HAD Root Canal today - which painkiller to take for the pain , how did you people managed , plz help

HI , I an currently in a mild flare.I am 20 yrs old male. Had a Root canal 15 mins ago came home. Dental dr. Recommended me ketorol DT(ketorolac 10mg) . I told him that I avoid taking painkillers and antiobiotics due to my UC. He asked me to contact my GI. My GI told me that I can take any antiobit or painkiller. If it affects my colon he will prescribe me other meds. Can you all tell some other ways to control pain and how did you felt after first R/C?.My dental dr only gave me ketorol painkiller to be taken twice a day and said come tommorow for examination , than if he will find the need to give antiobiotic than he will give it to me. If antibiotics dont bother , can I ask him to prescribe me or not?

The only pain killer I ever use is Arthritis strength Tylenol

I agree - just take what he gives you. I took extra strength ibuprofen and Amoxicillin with my last major dental work, with no issues at all. It's not a prolonged course, you'll be fine.

That being said, I think it was a course of Clindamycin that got me here in the first place. Avoid that stuff at all costs!!

I take painkillers for my UC when I need them (and when I can get them to prescribe them to me. They help my UC. I also take antibiotics when needed with no issues.

If your GI said you can take ANY painkiller they are not really educating you. Dentists may not be fully informed about UC and what meds can cause problems.

Good replies above, hope you read them.
Generally UC people use Tylenol products rather than NSAID's
https://www.verywellhealth.com/nsaids-non-steroidal-anti-inflammatories-and-ibd-1941656
Comment by DBwithUC also says Celebrex is OK (I'll tuck that in my notes if needed).
I have always stuck with Tylenol and no problems.
In past I've had extensive dental work (root canals, implants, crowns) and never needed strong pain meds after the in-office injection wore off. And I'm a wuss about pain.

Certainly avoid clindamycin since there are many other choices. Amoxocillin has never hurt my gut but you need to see if it affects yours and take notes for future since you are young and UC and dental work will re-occur.

After my response above, I remembered that not all pain is created equal so quickly searched for a more targeted study of Gabapentin use by dentists and came across the following:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4170897/

Oh that would be good news, Sara. I would love to be able to use Advil again.

THANK YOU EVERYONE FOR THE IMMENSE SUPPORT .
My RCT is completed and I didnt feel pain and didnt get bacterial infection even for a single second. I told the dentist about my disease and he did it with a lot of care. Even the crown is applied to the teeth. Still thanks everyone for the support.
Tommorow I will be getting my second Root canal and hope so that the other teeth is also safe from pain and infection.
Still thankyou everyone , if pain occurs I will ask dr to prescribe me a painkiller that you all have mentioned causes less discomfort

Glad to hear you made it through and aren't in pain. I can't believe your GI said you could take ANY pain medication. I would switch docs ASAP. That is irresponsible. I take tylenol with codeine(I think it is called #4) when needed, but try to avoid as much as possible and only take one as I would hate to get addicted. They are really regulating this now and I have even been grilled by my OBGYN(I literally showed her I only refill the prescription every 2-3 months) as she has to ensure I am not getting addicted or selling. I wish there was something better to take!

Here's an article about the meta-analysis regarding NSAIDs: https://www.medpagetoday.com/gastroenterology/inflammatoryboweldisease/72655

"A systematic review and meta-analysis has found no consistent overall association between worsening inflammatory bowel disease (IBD) and acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs) or cyclooxygenase 2 (COX-2) inhibitors.

The findings, published in Alimentary Pharmacology and Therapeutics, run contrary to prevailing thought that NSAIDs may exacerbate Crohn's disease (CD) and ulcerative colitis (UC). For example, the American College of Gastroenterology's guidelines for management of IBD recognize NSAIDs as potential triggers for disease exacerbation.

'Contrary to the general belief, we did not find a consistent association between use of NSAIDs and risk of IBD exacerbations,' Hamed Khalili, MD, MPH, of Massachusetts General Hospital in Boston, told MedPage Today. 'This was surprising to us as generally clinicians advise against use of NSAIDs in patients with established IBD. But we caution against any changes in current practice as significantly more work is required to examine the safety of acetaminophen and NSAIDs in patients with CD and UC.'"

Basically, they need to do more studies. And they found Tylenol exacerbated symptoms in some people. I think that was only in Crohn's patients though; I can't remember.

And here's one study I had read about this same topic: https://www.ncbi.nlm.nih.gov/pubmed/26485106

CONCLUSIONS: Regular (≥5 times/mo) NSAID and acetaminophen use were associated with active CD, but not UC. Less frequent NSAID use was not associated with active CD or UC. These findings indicate that regular NSAID use may increase CD activity, or that NSAID use may be a marker of a less robust remission; thus reflecting subclinical disease activity.

Avoid! A med student told me they are not going into gastroenterology after a gastro rotation with lots of looks. They don't want to spend their career scoping bleeding colons---most of which were caused by ibuprofen. Then there is my personal experience of being told Mobic would be OK and I started to bleed shortly thereafter; resolved on discontinuation. Little red spots were seen in a family member taking aspirin. My mom had bleeding with aspirin.

If you already had the root canal the nerve is gone. Hope the pain is too.

Yeah I guess I could take an Advil occasionally if there is a headache so bad that Tylenol is not cutting it, or sometimes if I am taking a lot of Tylenol I want to ease up on it for my liver's sake. But that doesn't happen frequently so I am probably overthinking things.