NSAIDS GEL

MickeyDee
on 4/29/14 6:52 pm

I made an error in a recent post regarding an NSAIDS gel that my PCP had recommended for my bad knee.  I had said it was "Lovenox" but it is really "Voltaren".  It is applied topically, to the site of the pain (in my case my knee) so it bypasses the RNY pouch and thus avoids the problem if ulcers at a surgical site.  I recommend it!  Expensive, but works!

 

Sorry for the earlier error.

poet_kelly
on 4/29/14 7:43 pm - OH

Bypassing the pouch doesn't prevent the problem of ulcers.  NSAIDS don't cause ulcers when they come in contact with the pouch.  When they enter the bloodstream, it causes the lining of the pouch, and remnant stomach, to thin.  That's why you can get ulcers if you take NSAIDS by injection or IV.

View more of my photos at ObesityHelp.com          Kelly

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.

 

Kate -True Brit
on 4/29/14 7:52 pm, edited 4/29/14 8:42 pm - UK

I have always understood that the problem with NSAIDs is absorption via the blood stream and that the risk arises from any use, ingested or topical. Certainly if you are making sure you take a safe dose, ou cannot use gels etc at the same time as tablets as they both count towards the overall intake.

I also understand that bypassed people are at the same risk of ulcers as the general population but that they are much harder to treat and so more serious after RNY. 

But I am not a doctor! And I am not bypassed!

Highest 290, Banded - 248   Lowest 139 (too thin!). Comfort zone 155-165.

Happily banded since May 2006.  Regain of 28lbs 2013-14.  ALL GONE!

But some has returned! Up to 175, argh! Off we go again,

   

kellybelly333
on 4/30/14 12:05 am - Toronto, Canada

Voltaren should still not be used. Topical still goes into the bloodstream, which is why it helps and can cause ulcers. 

Surgery March 23/2011. Completed three full marathons and two half marathons, two half Ironman distances. Completed my first Full Ironman distance (4 km swim, 180 km bike, 42.2 km (full marathon) run) in Muskoka August 30/2015. Next Ironman Lake Placid July 23/2017!

Citizen Kim
on 4/30/14 12:35 am - Castle Rock, CO

Thanks for this info - NSAID use is between an individual and their doctor.

Many RNY'ers take NSAIDS on an as needed basis (I am not one of them as I have no need, but if this situation changed, I would certainly consider using this!)

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

Kate -True Brit
on 4/30/14 12:49 am - UK

Yes, looking at what I wrote, I didn't make that clear. As Kim says, some people need NSAIDs after bypass surgery with their doctor's agreement. I just meant that it should not be assumed that because a gel is not swallowed, it has any less effect on things like stomach lining. I wasn't saying don't use it if that is what your doctor told you to use! 

Highest 290, Banded - 248   Lowest 139 (too thin!). Comfort zone 155-165.

Happily banded since May 2006.  Regain of 28lbs 2013-14.  ALL GONE!

But some has returned! Up to 175, argh! Off we go again,

   

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