انواع عمل لاغری مثل اسلیو معده، بای‌پس معده و باندینگ، انتخاب‌های خوبی برای درمان چاقی مفرط هستند، اما بخشی مهم از تجربه بعد از جراحی چاقی به چیزی برمی‌گردد که کمتر درباره‌اش صحبت می‌شود: درد. احساس درد پس از عمل یک نشانه طبیعی از ترمیم بافت و واکنش بدن به مداخله جراحی است، اما اگر به‌درستی مدیریت نشود، می‌تواند منجر به عوارضی جدی شود. کاهش تحرک، افزایش ریسک ترومبوز، مشکلات تنفسی و حتی اختلالات روان‌شناختی از پیامدهای عدم کنترل صحیح درد هستند. بنابراین، انتخاب بهترین مسکن بعد از عمل لاغری، تصمیمی صرفاً دارویی نیست؛ بلکه بخشی از مراقبت در دوران نقاهت بعد از عمل است.

چرا انتخاب بهترین مسکن بعد از عمل لاغری، مهم است؟

1-ساختار گوارشی تغییر یافته، جذب دارو را تغییر می‌دهد.

فرض کنید روده‌ی شما پس از عمل کوتاه‌تر شده یا بخشی از آن دور زده شده است؛ این یعنی دارویی که قبلاً به‌خوبی جذب می‌شد، حالا ممکن است ناپایدار، ناکارآمد یا حتی خطرناک باشد. For this reason, in patients who have undergone slimming surgeries, the absorption of medicine (especially food) changes significantly. This directly affects the effectiveness and safety of medicines.

2- The risk of gastrointestinal complications: a dangerous reality

One of the biggest considerations in choosing the best pain reliever after weight loss surgery is avoiding damage to the stomach and intestinal mucosa. NSAIDs such as ibuprofen or naproxen, which are considered safe for normal people, can lead to gastrointestinal ulcers, bleeding, or even intestinal perforation in surgical patients.

Introduction of the best pain relievers after weight loss surgery

To properly understand which pain reliever is really safe and effective, we need to take a close look at the categories of drugs and examine them in terms of function, safety and absorbability.

. Acetaminophen (Paracetamol)

• Uses: Mild to moderate post-operative pain, headache, muscle or abdominal pain

• Common dose: 500 to 1000 mg every 6 hours (maximum 4 g in 24 hours)

• Advantages: No negative effect on stomach or intestinal mucosa

• Important points: In many hospital treatment protocols, it is the first choice after weight loss surgery

2. Tramadol

• Uses: Severe pain after surgery, especially in the first days

• Common dose: 50 to 100 mg every 6-8 hours (up to 400 mg per day)

• Advantages: High effectiveness in reducing severe pain

• Important notes: May cause constipation, dizziness or drowsiness; To be used only with a doctor's prescription and for a short period of time. It is prescribed on a limited basis for patients who have severe pain in the first days after the operation

3. Celecoxib (Celecoxib)

• Usages: chronic joint pain or inflammation after surgery

• Common dose: 100 to 200 mg once or twice a day

• Advantages: Less risk for stomach ulcers than conventional NSAIDs

• Important points: It should be prescribed with caution and usually taken together with a stomach-protecting drug such as omeprazole. In people with chronic joint pain, especially obese patients, celecoxib plays an effective complementary role.

4. Acetaminophen-Codeine

• Uses: Moderate to severe pain not controlled by simple acetaminophen

• Common dosage: Depending on the combination, one tablet every 6 hours (as prescribed by the doctor)

• Advantages: Combined effect of two drugs for better pain control

• Important points: There is a possibility of creating dependencies; Excessive consumption may cause drowsiness and digestive disorders.

5. Naproxen (Naproxen)

• Suitable for: Some special patients with chronic pain who do not have access to selected drugs

• Feature: Non-steroidal anti-inflammatory with good effect on pain

• Notes: May cause stomach damage or bleeding; In patients with a history of gastric surgery, it should be prescribed with a gastric protector.

3 important points about taking medicines

• If the patient cannot swallow the tablet whole, chewable forms or drug solution should be used.

• If possible, sublingual or injectable drugs should be used in the first days.

• No medication should be taken on an empty stomach unless approved by a physician or best bariatric surgeon.

Frequently asked questions about the best pain reliever after weight loss surgery

1. Can I use ibuprofen or naproxen?

In most cases no. These drugs can cause gastrointestinal ulceration and bleeding, especially after surgery such as gastric bypass. Use may be limited only under special conditions and under the supervision of a doctor.

2. Is painkiller injection better than taking it orally?

Yes, in the first days after surgery when the absorption of drugs through the stomach is impaired, injectable or sublingual versions of painkillers are more effective and safer.

3. How many days should I use the housing?

There is usually severe pain in the first 3 to 5 days after the operation. After that, they can be used only when needed by reducing the dose or stopping the medicine. But if the pain is persistent or abnormal, the doctor must be informed.

4. Is it recommended to use herbal medicines and decoctions to reduce pain after surgery?

No. Some herbal medicines may interact with chemical medicines or interfere with absorption. In the post-surgery period, the use of any type of supplement or herbal medicine must be coordinated with the doctor.

5. Does taking painkillers slow down the weight loss process?

No, if the drugs are taken as prescribed, they do not have a negative effect on the weight loss process. But abuse or addiction to narcotic drugs can reduce the level of activity and disrupt the process.

6. What are the risks of arbitrary use of painkillers?

Complications such as damage to the liver, kidney, psychological dependence and even internal bleeding can be the result of improper use of painkillers. It is not recommended to use without consulting a doctor.

7. Is local anesthesia effective for reducing pain at the suture site?

Yes, in some cases topical ointments or numbing sprays such as lidocaine are used. These options are suitable for surface or spot pain, but they cannot replace systemic painkillers.

Summary

After any type of weight loss surgery, proper pain management plays an important role in the recovery process, quick return to activity, and prevention of complications. As we have seen, not all painkillers are suitable for these patients. Uninformed choice may lead to digestive, liver or psychological complications.

Based on scientific analysis and clinical evidence, acetaminophen remains the best initial choice for pain control. In severe cases, short-term use of tramadol or codeine compounds can be effective. On the other hand, NSAIDs such as ibuprofen should almost always be avoided, except in special circumstances and with appropriate protective measures.

Our recommendation? Choosing the best pain reliever after weight loss surgery should not be done by "others' experience" or "pharmacy's recommendation". Be sure to consult your doctor or nutritionist and take post-operative care seriously.