anyone with leg pain

rswint
on 12/21/08 12:29 am - Rose Bud, AR
Over the past few days my upper legs, on the front have started to really hurt.  I'm not sure if it's circulatory or muscular or if it is relative to my surgery...either way it is very uncomfortable.  I failed to take my vitamins for almost a week and have not eaten much of anything because I have very good restriction on my Realize Band right now.
I don't see Dr. Baker until January 6th and just wondering if perhaps someone else has experienced anything like this.
Thanks for anything you can offer!
wendy_fou
on 12/21/08 12:49 am - AR
I experienced hip pain.  It was vitamin D deficiency.  That could be your problem. 

Were you vitamin D deficient as a pre-op?  Most of us are.  (I was.)  It wouldn't have been something they would have told you unless it was really bad. 

Your B vitamins could also be low.  Extra B-Complex vitamins aren't in most post-op protocols even though they should be.  Lapbanders have trouble with some of the same vitamin deficiencies as RNYers do because of the food intolerances (and vomiting) among bandsters.  (This per the American Society of Metabolic & Bariatric Surgery paper on vitamin deficiencies.)  So you may not be getting in enough B either?

If you take Citracal, most of the citracal varieties have vitamin D in them.  Remember that the American Society of Metabolic & Bariatric Surgery recently published a paper on their website showing that 1700 mg of calcium per day was not enough to prevent bone resporation in NON-OPERATIVE women.  So even if you had never had ANY WLS, you aren't  hurting yourself any by supplementing up to 1700 mg per day of calcium.  So get you some citracal if you aren't already on it.  That will get you some vitamin D in there too.  (Pay attention to serving size.  Usually citracal doses are 2 pills for a total of 400 or 500 mg per dose.  Split your doses as evenly throughout the day as possible - as your body uses calcium fairly evenly throughout the day.) 

Wal-Mart and Kroger each sell good B-Complex vitamins.  I know Dr. Baker doesn't oppose them because they let me add them to my regimine.  (B vitamin deficiencies, other than B-12 deficiency, are often misdiagnosed because the bloodwork to test for SPECIFIC B vitamin deficiencies is so expensive that it is very rarely done.  Dr. Baker's post-op labs do NOT test for specific B vitamin deficiencies other than B-12.  However, this is really meaningless since the most current research shows that 25 - 30% of B vitamin deficiencies, including B-12, are missed in labs.  In other words, your labs could look fine and you could still be deficient.)  So it wouldn't hurt you to get on a good B-Complex vitamin either.

So, after all that gibberish... my GUESSES would be:
1) vitamin D deficiency
2) B-Complex deficiency

Both of these can easily be resolved within a week (2 at most) after supplementation.  (Mine were!) 

Good luck! 
horselady71742
on 12/21/08 1:06 am - Fordyce, AR
I am currently fighting lower back pain, and for a while thought it was my kidneys.  Not so, b/c I have discovered its in the spine area, not the sides. 

I have no idea what mine is, as I take the vitamins Wen was talking about.  If you find you arent vitamin def. or if you start the vitamins and they still dont help, I'll let you in on what Im doing for pain.

I take 3 Naproxen Sodium 220mg 2 times a day.  You can get them in generic at wal mart or any dollar store.  They are pretty cheap, and they work wonders.  Its generic Aleve I believe.  Im not a name brand person, I just look for the box that says, Naproxen Sodium.  If you have stomach issues, like ulcers or something like that, ask Dr. B, but they work wonders for me.

Just my 2 cents worth, hope you get some relief either way!!!

Hugs,
Rhonda D.
wendy_fou
on 12/21/08 3:11 am - AR
Rhonda... GOOD LORD!

We are not supposed to take NSAIDS.  Even if someone DOESN'T have stomach problems (ulcers), they eventually WILL taking that much NSAIDS. 

Now I am worried sick about you doing this.  Have you tried anything else???
horselady71742
on 12/21/08 3:29 am - Fordyce, AR
Help!!!!! No, havent tried anything else, whats up w/nsaids???
Hugs,
Rhonda D.
wendy_fou
on 12/21/08 4:11 am - AR
After RNY, you are NEVER supposed to take NSAIDS again.  SOME surgeons (and only a FEW that I have seen) ever allow NSAIDS again.

In a non-op, they would drop into our stomachs (which would be filled with stomach acids like a stomach acid lake) and dissolve, that isn't what happens with us.  HOWEVER, even in NON-ops, NSAIDS can lead to ulcers. 

In RNY post-ops, we don't have that lake of stomach acid in our stomachs.  We have a pouch where the pills we take hit roughly the same place every time we swallow them.  Because of the nature of the actual NSAID pills, when they hit that same spot every time, they begin eating away at that portion of our pouch. 

There was a study published in May 2008 (if memory serves, I read it on pubmed.gov if I'm remembering right).  Of patients admitted for gastric perforation (a whole eaten through the pouch), SIX out of SEVEN were admitted NSAID users.  (Gastric ulceration and/or gastric perforation requires SURGICAL INTERVENTION.)  It is simply not worth the risk. 

Find something else to take for pain - PLEASE!!!
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