NSAIDS

The warnings on NSAIDS are for everyone, not just those who have RNY.
Many people with no stomach-altering surgery find that NSAIDS cause stomach bleeding or ulcers without warning. The problem is that it thins the lining of the stomach, whatever shape that stomach may be, and can and does cause ulcers for many people.
There are also those who take NSAIDS after RNY with success, and do not have ulcers. Some of these people use them sparingly, and some use them regularly.
I think it may be an individual thing, and anyone should use NSAIDS with caution.
Proton pump inhibitors give some protection to the stomach lining when taken with NSAIDS.

Hi There...

Just curious..what are proton pump inhibitors?  I have RA and Fibro and recently my rheumatologist put me on celebrex (200mg twice a day), methotrexate (5 pills per week 2.5mg) and 1 prednisone daily (smallest dosage, i think 5mg) and tramadol.  I checked with my WLS surgeon to know which ones he would approve me to take prior to picking up the prescriptions.  He approved my taking everything EXCEPT the tramadol.   I was kind of surprised because of the celebrex being NSAID.  But surgeon said it was ok for me to take.  I guess it varies from doc to doc but I don't want to do anything to irritate my pouch.  That's why I'm curious about the proton pump inhibitor.

Thanks for any comment.

Nexium, Prolosec, Protonix Acidphex,  are some of the names of proton pump inhib itors. They reduce acid, which is what really eats the stomach lining to cause an ulcer, H. Pylori aside.
With the thinning of the lining added to stomach acid, it's a recipe for ulcers.

hi i have alot of problems with ra,fibro and had knee surgery cause i had torn my millinios and tangled my knee which they corrected in surgery.I had surgery the end of june. I contacted the barartic doctor that I will see the end of the week. it has been 10 years since my rny. i had a few drugs after surgery only to get a inflamation o the pouch and ulcer on the lining.i'm a mess the current med is not from the surgeon but the brartic doctor which is also celebrex 200 mg 2 x a day it is beginning to hurt now what is the proton pump. i'm on carafate 4 x a day. the swelling goes down and the pouch is a problem any advice

Sally, it's true that NSAIDs have the potential to cause problems in anyone---but with the RNY, there's the added problem of that huge blind pouch that can't be 'scoped. That's the biggest reason the so many surgeons preach "no NSAIDs" to their RNY patients.

I use Voltaren ( generic is Diclophenac) suppositories for my arthritis pains...and have to use Pantoloc ( protein pump inhibitor) orally, even though my NSAID is going in at the" other end" (to try and protect Pouchie from direct contact with the NSAID).

The Pantoloc helps to protect from gastric distress as NSAIDS are systemic, carried through blood circulation, so I am at risk of spontaneous bleeding and ulcers from prolongued use...Taking Pantoloc orally helps mitigate some of these risks to my Pouchie and my Blind Stomach and intestines....but NSAIDS are still a risk, so I try not to take them for more than 3 weeks at a time and then try to wean myself off, and tough it out for a few weeks before restarting.   I also use Voltaren gel topically as it is available OTC without prescription....but don't take Pantoloc with the gel as the amount of Voltaren absorbed  is minimal...