What pain meds work well for Gastric bypass patients?

Posted by aprilarlady @aprilarlady, Mar 24, 2017

Good Morning. I am a gastric bypass patient 13 years out from surgery and maintaining my 150 lb weight loss. I have chronic daily pain from arthritis, degenerative disc disease, cervical herniated disc(s), torn meniscus, labral tear in my hip and recurring tendonitis in various places. I take Hydrocodone/Apap 10mg/325 4 times daily for pain since as gastric bypass patients we are not supposed to take NSAIDS. I get very little relief from this. It is in pill form. Does anyone else that is a weight loss surgery patient have this issue and find that it is due to malabsorption and/or anyone taking pain meds in liquid form get better relief?

Interested in more discussions like this? Go to the Bariatric Surgery & Weight Loss group.

@gailb

@leona1966

Welcome to the Mayo Connect community. I am a Volunteer Mentor and am not a medical professional. I can offer my experience and support for what you are experiencing. I also provide references for you to learn more about possible resolution of your issues. I'm sorry to hear that you're having an extended time of pain. I have some questions for you about your experience.

1. When was your gastric bypass surgery and what kind did you have?
2. Have you seen your surgeon about the pain that has lasted 5 years?
3. Are you taking your vitamins daily?
4. Have you had your vitamin and mineral levels checked since your surgery?
5. Do you belong to any other social media groups for people on the Gastric Bypass journey?

Please explain to the detail level you are comfortable sharing, more about your pain and any other effects you are having? I had RnY surgery 4 years ago. I don't have pain with mine, although I've had a couple of other things over the years that have bothered me. I have put on 6 pounds this winter that I'm hoping to get rid of this spring and summer.

Let us know how we can help you.

Gail
Volunteer Mentor

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I had rny 12 years ago. All is going super well with that still at weight. My question is this. I am having “golfers elbow” I only take Tylenol is it ok to take aleve?

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Hiya! I have had this on both elbows to the point of surgery to correct it, but in answer to your question, we are not supposed to take Aleve or any other NSAIDS whether over the counter or RX due to the potential harm to our stomachs. You can try Voltaren gel as it is topical and does not absorb much into the bloodstream at all and does provide some relief. Have you been to the doctor? If not consider seeing an orthopedist as they can give you a steroid injection that may calm down the inflammation for a while and/or prescribe what kind of brace may provide some relief. Good luck.

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@momther

I had rny 12 years ago. All is going super well with that still at weight. My question is this. I am having “golfers elbow” I only take Tylenol is it ok to take aleve?

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@momther
My doctor said absolutely not, ever.
No meds that have any kind of blood thinners.
I take Tylenol Arthritis.
It is not like Advil or anything like that, but it does help.
Ronnie

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@momther

I had rny 12 years ago. All is going super well with that still at weight. My question is this. I am having “golfers elbow” I only take Tylenol is it ok to take aleve?

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@momther Welcome back to Mayo Clinic Connect, a place to give and get support.

You had gastric bypass 12 years ago and you have been able to maintain your weight. Congrats on your success.

You are wondering if it is you can take Aleve?

Members like @fourof5zs @ejayne01 @sandytoes14 @judipogo @shrinkerbell have experience discussing this topic and may be able to help.

@grandmar and @aprilarlady said that their providers advised them to not take Aveve. Since you asked the question, may I ask if this is the advice your provider gave you as well?

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@erikas

@momther Welcome back to Mayo Clinic Connect, a place to give and get support.

You had gastric bypass 12 years ago and you have been able to maintain your weight. Congrats on your success.

You are wondering if it is you can take Aleve?

Members like @fourof5zs @ejayne01 @sandytoes14 @judipogo @shrinkerbell have experience discussing this topic and may be able to help.

@grandmar and @aprilarlady said that their providers advised them to not take Aveve. Since you asked the question, may I ask if this is the advice your provider gave you as well?

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Good Afternoon. My bariatric surgeon told me way back in 2005 about having to stay away from the NSAIDS. Being that I have a lot of joint issues and have had since my 20's that has been a big problem for me. Do I take any? On rare occasions. I've taken too much tylenol over the years and now have to stay away from that as well, so I take pain med every day that does NOT contain either. I have to have something to be able to function. I have had a couple 30 lb regains in all these years but always take it back off. I'm in one of those periods now due to being stuck at home almost a year now thanks to this pandemic, but working on it. We can do this! God Bless!

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@erikas

@momther Welcome back to Mayo Clinic Connect, a place to give and get support.

You had gastric bypass 12 years ago and you have been able to maintain your weight. Congrats on your success.

You are wondering if it is you can take Aleve?

Members like @fourof5zs @ejayne01 @sandytoes14 @judipogo @shrinkerbell have experience discussing this topic and may be able to help.

@grandmar and @aprilarlady said that their providers advised them to not take Aveve. Since you asked the question, may I ask if this is the advice your provider gave you as well?

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@erikas
The advice given to me regarding NSAIDS was recent.
I am 4 1/4 yrs. out from the sleeve.
Ronnie

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@aprilarlady

Good Afternoon. My bariatric surgeon told me way back in 2005 about having to stay away from the NSAIDS. Being that I have a lot of joint issues and have had since my 20's that has been a big problem for me. Do I take any? On rare occasions. I've taken too much tylenol over the years and now have to stay away from that as well, so I take pain med every day that does NOT contain either. I have to have something to be able to function. I have had a couple 30 lb regains in all these years but always take it back off. I'm in one of those periods now due to being stuck at home almost a year now thanks to this pandemic, but working on it. We can do this! God Bless!

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@aprilarlady
I was given the same advice. I have issues with pain, too.
I take Tylenol Arthritis twice a day.
It helps some days better than others.
But what can you take that does NOT contain ANY NSAIDS?
Ronnie

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@grandmar

@aprilarlady
I was given the same advice. I have issues with pain, too.
I take Tylenol Arthritis twice a day.
It helps some days better than others.
But what can you take that does NOT contain ANY NSAIDS?
Ronnie

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Hi Ronnie. I'm sorry you are having pain issues too. Daily chronic pain can wear you out, I know that. I take a pain med called Nucynta ER twice a day. It sure doesn't get rid of the pain as I have pain in multiple joints, but it at least makes it tolerable most days. They have two versions. Nucynta is for acute pain, like after surgery, or injury and for short term. Nucynta ER is extended release and for daily chronic pain patients like me. There is no generic yet, and it is very expensive, but I have a manufacturer coupon card I use and even after insurance, and using the card, it still costs $100 a month, but that is due to the strength. The lower doses cost much less with the coupon card. I've been on it several years, so the strength has increased over the years as I'm aging and getting more arthritic joints etc. It starts at 50Mg twice a day and maxes out at 250mg twice a day. I am at the 200 mg dose. Look it up to see if in would adversely interact with anything else you may be taking before considering asking your doc about it. God Bless.

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@erikas

@momther Welcome back to Mayo Clinic Connect, a place to give and get support.

You had gastric bypass 12 years ago and you have been able to maintain your weight. Congrats on your success.

You are wondering if it is you can take Aleve?

Members like @fourof5zs @ejayne01 @sandytoes14 @judipogo @shrinkerbell have experience discussing this topic and may be able to help.

@grandmar and @aprilarlady said that their providers advised them to not take Aveve. Since you asked the question, may I ask if this is the advice your provider gave you as well?

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Im approaching 14 years of successful RNY gastric bypass. Please don’t take Aleve or Motrin. You could get a bleeding ulcer. I was always told no NSAIDS. Keep following that no NSAIDS rule. See a doctor if your elbow pain continues.

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@sandytoes14

Im approaching 14 years of successful RNY gastric bypass. Please don’t take Aleve or Motrin. You could get a bleeding ulcer. I was always told no NSAIDS. Keep following that no NSAIDS rule. See a doctor if your elbow pain continues.

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My doc said the same no matter how far out you are.

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@momther

I had rny 12 years ago. All is going super well with that still at weight. My question is this. I am having “golfers elbow” I only take Tylenol is it ok to take aleve?

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@momther sorry I am so late in input.. some post just get thrown into my junk mail and it may be weeks before I see a post I am tagged in.

My surgery in 2014 was not for weight loss, but for a hiatal hernia. Same surgery.. and same advice. No Nsaids because it can cause ulcers… more likely to be bleeding ones. That said .. I get migraine headaches a few times a year.. thankfully, not as often as I used to.. and so far I “have not” been able to get good results from migraine medications. At the first sign of onset of a migraine I take two extra strength Tylenol and one regular aspirin. Usually one dose is enough to prevent, sometimes I have to do two doses. I take the meds with food.

I also have osteoarthritis and some tendonitis in various places in my body. When low weather fronts come through the pain gets pretty bad. I take 5 mg of oxycodone up to four times a day for chronic pain I have… but it does very little for arthritis. I use an arthritic cream to help ease the pain… everyone is different, so experiment and you will find what works the best for you. Ice or moist heat can help. My body likes moist heat best and I use a microwave heating pad similar to what most physical therapist use. If extremely bad pain I make an appointment with my primary/family doctor. He will give me a toradol injection and sometimes a steroid (depro medrol) injection. I do that two or three times a year. If it is only you elbow you may want to see a pain specialist or orthopedist that can place an injection of steroid or other medication into the joint.

I hope you get relief.
ZeeGee

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I too am a gastric bypass patient since 2004. I have major back problems from 3 car accidents and a serious slip and fall. I have been going to Pain Mgmt since 2012. At first I had Epidural shots. They worked great the first time and for 8 months I was out of pain. When the pain came back, I went back in and had them again. Unfortunately not only did they not work then, but I tried them a 3rd time and they did not work again. I ended up on Oxy and after a very short time I told my doctor that I could not funtion on them and to try something else. For the next 11 years I was on 30 mg of Moraphine ER which is a time release capsule. It worked very well. It never made me feel high and I was able to continue working. I took Diluidid for break thru pain but did not have to take that very often. After 11 years, I just recently decided to get off Morphine because I noticed, as did others, that I was having short term memory loss. It wasn't fun getting off the meds but if you do it slowly, you can do it. I've been off all meds for 2 weeks now and hope to have a procedure called Radiofrequency Ablation done on my back soon. This is where they use hot radio waves on the affected areas that burn the nerve endings so they won't send pain to the brain anymore. Sure hope it works!!!

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