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Post by jenawe on Jul 27, 2014 11:07:58 GMT -5
Hello everyone, I'm new here so I hope I'm doing this right. I had my DS in Nov '13 and down 47 lbs. I have now switched from my bariatric surgeon to my PCP to handle my care. Because he is 5 hours away. Am I understanding correctly that as DSer's our nutrients, etc is now absorbed mostly by the large intestine? The reason I am asking is I would like to find a website or medical book that shows what medications are absorbed where. I am having a terrible problem with candida and I would like to know what oral medication would be good for treatment. I like to know as much as possible before I even speak to my dr so I can be in agreement with his course of treatment. Thank you for any help or advice!
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Post by Joanne on Jul 27, 2014 12:30:01 GMT -5
Hello everyone, I'm new here so I hope I'm doing this right. I had my DS in Nov '13 and down 47 lbs. I have now switched from my bariatric surgeon to my PCP to handle my care. Because he is 5 hours away. Am I understanding correctly that as DSer's our nutrients, etc is now absorbed mostly by the large intestine? The reason I am asking is I would like to find a website or medical book that shows what medications are absorbed where. I am having a terrible problem with candida and I would like to know what oral medication would be good for treatment. I like to know as much as possible before I even speak to my dr so I can be in agreement with his course of treatment. Thank you for any help or advice! Hello and welcome, What you're explaining is not exactly correct. Absorption by design of anyone's intestines takes place in the small (not large) intestine. There is some absorption of water and maybe a few other things in our large intestine (also called colon). We still absorb in our small intestines, but since a good deal of our intestines are bypassed, and our digestive enzymes that help digest far are diverted away until the common channel, we absorb less. But what we do absorb, we still absorb in our small intestine. I'm sorry you're dealing with candida. I dont think you need to be an expert in digestion in order to speak to your doctor, though. You can take along a diagram of your surgery and just say that you have a malabsorptive bariatric surgery. A friend of mine who is a physician once suggested me to explain it to new doctors I see as a "short bowel syndrome". That works very well to start a conversation. Some of our medications do have to be adjusted, but most are ok. The biggest thing you want to steer clear of are coated, or extended release type pills. Those dont work well with us. |
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Post by teachermomolp on Jul 27, 2014 21:00:22 GMT -5
What about things like Tylenol or cold medicine? Do we just does ourselves the same way? I'm asking because I drank an alcoholic beverage yesterday for the first time since surgery and WHOO BOY- I was drunk and after just one drink. Does medicine do the same thing? I'm worried...
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Post by west4thavenue on Jul 28, 2014 10:07:04 GMT -5
Hello, Jenawe. I take a lot of meds, especially for my heart -- OTC and prescription. I don't need any increased dosages in order to absorb and get the benefits of the meds. In fact, my cardiologist has had to decrease the dosages on some of my meds because of the weight loss. The meds are working very well, so I don't think we have any issues with absorbing meds.
teachermomolp - My surgeon cautioned me about alcohol use during the first year. It was one of my big pre-op questions because I really love a glass of wine! He said I would become intoxicated very quickly. He also pointed out that with the change in our intestines, the alcohol consumed goes straight to the liver. He did a liver biopsy during my surgery that showed moderate steatosis and mild lobular inflammation consistent with steatohepatitis (nonalcoholic). This is a very common condition with obese people.
That being said, I did try a glass of one of my favorite wines about 3 weeks ago. First, let me say, it appears I have lost my "palate". Foods and beverages do not taste the same to me anymore. Even water tastes pretty bad. I could not taste any of the flavors in this wine -- only the alcohol. Indeed, it was a little like drinking a beautiful glass of turpentine. But I sipped over a period of about an hour until it was gone. Nada. No buzz. I decided it wasn't worth the expense or the risk to my liver. That puppy needs to heal. I'll just take a sip of my husband's wine now and then to see if my taste buds have returned.
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kingy
Full Member
Posts: 213
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Post by kingy on Jul 28, 2014 15:50:26 GMT -5
I second Joanneb, watch out for enteric coated tablets, you won't absorb them properly. If the doc has to give something to me and it is coated, I always ask for an alternative or check if the tablet can be broken up before ingesting.
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Post by teachermomolp on Jul 28, 2014 15:53:11 GMT -5
Thanks Monica- so weird I had the opposite response. Hence the YMMV, I guess! I already have NASH so no more drinking for me... Thanks to all about the medication info. I feel better. Many of mine have been discontinued too, Whoo- hoo for us!
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Post by missdee1 on Jul 28, 2014 18:19:45 GMT -5
I'm so glad you asked this question. Very helpful info! Now I have to find out what coated means!
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Post by Melinda on Jul 30, 2014 14:43:18 GMT -5
Totally a YMMV thing for sure! I am actually one who CAN take time-released medication and do fine with it. My Wellbutrin for instance is extended release, and I do fine taking Alleve for joint pain, that sort of thing, and it does seem to do well for me for a good 8 hours. I think a big thing to note though is that I am almost 12 years out from my surgery. So what holds true for you early out, may not be so when you are further out. Same with alcohol and other types of medications. My synthroid, however, we found that my best results were taking 100 mcg in the morning, and 100 mcg in the evening. It gave me the same results in my labs but I felt better overall. I was getting heart palpitations and jitters taking 200 mcgs at once, so when my endo had my split the dose in half, divided 12 hours apart, it was perfect.
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Post by illinids2 on Jul 30, 2014 14:49:53 GMT -5
The effect of alcohol is no different to me at all, other than I can't drink many things because of carbonation and have to be snacking on meat/cheese/chips to drink a glass of wine or a diet ginger ale and whiskey (lots of ice, heavy whiskey and stir to get carbonation out).
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Post by goodkel on Jul 31, 2014 0:00:28 GMT -5
What about things like Tylenol or cold medicine? Do we just does ourselves the same way? I'm asking because I drank an alcoholic beverage yesterday for the first time since surgery and WHOO BOY- I was drunk and after just one drink. Does medicine do the same thing? I'm worried... All the labels say to not drive heavy machinery until you know how something is going to effect you. Right now, that means you. I had my first drink, a shot of Bailey's on Thanksgiving, at 3 months out. It did not intoxicate me. I have never had to adjust the dosages of any OTC drugs. This is another of those YMMV things. |
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PeteA
Full Member
Posts: 221
Surgery Date: 4/15/13
Surgeon: Dr. Phillip Schauer
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Post by PeteA on Aug 3, 2014 15:55:41 GMT -5
Welcome. If I understand candida right you are looking at some anti fungal meds or some kind of antibiotic like flagyl to kill off the overgrowth and then pro-biotics to restore a balance of the flora in your gut. I'm not so sure about the anti fungals but I've never seen anyone have trouble with the antibiotics due to DS - since most aren't enteric coated to delay release.
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Post by jenawe on Aug 7, 2014 0:05:01 GMT -5
The reason I ask is because I've had to start taking a shot (for a different condition other than candida) instead of the medication in pill form. I've been on this medication (pill form) for about 6 years and haven't had any issues until having the DS. That's why I'm concerned about how other medications may be absorbing. I mean if we as DS patients were getting the FULL effect of the medication...we would also be getting all the fat, calories, vitamins, etc that we ingest. Right?
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Post by goodkel on Aug 10, 2014 23:27:32 GMT -5
It all depends on how that particular medication enters the blood stream or if it is oil based.
You can't make a blanket assumption based on that one drug.
I required a 25mcg increase in my levothyroxine at my 3 month labs and that was it. I've had no issues whatsoever with OTC drugs or any other prescription.
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