Toradol injections

 I know these are anti ibflammatories and i know we aren't supposed to have them however my pcp claims that because this bypasses the gi tract that this will have no effect ulcer wise.  Is this true?

I don't know the answer but I have read on here that it still gets in your system and thins the lining of your stomach. It doesn't have to touch it to affect it. However my bariatric surgeon who says no NSAIDs for life gave me injections of Toradol when I was in the hospital for a severly infected gall bladder. I think it is like the asprin thing. If you're having a heart attack you aren't going to refuse an asprin because it might cause an ulcer. You have to do what makes sense at the time. I hope you get an answer!

It doesn't matter HOW it gets into your system, the mechanism of action is the same.  NSAIDS thin the protective mucosal lining in the stomach, thus making them more susceptible to ulcers.

This is why we can get ulcers in our blind stomachs even though there's no inlet for oral NSAIDS.

Your PCP needs to read up on his drugs.

 NO Toradol!
Doctors love it ..you have to be emphatic.

Untrue.  Your PCP doesn't understand how NSAIDS work.  When they enter the bloodstream, they cause the lining of the stomach to thin.  It doesn't matter how they get into the bloodstream.

 Thanks guys.  I was very emphatic that i cannot have anti inflammatories whether it be injectable or pill for but i couldn't get my point across.  Time to switch providers i guess.  I see a neurologist for migraines plus i have two herniated discs, arthritis, and degenerative disc disease as well as a pinched nerve in my sacrailiac joint and doctors here are not willing to give pain meds even if your dying here.  I guess i'll end up being referred to a pain clinic due to this or going to the next state over to get some relief.  I have a tens unit but it only works for so long before your body becomes use to it. 

Would it help to ask your surgeon to write a letter to your PCP explaining that NSAIDS of any type are contraindicated in RNY patients?

I simply state that I am allergic ever since I was hospitalized and given IV Anti-inflammatores and was too ill to question it and told them that I had an intolerance. Now I simply state "allergy" and get a red wrist band and they don't give it to me. When questioned I simply mention that 3 doses of anti-inflammatory is about standard from normal stomach to ulcer stomach. (which means I DO take the odd NSAID post-dental procedure.... but never more than one dose and never closer than a two week break between, and always know it's a huge risk)

like the others said, it doesn't matter how it gets in, it will get to your pouch and remnant stomach causing dangerous ulcers and when they are in the remnant it can be bad because they are very hard to diagnose until too late - bleeding and all.  we have had a few post ops get this injection and they all ended up with severe ulcers - I know of one that ended up with 3 of them and really bad.  I refussed several times doctors love this treatment because it tends to work pretty well.

I actually told t hem in the hospital last time I was there that I was allergic to it so they wouldnt give it to me.

as far as the pain meds - that is terrible that you cant get them but it is best to go to a pain clinic. they know how to treat it best and willl give you what you can tolerate and what will work for your condition, most PCP's aren't confortation treating this and send to pain clinics or just say no.  It is a sad situation but true.  I go to pain management and have for years - my PCP said she prescribe anything stronger than codeine and I needed stronger along time ago - I fell in a supermarket in 1988 and hurt my back and since then I have tons of arthritis, herniated discs and torn knees and shoulders.the pain clinic is great, they dont only give out meds, they also do various types of injections that work really well and for a long time.

 It may help.  I see him again on the 25th.  All he could say is not but he's a good surgeon and i know he would do whatever is in my best interest.  However due to my back problems and migraines it is going to take more than extra strength tylenol to take away the pain.   I see my neurologist on the 21st so we'll see what happens with that and hydrocodone unfortunately seems to be what works for me but nobody likes to to write for it on this end of the state due to all the pill mills so i'm lucky to have gotten atarax and baclofen for the pain.