Maybe I’m getting a little slow with old age. It is taking me a while to learn this:
I will get illnesses that are not NETs or PNETs! even if it looks like NETs symptoms.
Friday night and Saturday morning, I vomited blood and went to the hospital. Sunday, my bowel movements were bloody as well.
These are symptoms that I had before because of NETS. The doctors immediate response was they did not think so but they would keep Dr. Liu my oncologist in contact.
The emergency room had me on an NG tube (avoid that if at all possible) to check the amount of blood in my stomach. Once I was admitted, the doctors had it removed. The gastro-intestinal doctors did an endoscopy (camera down the throat to stomach) to see what could be seen. They found a tear in my esophagus near my stomach.
The problem is being blamed on a “perfect storm” of drugs to quote the GI doctor.
- low dose aspirin to prevent heart problems
- Eliquis blood thinner because I have AFIB
- A strong NSAID prescribed for my arthritis (which I took for 90 days and quit just a week before the incidents above. It wasn’t very effective.)
I am off all of them for now. May go back on Eliquis (ridiculously, greedily expensive and annoying and dangerous of course) in two weeks. The others not.
Interesting to me, the GI doc said that recent studies showed that aspirin therapy may not be that good anyway. He suggested Tylenol for arthritis which I already know is not that great. When I suggested CBD oil, he “Try it.” As far as I can tell, anything for arthritis pain is either not effective, incredibly expensive, and/or has terrible side effects.
I left the hospital with a prescription for omeprazole to heal the bleeding tear. Once again, this is confusing because 12 years ago I had had a burning stomach for years and developed a bleeding ulcer and was told that I took too much NSAIDS and put on omeprazole for two years. Later that was proven to be totally wrong. Stomach burning and bleeding was from the neuroendocrine cancer (I had it but was not diagnosed yet.) and omeprazole has a questionable relationship with NETs in animals not proven yet with humans.
The good thing is that Dr. Liu told me that short term omeprazole is ok where necessary.
Enough adventures! I hope that this really is not a NETS symptom or, if it is, that is will be resolved by the Peptide Receptor Radioisotope Therapy (PRRT) that I start in February.
May we all have the best possible outcomes,
Cy

Glad your on the mend.
Cy, I know it must be super frustrating dealing with hospitals and docs who just aren’t experts on your disease. As you know, we’ve been down that road a few times. But you are doing the right thing by being proactive and keeping informed about your condition. I’m sure the PPI will do the trick and you’ll be feeling better…Love, Sarah
Thanks Sarah, as you know the love and support of family is really important as well. During those three days, I actually enjoyed interaction with everybody on that text thread!
Sorry you had to go through that Cy, glad you’re OK. Yes, the drugs we take for a other things need watching. Take care Cy.
Thanks Ronny.
Glad you are ok, wow. I am on a ppi for silent reflux and it’s not working well for it, take care
I never had reflux although before my NETs diagnosis doctors said that’s what I had. The PPI did work for my bleeding last time and I hope it does this time.
Interestingly, a gastro doc at the hospital this weekend said that although Dr. Liu draws patients to them from all over the world, he had never met anyone with the gastrin problem (it’s called Zollinger-Ellison Syndrome) before. To him, it is rare even among NETs patients. Of course, mine went away in 2013 when liver surgery removed the tumor generating gastrin.