Baby Aspirin and Gastric Bypass
"I had some heart issues following my RNY and have been on aspirin ever since. First I was also taking the 81mg chewable aspirin, which I later found out was a no-no. They put me on 81mg enteric coated aspirin. Just check for this kind. Apparently the coating keeps it from breaking down in your pouch and travels thru the intestines before it is broken down.
I too was concerned, but they ensured me it was okay taking the enteric coated and an antacid. I take an actual pill (not like tums or rolaids) antacid twice a day, and apparently that is also supposed to help with taking aspirin. I've been on over 5 weeks now and feel fine, no complications. Just ask about what I said above and you should be fine... "
NSAIDs cause a thinning of the mucosal lining of the stomach. This *can* lead to the stomach's own acid causing ulceration. Should this ulceration occur in the pouch---not THAT bad a thing. But---what about that big ol' remnant stomach? Get an ulcer there, can't be 'scoped. Surgery-time.
SO---if you take aspirin/NSAIDs IN ANY FORM, please please please take an acid blocker as well.
(Kalojado, I know you say YOU'RE taking an antacid---I just wanted to make this point for others who might read your post and think the enteric coating is going to make everything fine.)
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I have heart stents and afib. I am on 81mg aspirin for the stents and Xarelto for the afib. I am also on Protonix and Carafate for life because a bleeding ulcer could be fatal according to my bariatric Dr.
5' 11" 73 year old Male
Started 314 Now 200
Beware the Statistics Quoters
Here is my experience. After my surgery, my surgeon told me it was okay to keep taking my baby aspirin once a day. So I did. Up to the point when I woke up with extreme pain one day. One emergency room trip later followed by emergency surgery and my perforated ulcer was fixed. Talked to that surgeon. He is one of the foremost in Ontario. According to him, there are 2 ways that an RNY patient usually develops ulcers. One is by smoking. Two is by NSAIDS. No more aspirin for me. Not worth going through that again. Time from surgery to surgery was 8 months.
Take away: while your surgeon may say it's ok (mine certainly did), you have a very real risk of developing an ulcer.