Baby Aspirin and Gastric Bypass

Catch22
on 1/18/10 12:21 pm
I am almost 3 years out from my gastric bypass and I know they said not to take aspirin but does that include baby aspirin?  I would really like to take one a day for my heart health.  Thanks!
Julz3170
on 1/18/10 12:24 pm - Saint Peters, MO
It looks like we had the same surgeon.... At our support group meeting last month, this question was asked. We can take one baby aspirin per day.
        
Catch22
on 1/18/10 12:29 pm
Great!  Thanks so much!
Brad T.
on 1/18/10 12:50 pm
In case you are wondering, I posted this in another thread today about my aspirin experience (and mine only... I am no doctor)...

"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... "
I my RNY!  It saved my life!     Get Ready for the New You!
MsBatt
on 1/19/10 6:14 am
The danger of aspirin/NSAIDs is NOT of it breaking down in the pouch. Even NSAIDs in topical creams have a SYSTEMIC effect, meaning they will affect you no matter how you get them---swallowed, injected, or rubbed on the skin.

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.)
Brad T.
on 1/19/10 6:30 am
Oh yeah, very good point MsBatt.  You are exactly right.  I don't know all the technical stuff, just tried to put it how my doc did for me :)  But yes, I was very skeptical taking them myself, even in the hospital refusing to take until my surgeon said it was okay.  But yes, you DO need an antacid of some form!  I take 2 a day.
I my RNY!  It saved my life!     Get Ready for the New You!
hercules411
on 1/18/10 12:55 pm, edited 1/18/10 12:55 pm
My doc allows me one low dose 81 mg? of aspirin each day. But  he is also making me take Pepcid AC. I don't know if it counteracts the asprin's acidic effects or not?  I agree... ask your surgeon.
Max wt. 500+  WLS workshop  4/6/09 440 Surgery  9/21/09  324   9/21/10  218
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Bjhuff
on 5/27/14 11:24 am, edited 5/27/14 11:45 am

My Doctor told me I can take a baby eccentric coated Aspirin.

Another Fatone
on 10/2/14 8:34 pm - inglis, FL
RNY on 08/28/13

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

Lolabug
on 10/2/14 10:50 pm - Canada
RNY on 07/23/13

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.

    

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