12 years out. NSAIDs still forbidden?

Lynn415
on 1/15/20 3:47 pm - Chantilly, VA

12 years from RNY surgery. No complications. Do I still have to avoid NSAIDs?

Surgery 4/15/09 - 294 lb.
At goal   2/15/10 - 160 lb.
Currently:  ... and for the rest of my life:  Figuring out maintenance.
Grim_Traveller
on 1/15/20 4:27 pm
RNY on 08/21/12

Yes. For life.

6'3" tall, male. Maintaining a loss of 280 pounds.

Highest weight was 475. Consult weight 04/12 was 411. RNY on 08/21/12 at 359 lbs. Current weight 195.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

White Dove
on 1/15/20 4:49 pm

If you get ulcers in your old bypassed stomach there is no easy way to treat them.

Real life begins where your comfort zone ends

Dee_Caprini
on 1/15/20 7:17 pm

As Squints from 'The Sandlot' would say, "For-evvvvv-vvveeerrr"

We as Rny patients dont have the ability to breakdown NSAIDS thus, would result in potentially causing ulcers. There are a few articles that are really informative on here by a few surgeons. I can look for them

'

hollykim
on 1/16/20 2:54 pm - Nashville, TN
Revision on 03/18/15 with
On January 16, 2020 at 3:17 AM Pacific Time, Dee_Caprini wrote:

As Squints from 'The Sandlot' would say, "For-evvvvv-vvveeerrr"

We as Rny patients dont have the ability to breakdown NSAIDS thus, would result in potentially causing ulcers. There are a few articles that are really informative on here by a few surgeons. I can look for them

'

actually 0ppl with run DO have the anility to break down NSAIDS and that's the problem. They are broken down, absorbed and highly likely to cause ulcers.

 


          

 

rocky513
on 1/16/20 3:15 pm, edited 1/16/20 7:15 am - WI

Actually WLS patients DO break down NSAIDS.

From your article:

"Most NSAIDs target an enzyme called Cyclooxygenase (COX which is a prostaglandin synthase).

This enzyme converts chemicals, in their active form, are responsible for inducing inflammation, fever, and pain. This commonly occurs after surgical procedures, trauma, and infections. Therefore, by blocking this active enzyme, all three processes are targeted with one drug.

One form of COX enzyme is predominantly present in the stomach, and it plays a crucial and beneficial role in maintaining the integrity of the stomach mucosal lining. This is essential in preventing infections and ulcers of the stomach. Many NSAID agents are non-specific; thus, inhibiting all COX enzymes. If used for prolonged periods of time, it will lead to stomach lining ulceration and potential infection with H. pylori bacterium, due to lack of mucosal integrity and protection. Eventually, this may even lead to stricture, bleeding, and occasionally life-threatening perforation of the stomach or the intestine."

This means that we break down the NSAID and that NSAID stops the COX enzyme from protecting the stomach lining. NSAIDS work as a systemic medication (they get into the blood stream) and they thin the lining of the stomach. It does not matter whether you take an NSAID orally, with a nasal spray, or topically. Any delivery method gets into the blood stream and thins the lining of the stomach, causing ulcers. There is no way to look at the remnant stomach to see if there are bleeding ulcers. WLS patients could die from bleeding ulcers before the ulcers are found.

HW 270 SW 236 GW 160 CW 145 (15 pounds below goal!)

VBG Aug. 7, 1986, Revised to RNY Nov. 18, 2010

Lynn415
on 1/15/20 7:56 pm - Chantilly, VA

Thanks!

Surgery 4/15/09 - 294 lb.
At goal   2/15/10 - 160 lb.
Currently:  ... and for the rest of my life:  Figuring out maintenance.
Dee_Caprini
on 1/16/20 10:35 am

Here you go!

https://www.obesityhelp.com/index.php?s=NSAIDS

I know when I had a question about an article I read way back in the day and commented on the article with my question, OH went to the pro and asked, and they responded as well!

Dee_Caprini
on 1/17/20 10:21 am

All in all, check with your surgeon or bariatric medical professional because he/she knows if you should/shouldn't partake since they know your medical history.

Citizen Kim
on 1/17/20 1:06 pm - Castle Rock, CO

I've seen tons of incidents where medical professionals have prescribed NSAIDS.

These professionals would be 100% wrong.

Follow the ASMBS guidelines which are to "avoid NSAIDS"

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

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