NSAIDS - even once?
WLS 10/28/2002 Revision 7/23/2010
High Weight (2002) 240 Revision Weight (2010) 220 Current Weight 115.
NSAIDS can cause ulcers because they cause the lining of the stomach (the old stomach and the pouch) to thin out. This does NOT happen when the medication enters the pouch or touches the pouch. It happens when the medicine enters your blood stream. That’s why you can get ulcers in your old stomach. NSAIDS taken by mouth don’t touch the old stomach but can still cause ulcers there. Any way you take an NSAID – pill, liquid, shot, IV, patch, gel – it gets into your blood stream.
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Just to repeat what Kelly has already repeated - NSAIDS don't cause ulcers through contact with the stomach lining. I have uterine fibroids, and for years used Ibuprofen through every menstrual cycle for bad cramps, on the advice of a doctor, who told me - correctly, at least in my case - that with such severe cramping it was better to get the anti-inflammatory action started before the pain really picked up, and that way it would take less meds in the long run to manage it than letting things get bad and then trying to take enough to get back to normal. So I had been taking Ibu for years, literally, with good results.
When I asked my surgeon pre-op how big a deal the 'No NSAIDs" thing was, she looked pretty concerned even by the question, and she isn't a dogmatic type. I was nervous about giving up proven pain relief, and asked her about the patches, and she told me the same thing. How it's administered is not that issue. It's the action of the NSAIDS after they've entered the blood stream that leads to ulcers, not the process of being absorbed. That's why they can cause ulcers in the stomach remnant, an area where they cannot even come in contact with the stomach. A side-effect of those medications is that, once entering the blood stream, they cause the stomach lining to thin itself out. In some significant number of people that thinning can be severe enough to allow the natural stomach acids to reach the exposed stomach wall and start "digesting" it the same way the acid digests a piece of beef.
Voila.
Ulcer.
And there you have it. Another lengthy post to state, in essence, "Yeah, I agree with what Kelly said."
on 9/25/11 8:51 am - NJ
My back injury occured as the result of a very minor fender-bender just before I got pregnant. Percocet worked for the pain, but I very quickly knew that I could become dependent on it. I stopped taking it and now use T3s regularly, but as I said, they have lost their power on me. Tramodol works on my back but gives me a headache. Someone suggested Tramocet, so I may look into it. I also need to look at some alternative therapies like chiropactic care. Now that my infant is here and I am on Mat Leave, I have the time. I guess I should also exercise and improve my core's condition (urgh, I hate exercise).
Thanks again everyone. This Board rocks!
Jenn
Baby Boy Julian Frederick
Born August 11, 2011