Coffee/Tea Question

sam1am
on 10/27/11 3:26 am
I was allowed caffeine as tolerated.  I started mixing decaf and regular to wean my self off then gradually went to complete decaf.  I went back in the other direction after surgery but stuck at about 1/3 reg, 2/3 decaf because I like it that way.  I don't hesitate to have a regular coffee if I'm out and about.

 Sandy                                           
                
"The best way to cheer yourself up is to try to cheer somebody  else up"                     
                          
      Mark Twain                                                       LW-Apple-Gold-Small.jpg image by PlicketyCatAnimation One      
   

                               

Lorraine M.
on 10/27/11 4:36 am - Canada
I am with you on this one Ann.
 
If it is something that you can cut out and there is conflicting information on it then why take the chance?

Judy, like your new avatar photo. 

       

                
PatXYZ
on 10/27/11 4:52 am
But it's not conflicting information, all the scientific studies say the same thing - caffeine doesn't cause ulcers. What we are seeing are different opinions from different centres that may or may not be based on EVIDENCE. I would want to see medical justification from any centre that bans caffeine, but you won't find that, because it doesn't exist.

Do you really think the centres that allow it are risking their patient's health?
SportySpice
on 10/28/11 12:35 am
On October 27, 2011 at 11:52 AM Pacific Time, PatXYZ wrote:
But it's not conflicting information, all the scientific studies say the same thing - caffeine doesn't cause ulcers. What we are seeing are different opinions from different centres that may or may not be based on EVIDENCE. I would want to see medical justification from any centre that bans caffeine, but you won't find that, because it doesn't exist.

Do you really think the centres that allow it are risking their patient's health?
Hi,
I'm new to the site; but 1.5yrs post op
I'm curious to know more about the evidence you are refering to that say that caffeine is not harmful from a GI perspective?
Even pre-op I was advised that caffeine may contribute to the GERD. 

When time permits could you share the references you've consutled?  

Thanks! 

 
PatXYZ
on 10/28/11 1:14 am
RNY is considered a surgical fix for GERD. If the GERD symptoms are still present the proper way to treat it would be with PPIs. There is still no evidence however that avoiding caffeine will help GERD symptoms.

GERD and caffeine;
http://archinte.ama-assn.org/cgi/content/abstract/166/9/965
http://www.nutrilearning.com.ar/docs/articulos/interes/gastr o/mod2_role_diet_lifestyle_reflux.pdf

Re: caffeine and ulcers,
http://www.jstor.org/pss/3702584
This is the most recent study I can find because after the discovery of H. pylori people stopped researching it.

http://www.umm.edu/digest/ulcers.htm
This is the website for the University of Maryland Medical Centres that discusses the causes of ulcers.

Let me know if you have any questions.


SportySpice
on 10/28/11 1:21 am, edited 10/28/11 1:21 am
Okay, thanks.
I find it odd that many ENT's, GP's and Upper GI's often recommend reducing caffeine for Gerd.
And I find it odd that common protocol from my surgeon was antacid meds for at least min 30 days post op.  Maybe as the rny stomach is healing the gastric 'stuff' is different.

Thanks again,
PatXYZ
on 10/28/11 1:26 am
I'm willing to bet they all went to med school more than 10 years ago and simply aren't up to date on the newest research. That's exactly what these studies are saying, that docs are making recommendations that are not in accordance with the evidence. This is why life-long learning is important for healthcare professionsals.
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