PPI/antacids
I had horrible reflux before my surgery and had to take a PPI or couldn't even ge****er down. Most of it was due to my extremely large hiatal hernia that was repaired during VSG, which is quite normal to do. I am six months out and just had my follow-up appointment. They told me to stop taking them daily and just when I needed them. Of course I was terrified to stop because I still remember the pain if I didn't take them. I'm 5 days now without them and feel great!!! Even ate something spicy yesterday and was ready to take Tums or something. Nothing happened and felt fine.
HW-280; SW-235; GW-155; Age-57; Height-5'8"
Stats from SW - M1 -26; M2 -11; M3 -10; M4 -10; M5 -6; M6 -10; M7 - 5;
I took them for 3 months following surgery. I have low functioning kidneys and was concerned about kidney damage. That being said, my function has improved after vsg and my diabetes has completely reversed. I'm so glad I had this surgery.
5'2.5" Surgery date/ 12-02-15 Dr.Valentine Boise ID
Highest:289 SW/212 CW 122
Goal/125-130
Goal reached at 10 months
I took pepcid of many years and during my pre-op visit, it was suggested i try protonix because they were finding less post op nausea with people on it before surgery. Of course i said sure let's try it. I had labs the day before surgery and my ALT was up a bit at 60 but no one mentioned it assuming fatty liver. I saw my family doctor 1 month post op because my BP was running pretty low and she decided to get labs and my ALT was 660 which bought me a day in the ER to get evaluated. Fortunately they didn't find a clot or hepatitis as suspected. Over the next 2 months, I had every test known to man and was a week away from starting high dose steroids for treatment of autoimmune hepatitis. We saw a 200 point drop so i asked to give it one more week before steroids and thankfully my ALT dropped to 208...currently it is normal. During that 2 months, i stopped everything except micardis for BP and pepcid.
I really feel like it was protonix (and possible compazine) in combination with a rapid weight loss (i lost 50 pounds in 2 months) and a mild fatty live.
I am now adamantly opposed to people in our situations taking PPIs and recommend tagamet/pepcid. We don't have the best livers and it is well supported in the literature that PPIs are not good for the liver. Also my surgeon doesn't get labs until 1 year post op...this might happen to patients all the time and they don't even know! I'm also a nurse so i urge you to stay away from them. I've also found that carafate works great or drinking tea with milk.