Who Knew?

Michael C.
on 9/24/09 8:42 am - Morris Plains, NJ
Who knew that aspirin was an NSAID (is that how it's spelled?)???  Apparently, my body no longer likes them and I blow up like a baloon when I take them... literally.  I spent the night a couple weeks back in the emergency room with a terrible allergic reaction.  They thought it might be peanuts, which would have ruined my whole day... but today the tests confirmed that it is highly unlikely that I am allergic to peanuts.

That being said, they are doing another set of tests to see if it WAS the aspirin.  I didn't realize aspirin was one of the no-no's.  I thought it was ibuprofin... oh well.  According to my allergist, once they confirm it was the aspirin, I should get a med-alert bracelet based on the last reaction...

They best have something more stylish than what my dad wears... I would DREAD having to wear that hideous gold chain thing around my wrist.
 
mst42
on 9/24/09 12:12 pm - Ithaca, NY
Aspirin, ibuprofen, advil, aleve, naproxen, celebrex etc. - all NSAIDS


judex
on 9/24/09 10:27 pm
 You do need to wear a medic alert bracelet for the RNY..if you were unconscious you wouldn't be able to tell them about your re-routed digestive tract and the NSAIDS which they possibly give you during a hospital stay..

jude
rich_in_nfpa
on 9/25/09 4:24 am - New Freedom, PA
From what I've read, NSAIDs are contraindicated for anyone with a reduced stomach -- RNY or band. They are all rather harsh on the stomach and the risk of ulcers is extremely high for bariatric patients. Right now I take Voltaren (diclofenac) for arthritis and lower back pain. Once I've had my surgery, I'll have to depend on Tylenol (acetaminophen) since Voltaren is an NSAID. Acetaminophen has never been very effective for me so I'm counting on losing weight to reduce the pain in my back, hips, knees and ankles.

As for the med-alert bracelet, I think they also come on a chain to wear around your neck like dogtags. I wear an HRC dogtag right now so I guess I'll just add a med-alert tag to it. No matter what, you should get one since it sounds like you almost went into anaphylactic shock. If that happens again in the future, your throat could swell so much you'd need a tracheotomy to breath. You could suffocate before EMTs could reach you. Allergies this severe MUST be taken seriously.

I'm not a doctor but I play one in my imagination.
Rich -- "One Day at a Time, One Pound at a Time"
(Start: 292.6 / surgery weight: 265.0 / current: 205.6 / goal: 175.0)
Kevin D.
on 9/28/09 5:40 am - Livonia, MI

NSAIDS are not contraindicated for all types of weight loss surgery and I believe what you have read to be misinformation.

It is well documented that RNY patients should not consume NSAIDS but for people like me who have had VSG and those that have had the LAP-Band it is not contraindicated. VSG is the premiere alternative to RNY for anyone who must rely on NSAIDS for symptom management. Hence why I had VSG and not RNY.

A few instances of "motrin made my stomach hurt after lap band" and hundreds of documented cases where NSAIDS caused severe ulceration after lap band or VSG would be cause for great alarm but that simply is not the case. My discharge orders clearly stated I could take 600mg of ibuprofen every 8 hours for pain control after surgery and that is exactly what I have did without issue.

Lapband by it's very nature is the most non-invasive surgery since it involves no cutting of the stomach. And, if there is no cutting of the stomach there is no risk for ulceration. It is simply mechanical restriction.
We live in the most brightly illuminated of dark ages. - Paul Heins

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Xavier Smith
on 9/26/09 8:44 am - CA
Michael -

I'm just fixated on your last paragraph:  "They best have somethign more stylish than what my dad wears ...."  That's funny!

Xavier
Respectfully,

Xavier Derico
Kevin D.
on 9/28/09 5:32 am - Livonia, MI
Ok, I need to add some things to the discussion because they are relevant.

Mike, it sucks that you have developed this allergy but clinically the only thing aspirin is good for these days is modifying the risk of a heart attack. The funny thing about aspirin is that if it were created today, it would not get FDA approval.

And if you do have an allergy to aspirin in my opinion you don't have to wear a medic alert bracelet informing the paramedics that you have an aspirin allergy. We do carry aspirin on the ambulance but it is only indicated in the case of chest pain. Honestly, that's the only time you'll get aspirin in a hospital setting is for chest pain. And only if your conscious since you have to chew it.
We live in the most brightly illuminated of dark ages. - Paul Heins

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Purple Passion
on 10/2/09 7:29 pm - Little Falls, NJ
Michael, if you do in fact have that severe an allergic reaction to aspirin, please be sure to talk to your Dr. about carrying an epipen with you.  Anaphylaxis is nothing to fool around with and you need to be prepared.

Rachelle
Looking for a possible revision.
257/190/150 

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