Sam is doing ok today...not great, but not terrible. He was very close to going back to icu, but we got to stay on the floor and our nurse only had him and one other patient. Early this morning his labs showed some of his numbers had dropped from the bleeding, so we transfused him. He looked much better after he got the blood. His belly was really hurting him, but after he finally pooped he felt better for a while. He has been wanting to throw up all day, his belly has all that old blood and crud in it...his poop is literally globby old black blood that has a distinct smell you could never forget! YUCK! They started him on iv protonics which is like prilosec but stronger and given in iv form. Also giving him zofran for his nausea. The plan is to check more labs tonight and make sure his blood counts are holding and not trending down again. This will let us know if he is actively bleeding. If his counts drop again, GI will have to scope him to see if they can see the problem. If everything is fine, then we give him some time to let his belly settle, try some pedialyte and see if his poop normalizes. GI's thoughts are that it is possibly an ulcer that bled, and/or stomach irritation from not being on prilosec (said even our home dose was low and will increase it when we leave) and/or stress from surgery plus the aspirin he is on along with the heparin he gets his lines flushed with. Really it is probably a combination of everything, plus he has been drinking much bigger volumes of formula during the day than he had ever been used to having, so that is just more stress on his belly.
He is resting now, and I am hoping he has a quiet night and sleeps well. He didnt get too much sleep last night and hasnt napped well today. I will keep you updated with any new info!
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