I took 400 mg ibuprofen

Kelly,

My plastic surgeon consulted with my bariatric surgeon and I took ibuprofen for about 10 days after my plastic surgery in January. I took my omeprazole every day, the normal dose.  After 10-11 days, my stomach/pouch had an achey feeling and I stopped the ibuprofen.  

I did not have any long term affects or issues.  Just my experience.  I hope you can get your pain under control.

Kay

I am on nexium and had a right rib area strain of a muscle.  My surgeon actually told me I could take NSAIDs in moderation for the pain.  He just told me not to make a habit of it.  He did not mention for me to do anything different with my Nexium, double up or anything.