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Old 04-24-2011, 11:11 AM   #1
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gastric bypass and long acting meds

does anyone know if after having gastric bypass if long acting meds are not absorbed?? my doctors keep uping my meds and im at the highest oxycontin 80mgs 3xday and it doesnt work and the doctors look at me like im nutz. the doctors know i have had gastric bypass how could they not have put one and one together?? this has been going on for 10 months...10 months of unneccessary pain, i could have had better control of the pain...so mad!!!!

i had spinal fusion TLIF L4-L5 with rods and screws on 1/26/2010

 
Old 04-24-2011, 11:21 PM   #2
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Re: gastric bypass and long acting meds

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Originally Posted by manicpuzzleman View Post
does anyone know if after having gastric bypass if long acting meds are not absorbed?? my doctors keep uping my meds and im at the highest oxycontin 80mgs 3xday and it doesnt work and the doctors look at me like im nutz. the doctors know i have had gastric bypass how could they not have put one and one together?? this has been going on for 10 months...10 months of unneccessary pain, i could have had better control of the pain...so mad!!!!

i had spinal fusion TLIF L4-L5 with rods and screws on 1/26/2010
gastric by pass has made your stomach smaller and should not effect the absorbtion of timed released or extended release meds. you are on a pretty good dose of oxy,i assume your body weight can handle it. if it's not effective you have to complain loudly. you probably need a pain management specialist. i took oxy for 11 years, didn't think it was that effective. had to taper it off over a month because the body is physiologically dependent on it. pills are absorbed into the blood stream and then release their effects. they don't stay in the stomach and work from there, it's the blood stream that carries the med. get off the oxy if you can. find a physician who will manage your pain, teaching hospitals are my best recommendation. good luck with the by pass. i had lap band. me like.

 
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Old 04-25-2011, 09:15 AM   #3
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Re: gastric bypass and long acting meds

I had gastric bypass RNY almost 7 years ago and I also notice that most meds I take are not as effective as they should be. Even otc meds like Tylenol, etc. I have chronic pain issues, depression, ADHD and many vitamin deficiencies despite religiously taking my supplements. I do not believe there has been much research done on the absorption process post-op and unfortunately, I think it makes for a toxic mess in our bodies. Even though we are not receiving the anticipated effects from the meds we take, our organs still have to do something with filtering all of it out. I cannot believe my liver isn't failing considering the amounts of Tylenol I have to take every single day. I have to take about 15-16 extra strength Tylenol just to function most days, and that DOES NOT eliminate my pain. Just makes it tolerable to get to the end of my day! Please be careful with the amount of meds you are taking. While I am obviously not a poster child for always doing the right things post op, I do feel that my body has been slowly dying over the last couple of years due to so many deficiencies that aren't being resolved. My pain is surely a reflection of that. I would do your research, ask your gastric bypass surgeon, get a good doctor to be testing your levels and try your best to find alternative options for pain management. It will only get harder as time progresses and the damage created most likely will not be reversible.

 
Old 04-25-2011, 12:04 PM   #4
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Re: gastric bypass and long acting meds

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Originally Posted by happylittlefami View Post
I had gastric bypass RNY almost 7 years ago and I also notice that most meds I take are not as effective as they should be. Even otc meds like Tylenol, etc. I have chronic pain issues, depression, ADHD and many vitamin deficiencies despite religiously taking my supplements. I do not believe there has been much research done on the absorption process post-op and unfortunately, I think it makes for a toxic mess in our bodies. Even though we are not receiving the anticipated effects from the meds we take, our organs still have to do something with filtering all of it out. I cannot believe my liver isn't failing considering the amounts of Tylenol I have to take every single day. I have to take about 15-16 extra strength Tylenol just to function most days, and that DOES NOT eliminate my pain. Just makes it tolerable to get to the end of my day! Please be careful with the amount of meds you are taking. While I am obviously not a poster child for always doing the right things post op, I do feel that my body has been slowly dying over the last couple of years due to so many deficiencies that aren't being resolved. My pain is surely a reflection of that. I would do your research, ask your gastric bypass surgeon, get a good doctor to be testing your levels and try your best to find alternative options for pain management. It will only get harder as time progresses and the damage created most likely will not be reversible.
15-16 extra strength tylenol a day? did you ask your doctor about taking this amount? i can't believe any physician would sanction taking that much every day. if you feel the way you do,why don''t you find a doctor who will address your issues. be honest with yourself and the doctor and tell them what you are taking and what you think. take some of your own advise.

 
Old 04-25-2011, 01:17 PM   #5
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Re: gastric bypass and long acting meds

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Originally Posted by ricardo33 View Post
15-16 extra strength tylenol a day? did you ask your doctor about taking this amount? i can't believe any physician would sanction taking that much every day. if you feel the way you do,why don''t you find a doctor who will address your issues. be honest with yourself and the doctor and tell them what you are taking and what you think. take some of your own advise.
Your post is almost enough to make me want to cry from how wrong you are. I'm not indicating that you are wrong, by any means! In fact, I think your response is completely correct...as it is also my own outlook as well. lol

I've spent the last 2.5 years trying to get doctors to help me. They all know how much Tylenol I have been taking (I tell every single doctor because I know something NEEDS to be done!) and the fact that I've also had to supplement the Tylenol with ibruprofen, which we all know as gastric bypass patients is a major no-no. I cannot tell you how much effort I've put out trying to find doctors to help me. Heck, as I type this, I have 4 computer tabs open trying to figure it all out. I've had to be my own advocate because nobody is willing to help. I keep getting passed off onto other doctors shoulders and nothing is being helped. They keep prescribing more and more meds, but none are willing to find the CAUSE instead of just treat symptoms. I can tell you this, more than anything after being almost 7 years post-op, you will find yourself roadblocked constantly when doctors know you have had gastric bypass. They assume all of my deficiencies are because of the bypass, that my pain is attributed from the effects of the deficiencies that my bypass supposedly caused, etc. It's probably going to end up getting me killed before anyone figures out what the heck is wrong!

While, surely having had the gastric bypass surgery can be the cause of some of my issues, most certainly, I think it has more to do with them getting out of control because nobody will listen long enough to keep it all from getting worse.

Heck, I have anemia so severe that I've had to be hooked up to iv's every week for 2 months to get iron infused into my body. After 2 months of going through weekly infusions that were extremely painful and debilitating, my iron levels DROPPED! I've yet to figure out why and at $2000 per iv iron infusion, my hematologist scratched his head and said, well, that's not supposed to happen. We should keep doing these until your levels are over 100 ferritin. Nice of him to think so, since my level dropped to 11 after those 2 months! God knows $16,000 wasn't enough to waste on something that didn't work. lol So, off I go to a GI specialist who thinks I must be bleeding internally. (I was passed from my internist to the GI specialist for this reason). The GI doc decides to have me do an upper GI series with barium swallow test (not easy post-op, believe me!) and the results were that something was not right. So, next I'm put through a colonoscopy and endoscopy (I'm only 32 years old!) and nothing is found and he finds no reason for my anemia. No internal bleeding, ulcers, polyps, etc.

My internist has been aware of my B12 deficiency for almost 2 years. I've been deficient for about 5 years now, but it wasn't until about 2 years ago that they listened to me when I said I needed to do injections. So, I started doing monthly shots of B12 (I give them to myself at home to avoid having to go into the office every month) and it's still not high enough. So, my doctor says that I need to do weekly b12 shots for 4 wks and then back to monthly shots. I do as she tells me, I go in for my 1 month check up (so just completed the 4 weekly injections) and lo and behold, my b12 isn't getting better. So, I ask if I should stay on weekly injections. The wise ol' medical doc says, nah. That I can go back to monthly shots now. And this would be because why? I understand I don't have a medical degree or anything, but to me, remaining deficient would indicate to me that more frequent shots continue to be necessary until my levels get to a normal healthy level. Yet, I continue day in and day out with loss of feeling in my feet and arms because I'm suffering with nerve issues from B12 deficiency. And believe me, I've shopped around for decent doctors and haven't just accepted what they say. But right now, I'm dealing with the best I've come across to date.

I moved from the state I had my bypass in, so that doesn't help. I have no access to my original bypass doctor and there aren't any gastric bypass docs here. Well, I need to correct myself because I did find one last week. Though, once telling them how many issues I'm struggling with, they feel my deficiencies are too much for them to handle and they recommend I travel 2 hrs to the nearest Cleveland Clinic to have them try to help me. lol

I hope and pray you never find yourself going through these types of problems, though I wouldn't say it's impossible considering we had a malabsorptive surgery. I don't regret the bypass at all, other than the fact that the medical world doesn't really know how to help us when long-term health problems start to debilitate us. That part, I do regret.

I'm exhausted and too tired to keep typing, but I promise, I haven't taken any of my ailments lightly, nor have I been too ignorant to avoid trying to overcome them. I would love nothing more than to not be in chronic, non-stop pain every single day or be so weak that I wake up trying to figure out how to make it to the end of the day. But, after seeing gi specialists, internists, general docs, a hematologist, a neurosurgeon, orthopedists, a rheumotogist, psychiatrists (for depression), etc, there's not a whole lot left. Granted, I am slotted to see a cardiologist on Wednesday, so who's to say I'm not going to finally get someone to listen up and help me? lol Well, at this point, the only thing I can do is lol or I'd spend my days crying. You know what's ironic? I was actually a healthy fat person! Now, I'm a relatively thin sick person. Never thought in a million years that would be my reality. It's sad...really freaking sad

 
Old 04-25-2011, 02:23 PM   #6
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Re: gastric bypass and long acting meds

i'm very sorry for your troubles, it seems like they have you going in circles to get better.
i hope you have success with the cardiologist visit. if you aren't satisfied then don't go back. your health issues are complex,as are mine. though no two people have the identical problems and the remedies are also different, what there is in common is that there is a need for a coordinated approach to address them. i will tell you from my own experience that having a comprehensive group of health care people follow me has been beneficial for me. this is not to say i have found a life of pain free,issue free,health but, i am imbued with confidence that everyone and everything prescribed is in my best interest given that all my health information is at each doctors fingertips. in other the doctor on the right knows what the doctor on the left is doing.
during the beginning of my quest for answers as to why i kept having back pain etc. i went to several doctors who each gave me different dx's. when i graduated from school i went to a teaching hospital that specializes in the health issues i had. from them i got the right dx, and have never left the teaching hospital type of health care.
there is a difference between the private practice type of care and the teaching hospital protocals, i think a big difference. and the biggest is that physicians in a teaching hospital are required to keep their skills up to date, and there is peer review which doesn't happen in private practice. and, of course there is the comprehensive and coordinated care.
now i live in the boston area where there are many teaching hospitals and for me easy to get to, but people come from all over the world for treatment and care,pro sports teams engage the doctors from these hospitals to care for their investments in players. whether you are a famous dignitary or a regular bloke,the care is the same.
you mention the cleveland clinic, another of the top ten hospitals in the country;that you are two hours away may be difficult but, consider the advantages of having the top notch,cream of the crop of health care people following you. you might just find relief and confidence there. i know people from all over the world go there as well, they must find it worth while. you deserve the best care and you should go after it. not many doctors in private practice will tell you to go there and lose a customer but you will get results by giving yourself to them.
if you do decide to seek out this type of care you will expidate things by getting as much of your medical records as possible to take with you to your appointment. they are your records not anyone else's, you have a right to them.
make noise,demand answers,fire doctors if you have to, doctor patient relationships are a partnership, you are in control.
i hope you find the remedies for all that ails you, after many years i am still on that highway but, i'm in a comfortable vehicle, with mechanics i trust.
best of luck, don't give in.

 
Old 04-27-2011, 07:12 PM   #7
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Smile Re: gastric bypass and long acting meds.....update

Just wanted to give an update. I saw my pain management doctor today for my first appointment and he agreed with me that the long acting meds were more than likely not being absorbed because of the gastric bypass only because I have dumping. Anyhow he took me off the oxycontin and put me on fentanyl patch 50mcg and kept me on the percocet 10mg for break through pain. I have had the patch on for about 4hrs and already have reduced pain, I am very pleased with this doctor. He listened to everything I said today. Also he took a look at my last MRI and noticed bone spurs around my nerves at L5 which more than likely the reason I'm in so much pain.
It is nice to finally have a reason for the pain and most of all have a med that actually works!!! Very happy with PM:-) Hopefully I can get my life back on my terms and not the pains terms!!

 
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