Gum Graft Surgery and Hydrocodone/Acetaminophen

[JessesMom]

Hello everyone, I was diagnosed with MC back in December and started Entocort on January 6th at 9mg a day and am now on 6mg a day for the next month. I also eat GF.

Yesterday I had to get gum graft surgery and the Periodontist called my GI ahead of time to see what pain relievers I could take and he approved me being on a Hydrocodone/Acetaminophen as needed for pain, he also said I should take Vancomycin after the surgery (which I was previously on for C-Diff back in October).
So I had the surgery and I filled the Hydro prescription but not the Vanco, I really don't see the reasoning behind the Vanco and prefer not to mess up the good bacteria in my gut even though I take a probiotic.
So my question is how safe is it for me to take the Hydro pills? As far as I know Ibuprofen and Aspirin products are supposed to be avoided by us with MC... I did take two of the pills yesterday due to the pain but I'm psyching my self about taking anymore because I do NOT want to cause another flare up. Will I be OK taking it for the next day or so because I'm on the Entocort? I do not want to back peddle on the healing I'm attempting by taking the steroids and eating GF but I really wish I could take it because my mouth is killing me...

Any insight would be greatly appreciated

[tex]

Hi,

If you are taking a good probiotic, you shouldn't need the Vancomycin, (unless you see the symptoms of a C. diff infection actually developing). Taking an antibiotic as a preventative is a very bad practice, as that is the way that many strains of bacteria become antibiotic-resistant. IMO, you made a good choice.

Yes, narcotic-based pain pills do not aggravate MC, and acetaminophen is safe for us also. Tramadol is another analgesic that is safe for us, but the list is pretty short, because virtually all of the others are NSAIDs, or related to NSAIDs.

The biggest risk with narcotic painkillers is that they slow down motility, so if you have to take them for an extended period of time, you may need to take a stool softener also, in order to minimize the risk of an impaction problem. For just a few days, though, it shouldn't be a major problem, unless you notice that you are becoming constipated. The only problem with taking Entocort concurrently, is that it can contribute to a constipation issue, but as long as you don't notice any symptoms, you should be fine. If symptoms of C develop, either temporarily reducing the Entocort dosage rate, or taking a stool softener, or both, should resolve the problem.

Good luck and please keep us updated on your progress.

Tex

[Gabes-Apg]

If you want to minimise the use of painkillers, use lots of icepacks and rest! it numbs the pain and keeping still keeps the blood flow minimised.

In the last 4 months i have had two absessed molers 'sawn away' from the jawbone. due to kidney issues could not have pain killers. Ice packs, resting propped up on the lounge (not laying down), meditation and relaxation podcsts etc and resting resting resting i got through it fine.

[gluten]

Hi Tex, Years ago my PCP heard a tick and said I have a MVP. I had several echo-cards and they did find any evidence. But every time I had dental work I had to take a antibiotic for a day before and several days after any dental work. That has changed since the 80's to now only 2000mgs 60 minutes before any dental work. For three years in the 80's I had many dental visits. I suspect the cause of the MC is due to a bacteria. Jon

[JessesMom]

Thanks for the quick responses you guys. I was able to read the responses and felt so much better after being reassured that temporary use would be OK for me. I was able to take the medicine and go away for work that past weekend. My mouth is doing much better, although I accidentally ripped the stitches out too early, but no big deal the site was already closed up (thank god). I really appreciate all the support that is available on this site