Nsaids????

[lmmore 0]

Excellent posts. Tiffy, as usual you have the best info. My surgeon said NEVER, but now I am going to question him on it. Thanks

[stcyt 15]

When you guys present your surgeons with tiffs post let us know what they say. Mine is in Mexico so its too hard to present the info at this point

Thanks

Stacey

[Garyb_58 1]

After my surgery I contacted Dr. Aceves's Office and asked about

taking anti-inflamitory meds that I need for gout. They approved for

me to take it as long as I made sure I had Nexium or something

like it in my stomach to coat it. Like Tiff said you should be fine as

long as you have something in your stomach when you take the meds.

[ouroborous 519]

My surgeon said no NSAIDS (after the surgery) but only large pills. He said that large pills can get a little "stuck," and the result is that all of the medicine is released in one location, right up against the stomach wall. He said that can result in ulcers.

So, from what I understand of what he's saying, it's not that NSAID's are specifically bad for lap sleeve, it's just a mechanical thing. But the end result is the same.

I always preferred Tylenol anyway; my PCP said that the liver toxicity is way overplayed; unless you OD on them, Tylenol is very safe.

[Robbiehage 1]

My surgeon also told me no more NSAIDS ever and I think he said it is because of possible ulcers in the staple line. I will have to check with my husband, he remembers everything! I have been off of Naproxen for probably 7 weeks now and have numerous aches and pains that the Naproxen was "hiding"! I really would like to have some so I can work out a little harder.

[Tiffykins 673]

I take enormous Calcium citrate, and have taken those huge Nyquil and Dayquil liquid caps on several occasions post-op without any issue with the size of my stomach. I will say that the slower motility issue early out is understandable, and I think that is why my surgeon suggested the liquid children's Motrin to ensure that my stomach would not be bothered by the ibuprofen. I was also taking enormous Cipro tablets, Metronidazole tablets, and other drugs after I was hospitalized in July which was right around 6-7 weeks post op. The cipro did give me sterile gut, but it always did that to me pre-op as well. I ate yogurt before and after taking it to help keep my bacteria balanced in the GI tract.

I have seen a lot of materials supposedly for VSG patients, and they refer to our stomachs as pouches. Then you can look at the RNY material, and it's pretty much verbatim. So, when I talked to my surgeon about med restrictions, we made sure to discuss all the possible issues. I promise I'm not trying to argue with other surgeon's recommendations. I respect them just as I respect my surgeon. I'm just curious as to the "why". Y'all know I just super geeky when it comes to this stuff, and it's always interesting to get as much information as we can.

[stcyt 15]

My suspicion is that its in the "I don't know so better safe than sorry" category.

[Robbiehage 1]

Hi Tiffy, Your super "geekiness" has helped all of us immensely! I just e-mailed my surgeon to get absolute clarification on his NSAID stance I will post when I hear from him. I think this is an issue that I am going to have to read up on and make a decision. I really hope to be able to take them, I have been walking 30 minutes a day on my treadmill but I would like to be able to go faster and NSAIDS would definitely help!

[Tiffykins 673]

Here's another study: Page 9, 3rd full paragraph.

http://www.bodybybaltasar.com/Lap_sleeve_gastrectomy.OBs_Surg_paper.pdf

Other than that one, I am not having any success finding anything that hasn't been swiped from LapSF and the information from Dr. Jossart that I posted earlier.

I did find some articles on gastrectomy surgeries for cancer or ulcer patients, and it is a contraindication for those patients because of the existing diseased tissue of the stomach being removed, but the risk of recurrence is obviously high considering the tissue is diseased to begin with.

Edited April 29, 2010 by Tiffykins

[Robbiehage 1]

Thanks for the article Tiffy, I am so excited by it. I really feel my workouts will be much more effective if I can get back on some anti inflammatory medication. Almost 50 years of hauling around that extra weight can really take a toll on your joints! I will share what I hear from my surgeon, but I think I am just going to have to give it a shot.

[Sleeved and Relieved 0]

I sure agree about the Tylenol and the liver. I was taking Tylenol trying to avoid Advil and my blood tests came back showing some very high counts on the liver. I discontinued the Tylenol and within a few weeks the counts improved drastically! One of the reasons I decided on the sleeve was so that I could take NSAIDS.

Thanks for all the good info Tiffykins.

[Tiffykins 673]

I sure agree about the Tylenol and the liver. I was taking Tylenol trying to avoid Advil and my blood tests came back showing some very high counts on the liver. I discontinued the Tylenol and within a few weeks the counts improved drastically! One of the reasons I decided on the sleeve was so that I could take NSAIDS.

Thanks for all the good info Tiffykins.

I agree 100%. During rapid weight loss, our livers are tasked 10 times more than during our pre-op life.

Throwing Tylenol on top of it, in my opinion, is just asking for your liver to work even harder.

I've had the same thing happen with my liver enzymes spiking after taking Tylenol at a mid-dose 500mg every 8 hours (3 times a day) for excessive pain related to a jaw injury/tooth pain. I was single mother with a small child, I could not miss work, therefore I could not take narcotic pain killers. I started puking, sluggish, lethargic, and feeling horrible. Went into my PCP, low and behold my liver enzymes were off the charts. Went off the Tylenol, a relative loaned me the money to have the teeth issue resolved because dental insurance offered through my job sucked, and it was considered oral surgery. Anyways, once I went off the Tylenol, my liver enzymes returned to normal levels.

Now, with that being said, my family has a history of liver problems. So, could that have contributed to the issue, definitely. That is why I chose the sleeve over RNY for my revision.

[KZol 0]

Whew! You guys were scaring me there. I am supposed to be taking prescription Naproxen for life...just haven't filled the script...and it would be extremely uncool if that kept me from being sleeved.

[Sleeved and Relieved 0]

I take Naproxen and that was one of the reasons that I chose the sleeve. However the surgeon did have me suspend the Naproxen for now. My surgery is scheduled for May 7th. I sure am missing the darn ole stuff too!:thumbup1:

[Tiffykins 673]

I take Naproxen and that was one of the reasons that I chose the sleeve. However the surgeon did have me suspend the Naproxen for now. My surgery is scheduled for May 7th. I sure am missing the darn ole stuff too!:ohmy:

I had to stop it too pre-op. I think it has to do with the fact that we'll be getting anti-coagulants pre-op, and post-op.