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Natalie, Thanks for your reply. I have been on Carafate, Protonix and Prevacid for over a year now. Just when I start to feel better and introduce my pouch to solid foods within 4 weeks I am bloated, constipated, and usually the pain in the belly is starting to double me over. Do you mind me asking how you deal with your uclers? How long have you had them? How many did you, or do you have? Do they come back? I know they can come back. I just do not think I can live for years with the pain and suffiering when they flare up. I have missed 3 weeks of work now and for 3 weeks before I went on medical leave I worked in daily pain. My job is hanging by a thread. I can not even talk to my manager, she does not understand and blames me for having the surgery and putting myself through all this. If feeling bad is not enough, now I have to worry about my job. I have had a lot of people tell me about a surgery to cut the vagus nerve. I may call my doctor in the morning to talk to him about this. I do not think my job or my will power can go through another flare up. Well, thanks for the response and the shoulder today. Laura