NSAIDS If one must give in to taking them

I know some doctors say no NSAIDS but it seems like the doctors that say no NSAIDS do more RNY surgeries than sleeves.  My doctor said no NSAIDS but if I have to give in I can take Celebrex.  (which is an Nsaid anyway) Well here's the thing Celebrex doesn't work at all!!  I have been in miserable pain lately and I'm about to cave in on nsaids.  A friend mentioned to me if i take Nsaids I should take a PPI.  Well my PPI being prilosec makes me nauseated.  As soon as I stopped taking it my nausea went away.  So here's the question what about Nexium over the counter.  Could I take that with Alleve (Naproxen) mixed on occasion?  Do they mix together?  How long before taking Alleve do I need to take the PPI anyway?  Or should I take them at the exact same time?

Nexium is not OTC - -it is Rx only, and it is made by the same people who brought you Prilosec.  Nexium was their "new" drug when Prilosec became OTC.  

So, my advice is to call your doc.  Tell him that prilosec made you nauseated -- and you aren't taking a PPI at all (is that correct?).  But you really need to take something for your pain, and the Celebrex doesn't work.  What is his recommendation.

They tell RnYers not to take NSAIDs because they thin the stomach lining and that increases the chances of getting ulcers and RnY increases the chances of getting ulcers (because you now have connections in places you weren't meant to have connections) and because getting ulcers in the blind stomach is BAD.

They tell you to take a PPI because they believed that it would help prevent ulcers.

Well, VSGers are not at increased risk of getting ulcers. We have no blind stomach so getting ulcers is not any bigger deal that it used to be.

And, finally, recent studies show that taking a PPI with your NSAID doesn't actually prevent ulcers after all.

Do with this information what you will...

I've heard this before from a patient coordinator in Mexico.  (Originally I was going to get surgery in Mexico but than ended up deciding to stay local).  I know your surgeon has a lot of experience with VSG.  Among the best in the country.  Does he say Nsaids are okay too or that have VSG is no different that a normal stomach?  Meaning yay there's a risk just like always but no worse?  My mom is a nurse and she agrees that PPI will have no affect on preventing ulcers.  Funny that all these doctors say to take them.  Not to mention Prilosec made me nausea for months after surgery.  Within 2 days of stopping it the nausea went away.  And here I thought it was my gallbladder causing the nausea. lol

I'm in dyer pain from my Fibromyalgia before surgery I took Nsaids everyday they did help.  After surgery I have been using topic creams like natural Chinese stuff (tiger balm) like icy hot stuff but it doesn't work that well.  Also for my periods (I have endometriosis) I was in commission for an entire week each period I've had since surgery.  Couldn't even function.  Just sat or laid with a heating pad.  I will be so happy if I can take Nsaids again.  I will use them more sparely than I did pre-op but just to be able to take them when it really gets bad would be a help. 

It should be the same as before. NSAIDs are hard on the stomach, that is for sure. But some people can take them fine and everything in medicine is a risk-benefit analysis. If you are dying from pain, that's a completely different analysis than if you just have a little headache and any medicine will do.

I agree that you should contact your Dr. My surgeon said no NSAIDS, ever, because it can increase my risk of ulcers and strictures.  I know every Dr. is different, so I'd get his advice for you.

Doctors differ on their opinions on Nsaids for VSG.  It seems that the doctors that have done more sleeves like over 1000 say it's okay.  But bariatric doctors that have done more RNY say it's not.  Because NSAIDS are really bad for the RNY since they cut across the stomach for that surgery at the bottom to reconnect the intestine. (not the long way like the sleeve.)

Post-surgery I needed to take some aleve, and my Doc (Aceves) cleared me to take liquid aleve (just a week after surgery).  

Yeah it was Nina his patient coordinator that I spoke to that told me Nsaids were okay for VSG.  I was going to get my surgery originally from either Dr Aceves or Alvarez before I decided to stay local.    But I know Dr Aceves and Alvarez have done many more VSG so they might be more experienced to know if Nsaids were going to cause a problem further down the line with VSG.  I believe in corresponding with Dr Alvarez directly too he said no NSAID for a few weeks while healing (not forever) but once healed it was okay.    My doctor locally says no Nsaids ever unless it's Celebrex if you badly need it.  (which doesn't work for me at all)  But when I think about it he's a good bariatric doctor but not a sleeve pro like the doctor As from Mexico and the famous sleeve doc in California.

While my surgeon's team does not advocate NSAIDs, the doctor who leads my support group has no issue with VSGers taking NSAIDS. I have had 3 occasions since VSG that have really called for NSAIDS. I felt comfortable doing so. It's not like I'm popping them everyday.

My understanding is that VSG is not an ulceragenic surgery like the RNY. The only caurtion I was really given is that ulcers like to form on scar tissue and we have a big old scar on our sleeve. Again, my MD says the biggest concern for ulcers is in RNYers in the blind stomach - which can be very problematic and a big complication - not for us with VSG.