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Topical NSAID's Allowed?



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I had a fall off a ladder that has caused neck/shoulder/upper back inflammation and pain (I already have osteoarthritis in my back/neck). I was at the PCP yesterday and she said an NSAID would be the best help, but I can't take them due to the LB (I'm on acetaminophen and an anti-spasmodic drug now, no steriods or opiates as I don't want to start that unless it gets worse and it is improving).

The reason we're not allowed NSAID's is not just 'the pill sitting in the pouch and irritating the stomach lining, or getting stuck above the stoma', like we see posted, but it also gets into the blood stream, changes the lining of the stomach, and makes us more prone to ulcers. I came home from the PCP and had a thought...I've now done a little research on the topical NSAID's (gel and patch) as my DH found relief with a short-term back problem this summer with use of the gel (Voltaren). Some say that these do not cross into the blood stream at even 10% the amount as the oral ones, but I'm not sure and found conflicting information online. I already put in a message to my LB Surgeon to ask if these are allowed.

Does anyone else know anything else about these (NSAID topical creams/gels/patch) or have information from their LB Surgeon on these being allowed after the LB...yes, I know you're not a Doc and different surgeons have different rules...just curious what your Doc says? Thanks!

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I can't see any reason why they'd be contraindicated (unless you have an allergy, like I do); they bypass the gastrointestinal tract completely.

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NSAIDs are contraindicated for us lap-bandsters because they are really hard on the stomach when ingested. Topical should not be a problem at all.

-Libby

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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      1. LeighaTR

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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