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Superfreaky
on 11/4/10 10:11 am
Topic: RE: Do Steriods increase the risk of ulcers and strictures for RNY patients?
 I did hear the rheumatologist say that he recommends doubling the dosage of steriods the week of the surgery.  I do not take Nsaids, they are pretty useless for my RA and do little to help with the pain.   I will discuss my dosage of steriods with my surgeon prior to surgery.  Thanks for the great answer and thanks to all who have taken the time to answer. 
detj
on 11/4/10 7:19 am - Silver Spring, MD
Topic: RE: Do Steriods increase the risk of ulcers and strictures for RNY patients?
Suprefreaky:

A small dose of steroids daily will not increase your risk of ulcers unless you are also taking NSAIDs with the steroids. 

However, the steroids does increase the risk of poor wound healing and infection... no way to get around that. 

If you have been taking these daily for any significant length of time, you must continue them as you most likely have adrenal insufficiency (where your adrenal gland cannot normally make steroids any more).  In fact, it is very important that you let your surgeon and anesthesiologist know as you will need extra doses of the steroids around the time of surgery because our adrenal gland normally churns out more steroids for our body during times of stress such as during surgery and your complication rate would actually be less.

Good luck
Don
            
happydsr
on 11/2/10 12:25 pm
janice A.
on 11/1/10 10:21 pm - san angelo, TX
Topic: weather is killing me :(
Hi, I have OS in the hips and Siatica. With this weather cooling down i am in so much pain. What do u do to help relive some of this pain wiethout adding more medication? I cant even gauge the meds because of this weather. Doc lowered my dose of Lyrica and man my muscles hurt so much. He has me on 60mgs of Cymbalta , 25mgs of lyrica, i take muscle relaxers at night and pain meds in the day. I am always tired so loosing weight its a joke. My gastro doc wants me to have  a revision to help me but i am afraid.
Nyone with advice ? pls help oh also i hve a muscle stimulator i use frequently for my back and leg muscles.

thanks in advance

Janice
 

  long term


SW 303/ lapband/ 244 /335 pre-op/ revision 4/11

    
chatwithme
on 11/1/10 1:49 am
Topic: RE: Do Steriods increase the risk of ulcers and strictures for RNY patients?
Hi Super,
Not sure if you are having the surgery or about to and I am not a physician, but I do know that after the surgery, NSAID are not to be taken anymore because it cause stomach issues. your pouch is reduced that you can irritate it easily with those types of medicines. Nor are you to take asprin, drink sodas anymore. Sodas stretch your pouch back to size of a regular stomach or more and asprin causes bleeding. Hope this helps. Tara (chatwithme)
hi everyone i am new to this site. i am angry about my weightloss. i have been constant 325 for 6 months. what am i doing wrong? i even bought diet pills to help.
Superfreaky
on 10/31/10 12:20 pm
Topic: Do Steriods increase the risk of ulcers and strictures for RNY patients?
 I have been researching this question and not finding any hard evidence that the steriods are the problem.  Seems that the NSAIDS are the problematic drug.  I use a small dose of steriods daily.  Will this be a hindrance to getting RNY?
3redgoldens
on 10/29/10 10:58 pm
Topic: RE: R.A. after RNY
 I'm having the sleeve done so I can continue NSAIDS if I need them after surgery.  I have taken methotrexate for years with no issues.  I also use Enbrel, 2 injections a week.  I have been doing great.  Labs are important.  If there are any issues the labs will catch them.
Jessica M.
on 10/27/10 6:32 pm - San Antonio, TX
Topic: RE: arthritis and artificial sweeteners....
Three and a half years ago I got off of all artificial sweeteners and noticed a huge difference in my RA. I firmly believe that anything artificial is bad for you. I will not be having any after my gastric sleeve, I will be using watered down real sugar things.
Jessica M.
on 10/27/10 6:25 pm - San Antonio, TX
Topic: RE: delete
I was told the same thing by my doc. He suggested the gastric sleeve so that is what I am going to be doing. I am on remicade every eight weeks. Jess
Jessica M.
on 10/27/10 6:17 pm - San Antonio, TX
Topic: RE: R.A. after RNY
I actually have RA and am going to be having WLS to combat my symptoms. I take Remicade every eight weeks with no methotrexate and do pretty good. I stopped using all artificial sweeteners and feel that this has helped me. Let me know how you are doing. Jessica
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