my surgeon said no NSAIDS

I and my insurance company have paid tens of thousands of dollars to a surgeon and who is a pioneer in bariatric surgeries, has a center of excellence surgical and support center with dieticians, excersize physiologists and behaviorists on staff.  They recommend that I not take NSAIDS.  I will not be taking NSAIDS.  But that's just me.

 Lol, well put.

my surgeon sounds a lot like yours...even though most of what I've researched says NSAIDs are ok for VSG patients, my surgeon says no...I think that Tylenol is OK, though, isn't it?  Thank goodness I rarely have to take pain medications ::knock on wood::

Was going to have RnY surgery but surgeon advised against it becuase I take nsaids for my arthritis, and recommended the VSG instead.  I'm 6 mos. post op and have been taking them since I got home from the hospital.  However don't go against your surgeon's advice.

I also was told "NO NSAIDs due to an increased risk of ulsers and instant acting drugs only, no long acting time relese meds.

My surgeon's guide says that if you need to take NSAIDs take it with a PPI

Anyone can get stomach ulcer from NSAIDs, not just WLS patients.  They thin the lining of the stomach, allowing stomach acid to more easily eat thru.  It happens systemically, not because the pill comes in contact with the stomach, so any delivery method, including patches, COULD create a problem.  According to my PCP, taking a PPI helps because it reduces the acid.

The problem with RNY patients is that the ulcer could form in the remnant stomach, which is not available for diagnosis via scope.

I take them periodically, primarily for joint pain flares, but quit as soon as I can.  For me, I feel like it's probably a good idea to avoid them as much as possible.  For headache and muscle pain I take Tylenol.

Technically, aspirin IS an NSAID...a nonsteroidal anti-inflammatory drug.

Here is a list of NSAIDs from medicinenet.com:

What NSAIDS are approved in the United States?

The complete list of approved NSAIDs is very long. The following list contains only NSAIDs that are commonly used:

• aspirin
• celecoxib (Celebrex)
• diclofenac (Voltaren)
• diflunisal (Dolobid)
• etodolac (Lodine)
• ibuprofen (Motrin)
• indomethacin (Indocin)
• ketoprofen (Orudis)
• ketorolac (Toradol)
• nabumetone (Relafen)
• naproxen (Aleve, Naprosyn)
• oxaprozin (Daypro)
• piroxicam (Feldene)
• salsalate (Amigesic)
• sulindac (Clinoril)
• tolmetin (Tolectin)

Reference: FDA Prescribing Information

you need a PPI to help protect your stomach and take coated versions of your medications if available.  I'm assuming that you take the NSAIDS for some medical condition.  if it's just for pain or aspirin for heart ... would consider not taking those, at least no regularly.

The bariatric coordinator for the hospital and I (and the leader of our support groups) actually had a long phone conversation about this last week because I'm having such inflammation in my back and legs from this disc issue.

Here's the thing... you are at increased risk for ulcers simply because your stomach is smaller and you've changed the acid levels and things over time. So, yeah, don't make Ibuprofen your first line of defense.

HOWEVER, as long as you take a PPI and don't take it regularly, there's no real reason you cannot take an NSAID if it's something you truly need.

Just be smart about it.

So yeah... my doctor says absolutely not. I don't... except the rare blue moon when I really need to. I've not resorted to ibuprofen yet - they have me on hydrocodone/tylenol mixtures for now. BUT if the swelling gets really bad again, I'd pop one for a day or so to help.

Just be smart about it. LOL. Had to say that twice.

My opinion only.. I'm not a doctor and I don't always listen to mine (which probably makes him crazy LOL)