Calling the RNY experts!

Yes, it's a bad thing.

However, your alternatives are not appealing, either.  NSAIDs postop are one of those things we have to evaluate the risks versus benefits.  With this -- take the freaking aspirin.

There are ways to mitigate your damage.  Call your OB and make sure you can take prilosec and carafate with the pregnancy.  I know I took an acid reducer when I was pregnant with Daniel, but I don't remember which one.  Explain the need to reduce the amount of acid in the remnant stomach since aspirin will, in fact, reduce the mucosal lining in the remnant despite the fact that the aspirin does not even touch the area.  Carafate will coat the pouch and anastomasis and help protect your system from the direct contact of the aspirin.


But -- and I'm saying this as someone who has had ulcers even without taking oral NSAIDs and know how nasty they can be -- take the damned aspirin.  That baby is worth it.

I've said it before, and I'll say it again: pregnancy breaks every RNY rule.  

 The rny surgeon has to work on this with the obstetrician.

There are plenty of rny patients who need to take aspirin therapy post-op.  It's not catastrophic!  But it does need to be worked out with the surgeon.  I take a baby aspirin every other day because of lupus -- this is not a big deal.

But all the right people have to remain aware, that's all!

Congratulations on your wonderful baby!!!

I recently found out that I have blockages in both my coronary and corotid arteries.  Thus they wanted to put me on aspirin therapy which I refused because of the risk of ulcer - higher for me because I have had several ulcers preop and couldn't take them even before I had the surgery because of my history.  So, my cardiologist opted to put me on Zocor and Plavix - plavix is similar to a blood thinner  - supposed to do the same thing and can put me at risk for ulcers but lower risk.  I take Protonix to protect my pouch - it is the strongest of the PPI's - something you should ask for if you are going to take the aspirin.  Also ask about carafate.

Good luck