Likely have pinched nerve surgeon says no steroids??

mzlaura
on 6/4/13 9:48 pm - Litchfield, NH
RNY on 03/05/13
But I am told this will likely, help with the severe pain I am in along with small doses of nsaids. Surgeon said NO when I told her I filled the high dose of prednisone I was given. She told me I have a high risk of.ulcers because of my gastritis and they can cause bleeding but my pcp prescribed them and told me it was ok with this surgery. I have a MRI thursday but the pain, is so severe right now I am pretty much immobile. Depending on how bad the pinched nerve is and what kind of disc problem I am dealing with I am looking at another potential surgery which I am trying to avoid. I don't know what else to do... Take the chance with the prednisone or no???

HW: 401  SW: 297  CW: 200.8
RNY gastric bypass surgery on March 5th, 2013

  

big42long
on 6/4/13 10:03 pm - OH
If I were you I would follow the advice of the dr who specializes in bariatric patients! They tend to understand more when it comes to the way our bodies handle things now
        
Joyceebaby
on 6/4/13 10:46 pm
RNY on 11/29/12

Most practitioners are not well educated on bariatric surgery.  Predisone is a big "no-no" for RNY patients.  Like your surgeon said, you are putting yourself at high risk for an ulcer (and possibly a bleeding ulcer, which can be life threatening).   Please do not take the chance with the prednisone.

I would advise you to call your practitioner and tell her what your surgeon said.  I would also ask your surgeon if a steroid injection might be an option.  If she's OK with that, ask your PCP to give you an injection rather than oral steroids (quite frankly, with the pain you are in, I'm surprised she didn't do that in the first place).

Hope you feel better soon.  

      

poet_kelly
on 6/4/13 10:49 pm - OH

Why is predizone  NO NO  for bariatric patients?  I was told by two surgeons that steroids were fine.  The ASMBS recommends not taking NSAIDS but they don't say anything about avoiding steroids.  There is a different between steroids and non-steroidal anti-inflammatory drugs.

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.

 

chulbert
on 6/5/13 12:10 am - Rochester, NY
RNY on 01/21/13

I thought prednisone was generally fine.  My primary, who is well-versed in gastric bypass patient care, said it was fine and I was not provided with information from my surgeon that stated steroids were prohibited.

Can you provide a citation?

Katie K.
on 6/5/13 3:03 am - Maitland, FL
RNY on 06/25/13

Isn't prednisone a steroid? Those should be fine.

poet_kelly
on 6/4/13 10:48 pm - OH

I was told by two different bariatric surgeons that steroids were OK, it's NSAIDS that can cause ulcers.  If you are in that much pain, I would at least seek a second opinion.  Personally, I think I try steroids before undergoing another surgery.  I'm guessing the possible risk of complications due to taking steroids is less than the risk of complications from surgery.  But that wouuld be something to discuss with your doctors.  What does your surgeon suggest you do instead of taking the steroids, just undergo major surgery which entails the risks of infection, blood clots, and death?

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.

 

Mary Catherine
on 6/4/13 11:49 pm
I always take prednidone for things that I took Nsaids for before surgery. Your surgeon might have misunderstood what you were prescribed or she may have just made a mistake. Predisone does not cause bleeding or ulcers.
Citizen Kim
on 6/5/13 12:04 am - Castle Rock, CO

Prednisone is commonly used for RNY'ers - maybe it was the "small doses of NSAIDS" she was saying "no" to?

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

H.A.L.A B.
on 6/5/13 2:03 am
Probably the combination. But prednisone also increases chances of ulcers. That will depend on dose and length of treatment.

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

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