Doctor insights on:
Anti Inflammatory Drugs And Gastric Bypass Surgery
What specific cox2 inhibitors are safe anti-inflamatory & analgesics for patients with*favism* and gastritis?
Rumors exist: There is definitely evidence that the use of statins reduces the incidence of strokes and heart attacks. There have been isolated reports of carotid plaque (narrowing) shrinking with the use of statins but this has not been found true for everybody. Most people agree that statins work by "stabilizing" the plaque and preventing it from rupturing and causing a stroke. This is a hotly debated topic. ...Read moreSee 2 more doctor answers
Yes: and they stabilize unstable (vulnerable) arterial plaques. They also have side effects that could be serious. Do not start any without MD advise! ...Read more
Malabsorption: The lap band is a device placed to make the stomach seem smaller thus allowing you to eat less and feel satisfied. With the bypass, a surgeon creates a smaller stomach by cutting which has a similar effect. Additionally, the intestines are cut and rerouted so that the upper segment is "bypassed". This decreases the absorption of food which leads to faster and relatively easier weight loss. ...Read moreSee 1 more doctor answer
Weight loss: The band is placed around the upper part of the stomach to restrict the amount of food you can consume. It is adjustable depending on the amount of food you can eat and weight loss. The bypass permanently changes the anatomy by re-routing the intestines. The sleeve gastrectomy permanently changes the size of the stomach. All work well for the right people. ...Read more
A stroke/heart attack patient with chronic erosive gastritis.One DES.Taking Plavix (clopidogrel). 3 more stents and asprin to be added in the future. Suggestions?
Work with an integra: tive medicine doctor to get the lifestyle and mind/body/spirit connection going to prepare for better health. Many things wrong here that need to be corrected now that could help the success of future procedures. 3 more stents is a lot, and indicates the level of need for prevention and treatment to ensure longevity. Looking globally and each organ system is important! ...Read more
Gastric bypass 4 yrs ago w/ no weight loss. Type 2 diabetic, insulin dependent, heavy alcohol use. Could these issues totally negate the surgery?
For silkworm kids: It may help silkworms (where it originates), but there is no good data for humans. Avoid this one. See http://en.wikipedia.org/wiki/Serratiopeptidase ...Read more
Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?
There : There are many nutritional changes after bypass surgery and they can vary depending on type of bypass or band. If you are thinking of undergoing bypass surgery be sure that wherever you are thinking of having the procedure preformed there is a nutritionist as they will be an important part of your medical team. Usually, immediately following surgery, there will be strict guidelines for how much and what types of food to eat. These will loosen over time. It is important to remember that you can still gain weight and have your bypass fail if you continue with poor eating habits. While you will feel full after little food you can stretch the pouch. Avoid foods with high fat and sugar content. Remember at first to eat very slowly, stop when full, chew food well, and concentrate on protein and hydration. Over time, months, you will most likely be able to eat all the foods you used to, but much less. Most often people will eat three, small, well chewed meals per day. Because of changes in gastric acidity and the new structuring of the intestine after roux-en-y gastric bypass the absorption of several micronutrients may be affected; b12, calcium, vitamin d, folate, iron, and thiamine to name a few. Your physician will usually do blood tests at 3 months, 6 months, and then yearly to follow lipid levels, iron levels, B12 and folate levels, calcium, vitamin d and parathyroid hormone levels, and your blood count. Most recommend taking a multivitamin with minerals and iron daily, and a B12 supplement (may be oral or injected). If your iron level is low you may be instructed to take a supplement --only do this if your level is low. You may also need additional calcium or vitamin d depending on your lab work. Patients undergoing lap banding may only need a multivitamin. Above all remember to work closely with your doctor and nutritionist. Weight loss surgery takes a lifelong commitment to be successful. ...Read moreSee 1 more doctor answer
Is it safe a chronic use of ppi as prophylactic for nsaids induced ulcer for patients taking nsaids for rheumatoid arthritis and osteoarthritis pain ?
Great idea: Recent study: "proton pump inhibitors decrease the risk of bleeding ulcers in high-risk NSAID or Aspirin users with very recent ulcer bleeding by approximately 75–85%., recent head-to-head randomized comparison of two preventive strategies (proton pump inhibitor plus non-selective NSAID vs. Cox-2-specific inhibitor)". Hope it helps. ...Read moreSee 1 more doctor answer
Can the medications typically taken for ulcerative colitis (remicade, 6mp) effect male infertility?
Perhaps: Infliximab may decrease sperm motility and the number of normal oval forms. Whether these changes translate into impaired fertility is unknown. 6mp has been rarely associated with birth defects even when the father takes the medication. The benefits, however, often outweigh the risks and you need to discuss this with your doctor. ...Read moreSee 3 more doctor answers
Any dr.'s in my area that use methadone in tx of chronic pain.My options for prescription limited by gastric bypass & min. Help by oct/ other narcotic rx?
Fentanyl: Fentanyl patches are an option. They diffused an opioid directly through your skin. Not affected by gastric bypass. In general, i frown on Methadone for chronic pain. It is approved to get people off of opioids, and not as a drug for "chronic pain", but i realize it is used "off label" for this. The labeling is for "restricted to authorized opioid addiction detox/maintenance tx facilities. ...Read moreSee 1 more doctor answer
No, except: NSAIDS are not contraindicated after cardiac surgery due to specifics related to the operation. Aspirin is actually probably indicated after heart surgery especially coronary bypass. NSAIDS may be contraindicated based on other drug use, renal function and other medical problems. Check with your doctor. ...Read moreSee 1 more doctor answer
Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more
- Talk to a doctor live online for free
- Anti inflammatory injection drugs
- Nonsteroidal anti inflammatory drugs
- Vicodin and anti-inflammatory drugs
- Ask a doctor a question free online
- Plaquenil anti inflammatory drug
- Anti inflammatory drug substitute
- Anti inflammatory drugs
- Anti inflammatory drugs medication
- Talk to a pharmacologist online for free