which meds after wls can we have and not have?

We have all been told not to take NSAIDS after WLS but do you really understand why and which ones to avoid?  I didn?t so I did a little research.  I hope this helps to clear up some of your questions. You are at risk for marginal  ulcers any time you take an NSAID [anti-inflammatory medication]. 

Bextra is the newest, next generation of NSAIDS. It is simply an anti-inflammatory with no compound to aid in the protection of our GI systems. Nonsteroidal anti-inflammatory drugs, or NSAIDs (pronounced en-said) are the most prescribed medications for treating conditions such as arthritis. Most of us are familiar with over-the-counter, nonprescription NSAIDs such as aspirin and ibuprofen. 

NSAIDs are more than just pain relievers. They also help reduce inflammation and lower fevers. They prevent blood from clotting, which is good in some cases but not so beneficial in others. For example, because they reduce clotting action, some NSAIDS, especially aspirin, may have a protective effect against heart disease. However, you may bruise more easily. NSAIDs can increase the risk of developing nausea, an upset stomach or an ulcer. They also may interfere with kidney function. 

NSAIDs work by preventing an enzyme (a protein that triggers changes in the body) from doing its job. The enzyme is called cyclooxygenase, or COX, and it has two forms. COX-1 protects the stomach lining from harsh acids and digestive chemicals; it also helps maintain kidney function. COX-2 is produced when joints are injured or inflamed. 

Traditional NSAIDs block the actions of both COX-1 and COX-2, which is why they can cause stomach upset and bleeding as well as ease pain and inflammation. 

Contrary to popular belief, it is not just that they are ?pouch  burners? as the industry wants us to believe. It goes much deeper than that. According to an article published in the June 1999 New England  Journal of Medicine, NSAIDS, once absorbed into the blood stream cause a  chain of chemical reactions that affect the prostaglandins and this in  turn reduces the production of mucus in the GI system. The mucus is what lines our GI system and protects our pouch and intestines from damage.

If the mucus production is reduced, this would allow ANYTHING, including eating something with too sharp of an edge or foods that are extremely spicy, to inadvertently begin a marginal ulcer. The best answer is to avoid NSAIDS at all cost. Lastly, taking an H2 receptor drug such as Prilosec, Prevacid or Nexium is only a band-aid and no guarantee that it will  protect you. 

No-no Drugs

DRUGS THAT CAN DAMAGE THE POUCH -- NSAIDS

Advil

Aleve

Amigesic 

Anacin

Anaprox 

Ansald

Anthra-G 

Arthropan

Ascriptin 

Aspirin 

Asproject 

Azolid 

Bufferin  

Butazolidin 

Celebrex  

Clinorial  

Darvon compounds  

Disalcid 

Dolobid  

Erythromycin  

Equagesic  

Feldene 

Fiorinal 

Ibuprofin 

Indocin  

Ketoprofen 

Lodine 

Meclomen 

Midol 

Motrin 

Nalfon  

Naprosyn  

Nayer 

Orudis  

Oruval  

Pamprin-IB 

Percodan  

Ponstel 

Rexolate  

Tandearil .

Tetracycline  

Tolecin 

Uracel  

Vioxx 

Voltaren

COX-2 inhibitors are a special category of NSAIDs. These medications target only the COX-2 enzyme that stimulates the inflammatory response. Because they do not block the actions of the COX-1 enzyme, these medications generally don't cause the kind of stomach upset or bleeding that traditional NSAIDs do. COX-2 inhibitors also don't offer the same kind of protection against heart disease.

COX ?2 Inhibitors : [DRUGS THAT ARE CONSIDERED SAFE] 

Benadryl  

Colace 

Dimetap  

Dulcolax-Suppositories 

Fleet Enema  

Gas-X  

Glycerin-Suppositories 

Imodium Ad  

Milk of Magnesia  

Peri-Colace      

Phazyme  

Robitussin  

Safetussin 

Sudafed  

Triaminics (All)  

Tylenol (cold products)  

Tylenol 

Tylenol Ex Strength

going walking today

Going walking today with a friend. Its that time of the month so im hoping it will feel good to get out and walk. Slow day today, nothing "tastes", am behind on my fluids but gonna catch up soon. then to a support group meeting tonite for year out and beyond wls'ers. 

I am journaling all my food, been doing it for 4 days; so far so good! Will email it all to dietitian once a week. 

How is your day going?

adding another item to the list

Popcorn is the latest addition to the "do not eat again" list.

oh well sometimes you just gotta list some foods that made you think they were sooo yummmy and then when you ate them, YUCK!!!!

Will you dance with me?

Will You Dance With Me?

READ THIS VERY SLOWLY.... IT'S PRETTY PROFOUND.

Too many people put off something that brings them
joy just because they haven't thought about it, don't
have it on their schedule, didn't know it was coming
or are too rigid to depart from their routine.

I got to thinking one day about all those women on the
Titanic who passed up dessert at dinner that fateful
night in an effort to cut back. From then on, I've tried
to be a little more flexible.

How many women out there will eat at home because
their husband didn't suggest going out to dinner until
after something had been thawed? Does the word
'refrigeration' mean nothing to you?

How often have your kids dropped in to talk and sat in
silence while you watched 'Jeopardy' on television?

I cannot count the times I called my sister and said,
'How about going to lunch in a half hour?' She would
gas up and stammer, 'I can't. I have clothes on the line.
My hair is dirty. I wish I had known yesterday, I had
a late breakfast, It looks like rain.' And my personal
favorite: 'It's Monday.' She died a few years ago. We
never did have lunch together.

Because Americans cram so much into their lives, we
tend to schedule our headaches. We live on a sparse
diet of promises we make to ourselves when all the
conditions are perfect!

We'll go back and visit the grandparents when we get
Steve toilet-trained. We'll entertain when we replace
the living-room carpet. We'll go on a second honeymoon
when we get two more kids out of college.

Life has a way of accelerating as we get older. The
days get shorter, and the list of promises to ourselves
gets longer. One morning, we awaken, and all we have
to show for our lives is a litany of 'I'm going to,' 'I
plan on,' and 'Someday, when things are settled down
a bit..'

When anyone calls my 'seize the moment' friend,
she is open to adventure and available for trips.
She keeps an open mind on new ideas... Her enthusiasm
for life is contagious. You talk with her for five
minutes, and you're ready to trade your bad feet for
a pair of Roller blades and skip an elevator for a
bungee cord.

My lips have not touched ice cream in 10 years. I
love ice cream. It's just that I might as well apply
it directly to my stomach with a spatula and eliminate
the digestive process. The other day, I stopped the
car and bought a triple-Decker. If my car had hit an
iceberg on the way home, I would have died happy.

Now...go on and have a nice day. Do something you
WANT to......not something on your SHOULD DO list.
If you were going to die soon and had only one phone
call you could make, who would you call and what would
you say? And why are you waiting?

Make sure you read this to the end; you will
understand why I sent this to you..

Have you ever watched kids playing on a merry go
round or listened to the rain lapping on the ground?
Ever followed a butterfly's erratic flight or gazed at
the sun into the fading night? Do you run through
each day on the fly? When you ask ' How are you?'
Do you hear the reply?

When the day is done, do you lie in your bed with the
next hundred chores running through your head? Ever
told your child, 'We'll do it tomorrow.' And in your
haste, not see his sorrow? Ever lost touch? Let a good
friendship die? Just call to say 'Hi?

When you worry and hurry through your day, it is like
an unopened gift....Thrown away..... Life is not a race Take
it slower. Hear the music before the song is over.

'Life may not be the party we hoped for... But while we are here we might as well dance!