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Motrin?

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we were told no Motrin. All I can take is Tylenol.

Fierce, I'd call the doc's office. NSAIDs like Motrin can cause gastric bleeding or exacerbate ulcers - but four months might make a difference! Definitely ask your doc and see. Even if you're cleared for a dose or two, don't overdo it!!

NOOOO, never use aspirin products again. You will have to use Tylenol unless you want to cause problems to your sleeve. Do be careful.

Ok aspirin is different from Motrin, though... She didn't ask about aspirin.

Motrin (ibuprofen) and all other NSAIDs as well as aspirin are discouraged if not prohibited by most bariatric surgeons after surgery (usually for life) except in very select circumstances. Tylenol (acetaminophen) is the OTC painkiller of choice after bariatric surgery. It is not as good an anti- inflammatory, but it does not mess with the stomach lining either.

I am 4 months post op and use NSAIDs everyday for my RA and have since week 2 post op. Guess it depends on the dr. I personally haven't had any issues with taking them.

The "No NSAID" (Motrin/Ibuprofin, aspirin, Aleve/naproxin, etc.) thing comes from the RNY world, as the bypass has specific weaknesses that contraindicate their use, problems that don't exist with the sleeve. Since most bariatric surgeons come from the RNY side of the business, they tend to transfer that advice to their sleeve patients, at least until they (the surgeon) gets enough experience with the sleeve to really know its' characteristics (this is why we also often see RNY diet/nutrition/supplement advice copied for the sleeve rather tailored for its' specific needs).

If you ask a bariatric surgeon who has substantial DS (sleeve with intestinal rerouting for malabsorption) experience about NSAID use, they will tell you that it's no problem; indeed, NSAID use is one of the major selling points of the VSG/DS over the RNY, and is often used in overturning insurance decisions favoring the RNY. My doc has over twenty years of DS/sleeve experience behind him and recommends NSAID use as soon as the narcotic pain relievers are no longer appropriate - but certainly wouldn't suggest such things for an RNY patient.

As usual with medical advice, it's best to go with your doc's advice - many take a middle ground and restrict NSAIDs for some limited time post-op while things are healing. And, consistent use of any of these drugs (even these notionally "safe" OTC drugs) should be done under a doc's supervision as long term use of any drug can cause problems (indeed, there are some studies finding that bypass patients have a greater than average incidence of acetemetafin - Tylenol - poisoning as they are so dependent upon it for pain relief since NSAID use is a no-no for them. Nothing is completely safe in this life.

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