NSAIDs After Bariatric Surgery: Read This Before Taking Any

Written by Kristen Carli, RD and medically reviewed by Dr. Stephen Boyce, MD

NSAIDs, or non-steroidal anti-inflammatory drugs are common pain relieving and fever reducing drugs. These medications, like ibuprofen, may seem harmless as they are sold over-the-counter and are frequently taken at home. However, in people who have undergone bariatric surgery, these drugs can be dangerous.

In this article, we’ll address what NSAIDs are, the risks associated with taking them after bariatric surgery, timing and guidelines of resuming NSAID use, other medications to choose for pain relief instead, and the importance of patient education.  

What are NSAIDs?

Not sure what NSAIDs are? You likely are very familiar with these types of drugs and probably have some on hand at home.NSAID stands for non-steroidal anti-inflammatory drugs. These are drugs that relieve pain, reduce fever, and fight inflammation. 

Common NSAIDs include ibuprofen, naproxen, and aspirin. In the body, these drugs work by inhibiting COX enzymes. These enzymes help to produce prostaglandins. They mediate inflammation and pain. 

For patients recovering from bariatric surgery, managing pain often involves alternatives to NSAIDs. This is especially important as patients may also need to integrate bariatric vitamins and bariatric multivitamins into their post-surgery regimen to ensure proper recovery and nutrition.

Why are NSAIDs a concern after bariatric surgery?

These drugs are a particular concern after weight loss surgery, because they can cause irritation to the digestive tract. Because bariatric surgery often involves significant alterations to the gastrointestinal tract, the risk for complications in this area rises. The altered anatomy can lead to increased absorption of NSAIDs, which increases the risk of their adverse side effects. 

Additionally, NSAIDs can cause ulcers in certain individuals. This risk may be exacerbated in patients after bariatric procedures, due to their altered digestive tract. For patients focused on maintaining post-surgery nutrition, incorporating bariatric protein shakes and bariatric snacks can support healing and overall health while avoiding medications that irritate the stomach.

For those wondering what can a bariatric patient take for constipation, alternative treatments, including stool softeners or dietary adjustments, may be more appropriate.

Risks associated with NSAID use after bariatric surgery

Taking NSAIDs increases your risk of developing ulcers. In bariatric patients this risk is increased, especially marginal ulcers that could develop at surgical connection sites. These surgical connection sites are also at risk of perforations and leaks, which are serious complications. 

Also, NSAID use increases the risk of a gastrointestinal bleed. This is because surgery weakens your GI system’s first line of defense, the mucosal defenses. Supporting your system with supplements such as bariatric vitamins chewable or liquid bariatric vitamin can enhance nutrient absorption without aggravating the digestive system.

If you’re asking what can I take for a headache after bariatric surgery, acetaminophen is a safer alternative with a lower risk of gastrointestinal side effects.

Recommendations for NSAID use Post-Surgery

Due to the risks of NSAID use after bariatric surgery, avoid routine use of these drugs. If you need pain relief or to reduce a fever, your doctor may allow you to use NSAIDs. They may also prescribe proton pump inhibitors (PPIs) to take at the same time. Taking both drugs together reduces stomach acid. This helps protect your digestive system lining.

However, if this route is chosen, your doctor should regularly monitor you and your symptoms to ensure you are not at risk of developing these complications.

NSAID use after bariatric surgery should only be done under the direct care and supervision of your provider.

For proper nutrient management, your healthcare provider might also recommend bariatric calcium chews, a bariatric multivitamin with iron, or a bariatric probiotic to maintain balanced gut health.

Medication Management after Bariatric Surgery

If you want a safe pain reliever, choose acetaminophen. This drug and other alternative pain relievers have a lower risk of gut issues. Additionally, your doctor may advise how to adjust your medication doses. This is to account for your changed drug metabolism after surgery.

Some patients may inquire about weight loss medications after bariatric surgery, such as semaglutide use after bariatric surgery or medications like Ozempic after bariatric surgery. These options should be discussed in detail with your healthcare provider to ensure they align with your unique health needs.

Be sure to collaborate with your healthcare provider team to develop a comprehensive medication plan that is tailored to your individual needs and concerns. 

Timing and Guidelines for Resuming NSAIDs

You are free to continue using NSAIDs for pain relief or fever reduction after your body has completely healed. 

This typically happns several months after bariatric surgery and needs to be confirmed by your doctor. When you begin introducing NSAIDs again, be sure to initiate them at the lowest effective dose and for the shortest duration possible. 

Over time, you can slowly increase this dose and duration with the assistance of your healthcare provider. Ensure that when you are reintroducing NSAIDs to your lifestyle, you have close medical supervision to promptly address any adverse side effects. 

Importance of Patient Education

After bariatric surgery, choosing the right diet and lifestyle is essential. Watch for signs of complications, such as abdominal pain or bleeding. If you’re concerned, consult your healthcare provider. It’s vital to discuss your medications and supplements to ensure a safe recovery.

Conclusion

In summary, knowing NSAID risks after bariatric surgery is crucial. These drugs relieve pain and inflammation but can be risky for those with altered digestive systems. So, it’s important to work with your healthcare provider to find safer options, manage pain, and decide when to restart NSAIDs. Staying informed and in touch with your medical team ensures the best choices for recovery and health.

If you want to learn more, why not check out these articles below: 

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