with the surgery. Pukul 4pm, saya disorong ke OT bertemankan pruzz, MIL dan SIL. Dr kata a straightforward case will take about 30-45min for the whole procedure. Tapi mine may take a bit longer considering gall bladder saya yg tgh inflamme tu. Apa2 pon saya hepi sepjg ke OT tu, dgn harapan biarlah sakit ini pergi once and for all.
Op saya selesai dalam pukul 8ish pm....husband kata dia risau kerana terlalu lama, plus nobody informed them on the progress of the Op.
Selasa 18/8, Dr Kumar dtg and explain the whole thing about the procedure. Dia kata i was lucky, sbb kalau saya tak op skarang, probability for my bladder to get ruptured was very high sbb mmg dah seriously inflammed. saya terus nangis bila dgr, rasa spt nyawa di hujung tanduk. My case was a big challenge to dr kumar, in fact in the middle of op derang terpaksa tukar instruments and watnots to suit my case. horror saya dgr...tapi syukur Allah masih sayangkan saya. Sampai skarang saya rasa macam fobia bila dgr kata2 doc tu...tak tahula ape akan jadi should i decided not to do the op...mungkin condition saya makin parah, dan infection to the whole system....dan sebagainya masya allah takut utk saya bayangkan. Saya sendiri dpt rasakan dr kumar was some sort of proud dpt resolvekan case saya....dan syukur dia hanya buat laparoscopy and not change to open surgery. Dia dah remind saya katanye kalo kes terdesak he may end up doing an open surgery to take out the bladder. Dia kata gall bladder saya dah melekat di liver, susah sgt instrument dia nak cangkup bladder tuh....and dia terpaksa go a bit farther and upper to catch the bladder. Well CD sepjg op tu ade di tepi saya ni, tapi i still do not have the guts to take a look at it. Bila saya dah sihat, mental and emosi dah stabil, barulah saya cuba beranikan diri tgk cd tu.
tak pasti brape lama lagi saya akan berada di wad ni, yg pasti saya mmg rindukan anak2. dah 3 hari saya tak perah susu....rasanyer perjalanan saya utk menyusukan firas akan berakhir tak lama lagi. stok yg ade mungkin cuma bertahan selama sebulan je lagi. Mungkin setakat ini je rezeki firas. Kata husband, idlan dah lama tak bertanyekan pasal saya...mungkin dia mrajuk sbb dah lama tak jumpe saya. husband reluctant nak bwk dia ke spital, dgn kes H1N1 yg byk ni...biarlah mereka tak dtg jumpe saya. Firas plak ntahla...dia mungkin tak faham lagi. saya sgt2 rindukan mereka....sabar ye sayang....insya allah tak lama lagi mama akan keluar.
Syukur saya dikelilingi insan2 yg tersayang sepjg saya sakit ni. MIL dan SIL yg temankan saya siang dan mlm. Husband yg slalu terkejar dari opis ke hospital, menguruskan anak2 lagi. Kalau takde mereka, mungkin saya makin depress. Ibu saya takde di kl, skarang di kelantan menemankan nenek yg kurang sihat. Tima kasih mak, tima kasih unda....and to my lovely hubby, i just couldnt find the right words to thank you. You're one greatest gift god ever gave to me in this life. Kpd opismate, bos dan kengkawan yg dtg melawat, time kasih ye semua....sesungguhnye time sakit ni kata2 semangat korang sgtla saya perlukan.
Doakan saya sihat ye kengkawan.
Luv,
-yatipruzz-
19/8/08
27 July 2009
2 hari dpt mc minggu lepas dek penangan gastrik yg teruk, makanye pagi ni startla balik rutin breakfast with butterscotch bread jer. Kali ni doc tukar sejenis ubat baru, and mintak aku dtg follow up semula in 2 weeks time. Kali ni ubat mmg tak boleh skip, sbb ku perasan kalau aku terlupa mkn je confirm akan jadi acid reflux tuh. Once dah kena, bila mkn ubat pon dah tak jln sbb acid dah kluar byk and naik ke esophagus. Macam minggu lepas, termuntah dlm keta sebelum sempat sampai ke rumah (mujur den sempat capai plastik hihi). Sepanjang lepak di rumah, sempatla settlekan projey DIY bilik idlan+soho Pruzz. Alhamdulillah semua dah settle...hasilnye tungguuuuu :p
Firas plak develop eczema yg teruk di bwh leher...out of sudden rashes kluar dgn byk skali. So sabtu lepas pergila jumpe Dr. Ar. Dr suruh stop sekejap mkn ayam, bilis, dan seangkatan dgnyer..so minggu ni firas jadi vegetarian jela yer.
Firas plak develop eczema yg teruk di bwh leher...out of sudden rashes kluar dgn byk skali. So sabtu lepas pergila jumpe Dr. Ar. Dr suruh stop sekejap mkn ayam, bilis, dan seangkatan dgnyer..so minggu ni firas jadi vegetarian jela yer.
19 July 2009
sabtu yg tak best
Pukul 5:23am. The men of the house tgh syiok tido, ku baru bgn kemas dapur, basuh pinggan, & lipat kain. Semalam seharian terbaring jer...gastrik yg teruk amats, nak buat keje pon rasa tak bermaya. Gone the whole saturday begitu sahaja :( Ntah ape kesla perutku ini huhu. Stok ubat tinggal ngam2 utk sehari je, nampak gaya monday kena jumpe mr doc lagi...serius tak bley jadik nih. Petang B ke tesco beli kotak plastik utk simpan baju lama idlan, and dia ade beli jeli gamat formula Dr Azimuth. Baru mkn 2 sudu tadi...ikut kotak tu gamat+spirulina bley neutralize and balancekan kandungan acidity dlm perut, hopefully after mkn gamat ni perutku sihat semula dgn izinNya. Orang slalu kata, gastrik sebab tak mkn/skip makan. Tapi kes acid refluks aku ni, after mkn je perut mesti sakit. Sampai rasa fobia nak telan makanan. Padanla aku notice patient2 doc aku tuh mostly kurus2 belaka...agaknyer depa pon tak lalu mkn macam aku hehe.
si little dodo pulak tetiba demam panas+sesema petang kelmarin. Adik sakit, mama sakit...sian abang takde sape nak temankan kawan tu mandi kolam...merajuk dia petang semlm.
Insya Allah hari ni kalo badan ok nak sambung kemas bilik idlan..alhamdulillah proses mengecat dah settle, katil+drawer MALM+kotak mainan Trofast dah siap pasang. Tinggal nak vacuum+ lap almari + pindahkan baju2 ke almari+susun mainan. So that next week....bley start proses make-over workspace B plak :) Harap sumer dpt settle before mak & mak ude dtg KL nanti...kalo idak mahu pengsan derang tgk semak samun kat hall atas tuh ngeeeeee :p
si little dodo pulak tetiba demam panas+sesema petang kelmarin. Adik sakit, mama sakit...sian abang takde sape nak temankan kawan tu mandi kolam...merajuk dia petang semlm.
Insya Allah hari ni kalo badan ok nak sambung kemas bilik idlan..alhamdulillah proses mengecat dah settle, katil+drawer MALM+kotak mainan Trofast dah siap pasang. Tinggal nak vacuum+ lap almari + pindahkan baju2 ke almari+susun mainan. So that next week....bley start proses make-over workspace B plak :) Harap sumer dpt settle before mak & mak ude dtg KL nanti...kalo idak mahu pengsan derang tgk semak samun kat hall atas tuh ngeeeeee :p
26 June 2009
delayed post
1. Luncheon @ SF bersama mommies2 blogger. First time jumpe k.Elin time tuh.
Bak kata farra, next time kena date tpt lain...kalo idak harus kopak macik!
(aku curik gambo ko eh farra tq!)
Dan ini, adalah hadiah giveaway from k.elin bersempena contest 1000th post by her. Kiut and comel kan? Eni jgn jeles :p Tima kasih daun keladi lain kali buatlah contest lagi hihihi.
2. Si kecik still demam+batuk+sesema+muntah lagik..since Tuesday. Finally yesterday we made a visit to his paed, and was given antibiotic on top of his usual medications. Today hantar ke nursery, sian dia flat je muka huhu. Cepat sembuh ye adik!
3. Gastik ku still belum ok..on off tapi everyday mesti akan kena. Pelik jugak, diet dah control, ubat pon dah makan, tapi still kena. Letih betul camnih. Dugaan dari Dia kots...harap2 cepatla ok, pose ganti masih byk berbaki :(
4. Umi, Papa ngan Adik tgh berleisure2 di korea skang nih. Esok depa balik, tak sabor nak dgr citer ape yg depa borong kat sana. Berjaya jugak derang jejak ke Jeju Island yg duk disebut2 dlm TV3 tuh :p
and last but not least,
Congrats Mak Ude!!!
or shall we address you as Dr. Nurul?
hehehehe balik sini cecepat yer!!!
Bak kata farra, next time kena date tpt lain...kalo idak harus kopak macik!
(aku curik gambo ko eh farra tq!)
Dan ini, adalah hadiah giveaway from k.elin bersempena contest 1000th post by her. Kiut and comel kan? Eni jgn jeles :p Tima kasih daun keladi lain kali buatlah contest lagi hihihi.
2. Si kecik still demam+batuk+sesema+muntah lagik..since Tuesday. Finally yesterday we made a visit to his paed, and was given antibiotic on top of his usual medications. Today hantar ke nursery, sian dia flat je muka huhu. Cepat sembuh ye adik!
3. Gastik ku still belum ok..on off tapi everyday mesti akan kena. Pelik jugak, diet dah control, ubat pon dah makan, tapi still kena. Letih betul camnih. Dugaan dari Dia kots...harap2 cepatla ok, pose ganti masih byk berbaki :(
4. Umi, Papa ngan Adik tgh berleisure2 di korea skang nih. Esok depa balik, tak sabor nak dgr citer ape yg depa borong kat sana. Berjaya jugak derang jejak ke Jeju Island yg duk disebut2 dlm TV3 tuh :p
and last but not least,
Congrats Mak Ude!!!
or shall we address you as Dr. Nurul?
hehehehe balik sini cecepat yer!!!
22 June 2009
changing your lifestyle?
After careful thoughts, i think it's about time i take a serious step towards changing my lifestyle (read: my diet). Say NO to chocolate, spicy and oily foods (bubye spaghetti bolognese & tomyam), fried foods and many others as stated in my previous post. I foresee it's not going to be easy, but i'm still young (ye ker?), and to stay healthy is important above any other things in this world. Since i'm on mc today, i cook this just now. Mee sanggul leftover yesterdays to be eaten with carbonara sauce. No chilli, less oilly. Kira ok dok?
This one was made yesterday, mee sanggul hailam (mee diimport dari kedah lagik you dijamin halal :) ...no chilli padi added, tapi B kata still sedap. Disebabkan sedap, kasikla semangkuk ke jiran depan umah hehe...kalo tak sedap malu wooo nak kasik2 org nih :p
GERD
I warn you, this is a very long entry, merely posted for my personal reference. The gastro said my condition is more towards a reflux, so i googled the net and found this....
What is gastroesophageal reflux disease (GERD)?
Gastroesophageal reflux disease, or GERD, occurs when the lower esophageal sphincter (LES) does not close properly and stomach contents leak back, or reflux, into the esophagus. The LES is a ring of muscle at the bottom of the esophagus that acts like a valve between the esophagus and stomach. The esophagus carries food from the mouth to the stomach.
---> Yup my doc did mention that my valve is some kind of loose hence make it easier for the acid to come up to esophagus.
When refluxed stomach acid touches the lining of the esophagus, it causes a burning sensation in the chest or throat called heartburn. The fluid may even be tasted in the back of the mouth, and this is called acid indigestion. Occasional heartburn is common but does not necessarily mean one has GERD. Heartburn that occurs more than twice a week may be considered GERD, and it can eventually lead to more serious health problems.
---> of late i experience heartburn every time after consuming food, even in a small amount. It really causes serious discomfort, at times i feel like not wanting to eat at all.
What are the symptoms of GERD?
The main symptoms are persistent heartburn and acid regurgitation. Some people have GERD without heartburn. Instead, they experience pain in the chest, hoarseness in the morning, or trouble swallowing.
the doctor may recommend avoiding
sodas that contain caffeine
chocolate and peppermint ---> choc?? my favourite!!
spicy foods like pizza
acidic foods like oranges and tomatoes
fried and fatty foods
What causes GERD?
No one knows why people get GERD. A hiatal hernia may contribute. A hiatal hernia occurs when the upper part of the stomach is above the diaphragm, the muscle wall that separates the stomach from the chest. The diaphragm helps the LES keep acid from coming up into the esophagus. When a hiatal hernia is present, it is easier for the acid to come up. In this way, a hiatal hernia can cause reflux. A hiatal hernia can happen in people of any age; many otherwise healthy people over 50 have a small one.
Also, certain foods can be associated with reflux events, including
citrus fruits
chocolate --> my favourite
drinks with caffeine
fatty and fried foods --> my favourite
garlic and onions
mint flavorings
spicy foods ---> favourite jugaks!
tomato-based foods, like spaghetti sauce, chili, and pizza --> no wonder i had a serious attack last thursday rite after i took spaghetti for lunch
Medications:
1. Foaming agents, such as Gaviscon, work by covering your stomach contents with foam to prevent reflux. These drugs may help those who have no damage to the esophagus
2. Proton pump inhibitors include omeprazole (Prilosec), lansoprazole (Prevacid), pantoprazole (Protonix), rabeprazole (Aciphex), and esomeprazole (Nexium), which are all available by prescription. Proton pump inhibitors are more effective than H2 blockers and can relieve symptoms in almost everyone who has GERD.
This morning the doc asked whether i am covered? i said yes. Then he said okla i give you Nexium. This is imported, very expensive tau. I'll give you for a month's stock.
hmm bersyukurnyer keje kat T*............:p
What is gastroesophageal reflux disease (GERD)?
Gastroesophageal reflux disease, or GERD, occurs when the lower esophageal sphincter (LES) does not close properly and stomach contents leak back, or reflux, into the esophagus. The LES is a ring of muscle at the bottom of the esophagus that acts like a valve between the esophagus and stomach. The esophagus carries food from the mouth to the stomach.
---> Yup my doc did mention that my valve is some kind of loose hence make it easier for the acid to come up to esophagus.
When refluxed stomach acid touches the lining of the esophagus, it causes a burning sensation in the chest or throat called heartburn. The fluid may even be tasted in the back of the mouth, and this is called acid indigestion. Occasional heartburn is common but does not necessarily mean one has GERD. Heartburn that occurs more than twice a week may be considered GERD, and it can eventually lead to more serious health problems.
---> of late i experience heartburn every time after consuming food, even in a small amount. It really causes serious discomfort, at times i feel like not wanting to eat at all.
What are the symptoms of GERD?
The main symptoms are persistent heartburn and acid regurgitation. Some people have GERD without heartburn. Instead, they experience pain in the chest, hoarseness in the morning, or trouble swallowing.
the doctor may recommend avoiding
sodas that contain caffeine
chocolate and peppermint ---> choc?? my favourite!!
spicy foods like pizza
acidic foods like oranges and tomatoes
fried and fatty foods
What causes GERD?
No one knows why people get GERD. A hiatal hernia may contribute. A hiatal hernia occurs when the upper part of the stomach is above the diaphragm, the muscle wall that separates the stomach from the chest. The diaphragm helps the LES keep acid from coming up into the esophagus. When a hiatal hernia is present, it is easier for the acid to come up. In this way, a hiatal hernia can cause reflux. A hiatal hernia can happen in people of any age; many otherwise healthy people over 50 have a small one.
Also, certain foods can be associated with reflux events, including
citrus fruits
chocolate --> my favourite
drinks with caffeine
fatty and fried foods --> my favourite
garlic and onions
mint flavorings
spicy foods ---> favourite jugaks!
tomato-based foods, like spaghetti sauce, chili, and pizza --> no wonder i had a serious attack last thursday rite after i took spaghetti for lunch
Medications:
1. Foaming agents, such as Gaviscon, work by covering your stomach contents with foam to prevent reflux. These drugs may help those who have no damage to the esophagus
2. Proton pump inhibitors include omeprazole (Prilosec), lansoprazole (Prevacid), pantoprazole (Protonix), rabeprazole (Aciphex), and esomeprazole (Nexium), which are all available by prescription. Proton pump inhibitors are more effective than H2 blockers and can relieve symptoms in almost everyone who has GERD.
This morning the doc asked whether i am covered? i said yes. Then he said okla i give you Nexium. This is imported, very expensive tau. I'll give you for a month's stock.
hmm bersyukurnyer keje kat T*............:p
20 June 2009
Di waktu pagi:
Kacau mama basuh pinggan lagi....ha dudukla dlm tuh :p
Di waktu tgh hari:
Abang dtg interprem plak hehe
Semalam perut dah sihat lepas kena gastric attack yg agak teruk khamis baru ni. Tu pon ku control makan betul2...breakfast cuma mkn roti 2 keping, lunch mkn nasi tak pedas, dinner mkn roti jer. Serius takut kena cam kes khamis, ptg tuh...tido pon tak lena menahan sakit. Malangnyer ari ni attack dtg lagi....aduhai tak selesa betul. Perut rasa stuffy jer....agaknyer asid naik ke esofagus (refluks) lagik. Perut rasa lapar tapi disebabkan sakit, selera langsung takder.
B dah bising soh pegi jumpe specialist balik....tapi ku malu hoho. Sebab patutnyer follow up last month, tapi bila sihat sket biasala aku mengelat. Now ni sakit mcm nak menjadi2 balik, adesss perlukah berjumpe Dr Ong ku itu? malu satu hal, takut kena marah sama sbb tak pegi follow up...adesss dilemanyer lahai!
......
......
......
......
......
Lepas puas mencari-cari akhirnyer ku berjaya jumpe appointment card Dr Ong.
Kalau esok teruk jugak, confirm senin ku gagahkan diri berjumpe dgn dia :p
Kacau mama basuh pinggan lagi....ha dudukla dlm tuh :p
Di waktu tgh hari:
Abang dtg interprem plak hehe
Semalam perut dah sihat lepas kena gastric attack yg agak teruk khamis baru ni. Tu pon ku control makan betul2...breakfast cuma mkn roti 2 keping, lunch mkn nasi tak pedas, dinner mkn roti jer. Serius takut kena cam kes khamis, ptg tuh...tido pon tak lena menahan sakit. Malangnyer ari ni attack dtg lagi....aduhai tak selesa betul. Perut rasa stuffy jer....agaknyer asid naik ke esofagus (refluks) lagik. Perut rasa lapar tapi disebabkan sakit, selera langsung takder.
B dah bising soh pegi jumpe specialist balik....tapi ku malu hoho. Sebab patutnyer follow up last month, tapi bila sihat sket biasala aku mengelat. Now ni sakit mcm nak menjadi2 balik, adesss perlukah berjumpe Dr Ong ku itu? malu satu hal, takut kena marah sama sbb tak pegi follow up...adesss dilemanyer lahai!
......
......
......
......
......
Lepas puas mencari-cari akhirnyer ku berjaya jumpe appointment card Dr Ong.
Kalau esok teruk jugak, confirm senin ku gagahkan diri berjumpe dgn dia :p
07 April 2009
endoscopy again?
As the title says, yep it is!
After one year +++ of not having serious stomach upset like before, i got a constant pain few days of the week everytime after taking food. Rasa very stuffy and bloated even tho i only takes little food. Something definitely is not right over here. So yesterday i made up my mind to see a gastroenterologist at KPJ Kajang. Told him lil bit of my history, and he instructed for an ultrasound, and another round of endoscopy! Aduhhh feel like giving an excuse, but my husband insisted of having it...alang2 dah dtg hospital katanyer :p
So there it goes, same procedure applied...only this time my husband is allowed to be in the room to witness the whole procedure. The whole thingy only took about 10-15 minutes kot, but the recovery process adela dekat 1/2jam campur mamai2 dek ubat bius. The doc spared us a CD recording the procedure, but until now i didn't dare to open n watch it. hahaha tgk keadaan dalaman perut sendiri, ada berani kah??
So what the doc says?
Dia ckp gastric, acid reflux, bla bla bla...lupa dah ape hehe...tapi stomachku ok, no focal lesion whatsoever. But to my shock, the ultrasound shows my gall stones have tripled, or maybe more...the size even got bigger, the largest is 1.5cm. Aduss takutnyer! But he said so long as i dont feel any abdominal pain on my lower right hand side, that should be ok. The stones may just reside there, let them be. Wahai stones ku, duduk diam2 ok....jgn membesar2 plak ok!
That's it for now. Let me enjoy my 2 days mc in peace :)
After one year +++ of not having serious stomach upset like before, i got a constant pain few days of the week everytime after taking food. Rasa very stuffy and bloated even tho i only takes little food. Something definitely is not right over here. So yesterday i made up my mind to see a gastroenterologist at KPJ Kajang. Told him lil bit of my history, and he instructed for an ultrasound, and another round of endoscopy! Aduhhh feel like giving an excuse, but my husband insisted of having it...alang2 dah dtg hospital katanyer :p
So there it goes, same procedure applied...only this time my husband is allowed to be in the room to witness the whole procedure. The whole thingy only took about 10-15 minutes kot, but the recovery process adela dekat 1/2jam campur mamai2 dek ubat bius. The doc spared us a CD recording the procedure, but until now i didn't dare to open n watch it. hahaha tgk keadaan dalaman perut sendiri, ada berani kah??
So what the doc says?
Dia ckp gastric, acid reflux, bla bla bla...lupa dah ape hehe...tapi stomachku ok, no focal lesion whatsoever. But to my shock, the ultrasound shows my gall stones have tripled, or maybe more...the size even got bigger, the largest is 1.5cm. Aduss takutnyer! But he said so long as i dont feel any abdominal pain on my lower right hand side, that should be ok. The stones may just reside there, let them be. Wahai stones ku, duduk diam2 ok....jgn membesar2 plak ok!
That's it for now. Let me enjoy my 2 days mc in peace :)
31 October 2007
from one to another
---> Yep unda, endoscopy (using camera) was done indeed...yesterday. Horror jugak eh huhu.
Monday tu, the doc just scanned my stomach, turned out i had the same luck with Aini...ada batu karang :( One stone, measured at 4mm roughly. Since my explanation was a bit weird (ppl had batu karang usually feel the pain at the lower part of perut/pinggang/abdomen eh?) but i did not...mine was more on the ulu hati, so he concludes i need to do further test.
Yesterday, he did the procedure, first spray ubat bius inside anak tekak (pahit giler, lucky i did not vomit in front him :p), then after one jab at my hand, terus pengsan tak sedar. About 15-20 minutes je kot..ntahla...cant remember anything. A camera was inserted, from mouth going to tekak, not sure whether it reached the stomach or not hehe. The result, he said inflammation at my esophagus (called esophagustrities, apology for my spelling ok tak tahu :p), so he just gave 2 types of medicine. As for the stone, he told not to worry or do anything..nothing serious about that, i should be alarm only when i have the symptons like sakit2 kat bwh perut tu. Betul ke unda? what your lecturers/experience/books tell u about this?
Please advise if u/any friends out there know specific foods/drinks to eat so that the stone can hancur by itself and wipe out thru urine. Seriously i was freaked the whole day yesterday but today i guess myself is back to normal kot...alhamdulillah harap2 this is not as serious as i think. Follow-up will be next Tuesday, hope i am all ok as usual.
Today am on mc. But now im in the office, settling some works, attending jamuan hari raya office, and hehe obviously writing this entry. Tomorrow we will be off to kuching until saturday. Sunday got two makan2 invitations...harap2 no gastric attack during these precious wonderful days ahead. As for me, starting from this episode, i should take more precaution on my food intake...do not dare to put my health at risk after this kind of things happening at my age. Kena control makan..jgn belasah je ok!
Salam all...take care!
Monday tu, the doc just scanned my stomach, turned out i had the same luck with Aini...ada batu karang :( One stone, measured at 4mm roughly. Since my explanation was a bit weird (ppl had batu karang usually feel the pain at the lower part of perut/pinggang/abdomen eh?) but i did not...mine was more on the ulu hati, so he concludes i need to do further test.
Yesterday, he did the procedure, first spray ubat bius inside anak tekak (pahit giler, lucky i did not vomit in front him :p), then after one jab at my hand, terus pengsan tak sedar. About 15-20 minutes je kot..ntahla...cant remember anything. A camera was inserted, from mouth going to tekak, not sure whether it reached the stomach or not hehe. The result, he said inflammation at my esophagus (called esophagustrities, apology for my spelling ok tak tahu :p), so he just gave 2 types of medicine. As for the stone, he told not to worry or do anything..nothing serious about that, i should be alarm only when i have the symptons like sakit2 kat bwh perut tu. Betul ke unda? what your lecturers/experience/books tell u about this?
Please advise if u/any friends out there know specific foods/drinks to eat so that the stone can hancur by itself and wipe out thru urine. Seriously i was freaked the whole day yesterday but today i guess myself is back to normal kot...alhamdulillah harap2 this is not as serious as i think. Follow-up will be next Tuesday, hope i am all ok as usual.
Today am on mc. But now im in the office, settling some works, attending jamuan hari raya office, and hehe obviously writing this entry. Tomorrow we will be off to kuching until saturday. Sunday got two makan2 invitations...harap2 no gastric attack during these precious wonderful days ahead. As for me, starting from this episode, i should take more precaution on my food intake...do not dare to put my health at risk after this kind of things happening at my age. Kena control makan..jgn belasah je ok!
Salam all...take care!
29 October 2007
more on gastric...
Last Friday another attack striked again. I was all ok from morning till 4pm when suddenly i felt the difficulty to breath, loya and vommited thrice (including once in car while driving back home :p). That night again the doc said my sugar level did not improved...it reads at 5.3 (compared to the previous one was 5.2), despite eating lots of foods that day (2 office invitations in a row, with lontong, rendang, nasi impit, lemang, nasi lauk, etc and of course, air manis!)
Felt a bit relieved after series of vommiting, maybe angin dah takde dlm perut. Weekend came, i was all OK with no signs of gastric at all. Lucky for me since we got few invitations on these 2 days, but i made a point to myself not to overeat or else i might go to the toilet again :) Yesterday we went to 2 houses in Bangi and Equine, also to Nilai 3 in between to look for something and ended up bought other things :p This evening i had an appointment with a doc, specialized in gastroenterologist, hope he'll able to give some detail explanation and solution to my stomach problem.
Open house? NO it will not be in this Syawal due to our packed schedule. However i expect we'll be able to 'open' our house for frens and relatives somewhere in December insya allah, right after exam. Cannot play2 anymore since i 'kantoi' a bit in my recent modules...guess i need to be more serious and persevere for the next 6 subjects je lagik nyeh nyehhh
p/s: Aini, jgn malas2 mkn ubat...jgn gi shopping time mc :p
Felt a bit relieved after series of vommiting, maybe angin dah takde dlm perut. Weekend came, i was all OK with no signs of gastric at all. Lucky for me since we got few invitations on these 2 days, but i made a point to myself not to overeat or else i might go to the toilet again :) Yesterday we went to 2 houses in Bangi and Equine, also to Nilai 3 in between to look for something and ended up bought other things :p This evening i had an appointment with a doc, specialized in gastroenterologist, hope he'll able to give some detail explanation and solution to my stomach problem.
Open house? NO it will not be in this Syawal due to our packed schedule. However i expect we'll be able to 'open' our house for frens and relatives somewhere in December insya allah, right after exam. Cannot play2 anymore since i 'kantoi' a bit in my recent modules...guess i need to be more serious and persevere for the next 6 subjects je lagik nyeh nyehhh
p/s: Aini, jgn malas2 mkn ubat...jgn gi shopping time mc :p
24 October 2007
of gastric
Had another attack yesterday near lunch time, caused me to stay in the toilet for about 1/2 hour, vommiting and sitting there hoping the pain will ease and yet it continued...so at last i decided to go back. Went to clinic (my 3rd visit in this Syawal), hope the doc will refer me to specialist since it's already over a week. Mr Doc checked my body pressure, inspect the stomach (malu wooo), and lastly did a sugar test. The result - pressure all OK, lack of sugar (my reading is 5.2, normal level should be above 6 kot?). He concluded - i need to take more sugary drinks and foods to increase my sugar level, so that the body activity can operates as normal to digest foods and reduce the acidity. Of course NO hot n spicy, sour, makanan berangin etc...lega kejap bila pk as nothing serious according to him :) Hope everything will be back to normal. It hurts like he** when it attacked the 'ulu hati' and i can hardly breathe out and rasa macam sakit jantung (tho i dont know how sakit jantung exactly feels like...)
Back home, try to sleep and rest but couldnt...so lepas asar, terus ke garden cewahh...semangat waja gitu! But upon seeing almost all the newly-planted pokok2 macam nak layu, terus rasa pressure huhu...either the plants get shocked because we transferred it to tanah, or it was just merely our hands yg soooo panas dan tak rasi :( Sedey banget rasa huhu. But anyway, guess the project is almost 70% completed, pending to clean the porch and awaiting ppl to install pergola and pond.
Night time, around 940pm, our neighbour next door ajak pegi beraya ke rumah jiran...so lepas beraya, sambung berborak kat luar rumah sampai 11pm....sakan kan :p
Weekend is coming and am fully booked with open house and class....nx week will be going to kuching, cant wait to savour the ever delicious kek lapis cadbury nyeh nyehhh...soon after that Bandung is waiting....wah wah...lepas tu terus exam punyerla tak best :(
Back home, try to sleep and rest but couldnt...so lepas asar, terus ke garden cewahh...semangat waja gitu! But upon seeing almost all the newly-planted pokok2 macam nak layu, terus rasa pressure huhu...either the plants get shocked because we transferred it to tanah, or it was just merely our hands yg soooo panas dan tak rasi :( Sedey banget rasa huhu. But anyway, guess the project is almost 70% completed, pending to clean the porch and awaiting ppl to install pergola and pond.
Night time, around 940pm, our neighbour next door ajak pegi beraya ke rumah jiran...so lepas beraya, sambung berborak kat luar rumah sampai 11pm....sakan kan :p
Weekend is coming and am fully booked with open house and class....nx week will be going to kuching, cant wait to savour the ever delicious kek lapis cadbury nyeh nyehhh...soon after that Bandung is waiting....wah wah...lepas tu terus exam punyerla tak best :(
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