Ibuprofen-A Cautionary Tale
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Wow! What a mistake I made! I had my surgery in February of 2020, and have by and large had a successful and unremarkable experience. Recently I had to go through some significant and painful dental procedures. I have not taken any Ibuprofen (Motrin), Alleve or the like since my surgery, but my dentist prescribed it and seemed to suggest he thought it would not be a problem since I had the surgery over a year ago and had no issues. HE WAS WRONG! I blame myself, because I knew better. I took the prescription strength for a couple of days, and then switched to non prescription dose for another 5 or so days. Simultaneously I could not really eat (dental surgery), and was surviving on protein drinks, pudding and mashed potatoes basically. My stomach was not feeling great, but overall ok. Then I started getting some burning and pain in my stomach, radiating into my back and shoulder. These episodes would last a half hour to an hour and then pass. I of course stopped the ibuprofen, and googled stomach lining irritation. I went on a bland diet, and was using mylanta and tums. I thought it was getting better. I WAS WRONG! I had a major attack, and was on the floor of the bathroom, vomiting bile and with severe diarrhea. My blood pressure dropped to the point I could not even sit on the toilet, but had to curl up on the floor while being this sick. I was this acutely ill for over an hour. Foolishly (ok, everything I did in this story was foolish, so continuing my bad choices...) I would not let my husband call an ambulance nor would I go to an urgent care facility because "what can they do? It's a stomach bug). Finally spoke with my PCP's office, who had me call my surgeon's office. They diagnosed an ulcer and started me on 2 medications, one for the symptoms and one to heal my stomach. It could take months to heal. I am on a bland diet, no coffee, alcohol, spicy foods, etc. It has been a week and I have not had any other attacks. I was an IDIOT, but also got lucky that it had not progressed to where it was bleeding or worse.
Non WLS practitioners do not understand what really happens with WLS. If you have had the sleeve, and MUST use N-saids for any purpose, talk with your surgeon's office; they can prescribe a course of treatment to minimize the impact on your stomach. I don't know about bi-pass. I have been advised to never use them again at this point due to the damage already done.