Welcome to the forum. It's generally advisable for us not to take NSAIDs when other solutions work well. Do some of us occasionally and temporarily use NSAIDs due to headaches or other things? Oh, yes, absolutely!
The main factor limiting NSAIDS use is the concern for the development of gastrointestinal toxicity including mucosal injury. A possible association between the use of NSAIDS and the onset or relapse of IBD has been repeatedly suggested.
Here's some reading on it. The jury is still out on whether newer COX2-only inhibitors are safer than old-school NSAIDs like aspirin that block both COX1 and COX2. There's some good reason to believe COX2 is safer.
5. Summary and Conclusions
In conclusion, to date, the available data in the literature on the effects of NSAIDS on IBD activity is inconclusive. It remains unclear whether NSAIDS and COX2 selective inhibitors indeed cause flares of IBD and whether COX2 inhibitors are safer than conventional NSAIDS. There is some evidence to suggest that short term usage of COX2 selective inhibitors is safe and beneficial in patients with IBD. Concomitant use of NSAIDS or COX2 inhibitors and steroids in patients with IBD warrants special consideration and careful monitoring due to the potentially increased cardiovascular and UGI toxicity, especially in older patients. Further research and controlled future clinical trials will help clear some of these topics.
The researchers concluded that most patients with quiescent IBD can tolerate NSAIDs for a period of four weeks, but a significant minority will suffer a relapses within about a week.
The findings suggested, Dr. Bjarnason said, that "if a patient with IBD requires an NSAID for pain relief, then these drugs should not be withheld on the belief that they will cause worsening of disease symptoms."
The results also suggested, the researchers said, that selective inhibition of either of the COX enzymes is less likely to cause problems than blocking both of them.
I'd say if nothing else works then I'd cautiously try a NSAID for limited, and short term usage. If you have a problem that requires long term usage then find a better solution.
Moderator Ulcerative Colitis
John, 39, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaU.C. = Unimaginable Crapnado
Post Edited (iPoop) : 12/7/2017 2:13:01 PM (GMT-7)