just started PPI for this pending results and blood tests this week. I-previously posted that I have not really used NSAIDs much to treat my RA relying more on codeine . However in October 2020 I severely ruptured 3 muscles in my lower left leg and have been prescribed the strong volterol gel which I’ve used extensively, in fact I started using it on sore stiff joints too as I preferred it to ingesting tablets . Anyway my question : is volterol a NSAID and could it be absorbed enough to start this stomach issue off?
UPDATE: H-Pylori results negative. Bloods due back next week. I’m not surprised at this as how nurse could say it was H-Pylori when she only spoke to me on the phone is beyond me. It occurred to me suddenly that my very long term sore throats could affect my stomachs so asked for GP call which was pointless as he didn’t listen and just said keep taking the PPI and just wait for the blood results, so I am. So far they have asked no questions about whether I drink smoke or am stressed..... interesting approach. Symptoms remain as, throat red sore yellow inside, earache, headache, sore eyes, fatigue, nausea, dizziness, bloating, loose stools, stomach cramp occasionally, heartburn, pain in neck and sometime high in back or between shoulder blades, loss of appetite and loss of weight, feeling of acidic heat in chest, throat nose and behind eyes, slight rash on chest and extra muscle and joint pain from Stills Disease too. I am wondering if it could be gallbladder related possibly associated with HRT use (9 years transdermal). In the meantime I’m walking round the house like a cold chameleon, slowly , carefully and with effort!
It is a NSAID and Dr Google warns people that, if they have for instance something like ulcerative colitis, it could permeate into their system and do digestive damage.
says "A recent review by Haroutiunian et al reported that the incidence of severe gastrointestinal adverse events is three times lower with topical diclofenac compared with oral diclofenac, and that its systemic effects across the board were generally infrequent and did not differ from placebo in the great majority of trials"
ah! So if I have H-pylori and have been using volterol GEL over the last two years it could be a contributing factor. I’ve read that having am AI Disease increases the likely hood of h-pylori/ peptic ulcer ........ autoimmune illnesses have a lot to answer for don’t they as the Lichen Sclerosis, Interstitial Cystitis and Dupuytrens contracture I am also diagnosed with also cite AI as increasing the likelihood of these things! What else shall I watch out for 😉Thank you for your informative reply 😀
tbh I’m scared to eat much at the moment, brown toast, apples, grapes, cranberry juice, bread sticks, cashew nuts almonds...... that’s it at the moment.
Yes. I used it once for my injured knee and it immediately caused some bleeding somewhere in my stomach or gut. I don't suppose everyone would be so sensitive but in my lifetime I've had two stomach bleeds and probably both of them were triggered by use of NSAID aspirin or naproxen. I subsequently learned about the non-medicated gel called Flexiseq and have been using this successfully without any issues ever since.
My doctor at the time prescribed it, although it is available otc, and said it would be safe because I wasn't ingesting it. She was wrong. It works because it's absorbed through the skin, and from there, where does it go?
Yikes. I've never taken ibuprofen because I read it's somewhat more likely to cause bleeding than some other medications and there is my family history. I use aspirin because tylenol is basically useless, but v e r y carefully, just as careful as with pred, maybe more so.
I took one ibuproven tablet, just one, and it caused stomach cramps almost immediately. I had to throw the rest away, and I've never taken them since. From what you say I think I did the right thing.
Here in Nova Scotia the sample the pharmacist gave me (the prescription was terribly expensive) looked to me to be identical to what I later saw on the shelf but I don't remember the percentage of medication. I didn't know initially that it was available otc.
My son took the samples away to use, but later when it occurred to us both that we share the same family history of unfortunate bleeds he started using a variety of Flexiseq himself. He's a runner, so (not yet) for OA as in my case, but my original use was for an injury and it worked very quickly and effectively.
In my case, the antibiotics used to treat Hpylori did a job on my gut after the course completed. Hp is actually a large cause of stomach cancer so it’s good you are clearing it up. That said I found nsaids bothered me but I could take them judiciously with either a ppi or H2 blocker. I never used a topical nsaid at that. Time; they were not available then.
Carafate (sucralfate) did help the stomach pain after the antibiotics were completed. Check with you pharmacist/chemist about taking any meds at the same time. It can block absorption.
yes I know antibiotics can upset the stomach but with the h-pylori infection it’s upset anyway. Reading the contraindications of the PPI I see nausea and bloating are likely! So no matter what it looks like an upset tummy to endure. I don’t mind the weight loss though, 6lbs gone already so soon but under 9 stone which I haven’t been for years but I’ll need to watch that as I’m not buying new clothes!
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Dilemma with medication - update
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