Most of the time headaches are caused by being dehydrated. Doctors prescribe to stop focusing on over-eating and worry about intake of lots of fluids. Protein obtained from drinking milk also count towards fluid intake. It is challenging every day to drink but it does help reducing headache.
Generally, any of the common pain relievers are usable with the sleeve – indeed that is one of its’ primary advantages over the bypass, which is severely limited in what meds can be used. Some doctors may limit use of NSAIDs, including aspirin, for a time after surgery while others will recommend them for use as soon as the narcotic pain relievers are no longer needed. Some doctors who are still operating under RNY protocols may say that they can never be used, but they have some catching up to do with the rest of the VSG/DS world. Given the wide variety of responses between surgeons, it’s best to check with yours to see what his recommendations are.
An increased dosage of PPI is sometimes recommended with use of NSAIDs with the sleeve to help protect the stomach lining, but we have no where near the sensitivity to them that bypass patients have. There are now some recent studies indicating an increased risk of acetemetiphin (Tylenol) poisening and resultant liver damage due to the over-dependence upon Tylenol as a pain reliever in bypass patients.
Some patients do report minor side-effects in digestion after using tylenol, NSAIDs, advil, motrin, ibuprofen, or aleve.