Pneumonia and Prednisone after surgery. Anyone on it?

Marny B.
on 11/13/11 12:33 am - Canada
So...I have pneumonia.  I'm taking a strong antibiotic and multitudes of inhalers, but the DR. at the clinic I went to is saying that prednisone is the only thing that will get my lungs under control and help me to breathe again.  I told him about having had WLS and his attitude was very much "well if your lungs don;t work and you can't breathe, what good will protecting your pouch do?  He wants me on it for 3 days to start while the antibiotics are doing their job, but at 50mg which the pharmasist said is a really high dose.

Has anyone had experience with prednisone after WLS?  I am going to call the clinic tomorrow to see what they think, but I'm just curious if anyone else had taken it post-op as it is (reportedly), very hard on the tummy.

Referral Sent:  March 19, 2010
Surgery date with Dr. Denis Hong: December 9, 2010

    
    
          
                                                        

Gabygee
on 11/13/11 1:30 am - Canada

I have no direct experience with prednisone after WLS, so take this as third-person information.

This was the most credible information I could find on side-effects, and it's not terrible. It's not great either, but
http://www.nlm.nih.gov/medlineplus/druginfo/meds/a601102.htm l

Having had pneumonia (five times) in the last twenty years, I can tell you that you do not mess with it.
Had to be hospitalized in each case - once in ICU, and in serious danger.

Prednisone has risks, yes. But pneumonia can kill you easily.
And your system is already somewhat immunocompromised.

You're definitely right to contact the clinic - but NOT going on the prednisone may endanger your health quite seriously.

One last thing - I started getting the penumo****us shot (I've had it twice now) and it was totally worth it - I haven't had pneumonia since then.

        
Marny B.
on 11/13/11 3:36 am - Canada
Thanks for the info.  Those info sheets are scary :}  Lots of side effects.  I know I will probably need to take it, but just want to confirm with my clinic before I do. 

This is the second year in a row now that this has taken me down. Sheesh.  I will look into the penumoccus shot because if this is going to be an annual thing for me now, then I will take every precaution to prevent it.  It wipes out all of my sick days in one shot. 

Saturday,  I though maybe if I just got up and got moving around, maybe I would feel better- you know after lying around for a while how you feel out of energy and just plain blue.  Anyhow, I ran to the store with my hubby to pick up a birthday present, and just the effort of walking around the store for 10 minutes had me sweating and wheezing, and coughing.  Honestly, I could have snuggled up in the corner.  In the end I had to jump ship and headed out to the car to recline my seat and rest until my hubby had paid. 

Referral Sent:  March 19, 2010
Surgery date with Dr. Denis Hong: December 9, 2010

    
    
          
                                                        

northernlight
on 11/13/11 1:43 am - Canada
VSG on 05/11/12
Hi Marny - I'm so sorry to hear that you have pneumonia - that is really rough! I have COPD & it seems like every time I catch a cold, it turns into a really bad bronchial infection because of the COPD. The doctors have told me the same thing as yours did - the Prednisone is the only thing that will clear up the infection.  Now, I haven't had my surgery yet, so I'm sorry that I can't answer your question, but I will be very interested in hearing what your clinic says about it as I know that I will be facing the same situation once I have WLS.  I can tell you that the Prednisone does seem to work very well at clearing up your lungs. Good luck Marny & I hope that you start feeling better soon!

Deb
      
on_my_way2011
on 11/13/11 1:53 am - Canada
I am curious to know the answer too.  I take predisone usually once a year or so.  When I get pneumonia (have it every couple of years) or a bad lung infection (get them a lot too), it is the only thing that works for me.  I know I will need to take them if I have an infection in the future, so I hope they aren't harmful to the new pouch. 

Tracy

Highest weight ~ 360, Surgery weight ~ 280, Current weight ~ 171
Referral to bariatric registry ~ April 29, 2011  SURGERY ~ September 27, 2011
My  is Gailupnorth.
          

sam1am
on 11/13/11 2:11 am
 I'm guessing that Prednisone is a nsaid?  Would taking  a ppi such as nexium counteract any danger over a short term?

 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      
   

                               

Karen M.
on 11/13/11 3:42 am - Mississauga, Canada
I think it's a steriod, not an NSAID.

 

Karen

Ontario Recipes Forum - http://www.obesityhelp.com/group/ontario_recipes/

Marny B.
on 11/13/11 3:51 am - Canada
Yes, you're right.  It is a steroid and not an NSAID.  I just remembered that when they cancelled my surgery last year, it was because I was on Prednisone and had to be off it for 6-8 weeks before surgery because it does something to your stomach lining. 

Referral Sent:  March 19, 2010
Surgery date with Dr. Denis Hong: December 9, 2010

    
    
          
                                                        

KristieA
on 11/13/11 3:12 am - Orillia, Canada
50mg is fairly standard for pneumonia and is really going to help your breathing in a matter of days. Make sure you are drinking lots of fluids. The antibiotics could be a bit trickier as some of the newer ones are once a day time release. I have been on Avelox for four days now for a sinus infection and no sign of the infection letting up. I am going to have go back to the doctor and see what other options are available. My experience with medications post op are that when possible lower doses more frequently works better, but everyone is different.

Hope you feel better soon.

Kristie

 

                 "Don't trade what you want the most,
                    for what you want at the moment."
                          

 

PatXYZ
on 11/13/11 4:40 am
Hi Marny,

With respect, there is absolutely no need for you to contact your clinic about this. The doctor is right, this is more important than your concerns about your pouch. It's not an NSAID and the risk of it causing ulcers is very low, especially if you take a PPI with it. I'd get on it right away, and then have your clinic document it in your chart so they have the info, but what other option is there? The clinic isn't going to say no to a treatment for a serious illness, you don't really have another choice of an effective drug, so what exactly are you looking for the clinic to say? Just to give you permission? You should start taking it right away, with a PPI.
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