How to talk to Dr about pain meds following gastric sleeve?

Although most bariatric surgeon will often request to avoid NSAIDS( None steroidal anti-inflammatory), I have many patients that use NSAIDS with the sleeve gastrectomy surgery and they do not have any problem.  Having said that I also recommend that your bariatric surgeon write a short letter if he strongly believes you should not be on any type of NSAIDS.  Now with Gastric bypass surgery this is significantly different issue.  Gastric bypass operation is an ulcerogenic operation by nature.  Is is prone to ulcer, and adding NSAIDS to the mix can have deleterious effects, such as ulcers, bleeding and perforation.    For gastric bypass patients use of NSAIDS is contraindicated and most all bariatric surgeons avoid the use. 

With sleeve gastrectomy, the only modification made to your anatomy is that the stomach is smaller.  That's it.  No rerouting.  This is a great advantage over gastric bypass, and one of the reasons I recommend it to most patients.  You can take ANY medication after sleeve gastrectomy.  Yes, we usually ask patients too avoid pills in the first month or so, for fear that they might get stuck.  And it might be reasonable to avoid NSAIDs during that first month while the staple line is healing; but after that, you can take any medication you need.Ask your surgeon to provide you with evidence showing why you can't take an NSAID.  There is none.  By the way, Celebrex is even safer, and has a low risk of causing stomach ulcers.