interesting case..

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chimaira
New Member


Date Joined Jun 2009
Total Posts : 1
   Posted 6/27/2009 12:56 PM (GMT -7)   
maybe im an interesting case, maybe i am not, you can be the judge of that :p I am 24 years old, and i have suffered from gout, deptression, anxiety and social anxiety. My gout was an old problem that was only discovered to be "gout" within the last year and a half or so. I started off going to the doctor to get pain meds,( by the way, gout has been compared to child birth in pain...my attacks now can last for up to a week). As all of us im sure, i started out on a fairly low dose, as compared to most people here im probably still on a low dose. Ive always had bad social anxiety and anxiety...this is where the problem lies. My anxiety (or its just who i am) makes it so i dont want to take my allopurinol, or any of the gout medications really. I read that there are terrible side effects that can happen amongst other things such as liver damage. The pain is unbearable and up until this month has been hitting every 2 weeks or so. My chronic pain i beleive, probably could be handled with a motrin. Because of my anxiety, i wont lie, my pain meds calm me down, they help controll the anxiety as a side effect. Now when i have an attack, without them i have to go to the e.r and receive multiple dilaudid shots. So its a catch 22, i need them in the house, yet when i have them i take them daily. So i asked my doctor to send me to a pain management clinic, and thus i receive the meds daily. I dont like the way they make me feel now, i take 15mg oxycodone every 4 hours 3-4 times a day, and i dont take it at night because it gives me panic attacks, lately ive been waking up in a pool of sweat (which im betting is due to the medication). I want to be done with it, tommorow im just going to stop. The problem is, because of my anxiety ive been hesitant to really ask for the dose i was needing, thus id receive less medication then id need, i end up running out of them at the end of the month. Im afraid to go to my doctor to tell him this is the case and i need to taper off, i feel if i were to tell him, then if an attack comes where i totally need them i will not be able to receive anymore. I kinda just needed to get all this off my chest, do the pain meds for anyone else make it hard for them to wake up in the morning? sweat during the night and in the day? feel unmotivated and hard to do anything such as school or work? i need answers to some of these questions. I just dont know what to do, all i know is want off of them, and im going to stop completely tommorow, ive went to therapists, ive gotten anxiety meds..they all make u like a zombie, i refuse to go on xanax thats for sure, im just confused. Im not a junkie, and if i am getting there i dont wish to be one, i dont sit in an ally way, i hate the feeling of the iv injections at the hospital. I feel like i have no drive in my life, and i have a funny feeling part of it is due in part to these meds. i guess i dont know what im looking for here, maybe just a comforting word or two or maybe just some advice from someone more experienced and older. Ps. im also ex infantry in the military, my carreer was ended due to my gout. thank you for whatever help you can provide community.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/27/2009 2:21 PM (GMT -7)   
Hi, Chimaira,
Welcome to the chronic pain forum of Healing Well. We're a great support group and share lots of experiences, although we're not doctors and can't give medical advice.

It's a bit overwhelming for me at the moment to address each of your questions but the first thing I want to say is please - PLEASE - don't just stop cold turkey. If you want to withdraw from the pain meds, that's fine but do it under medical supervision. It can be dangerous to withdraw abruptly.

Also, since you mention anxiety several times, I really would suggest you work with someone to deal with that. You mentioned that you've had some treatment for that, but have you seen a therapist who is trained in dealing with anxiety? Psychiatrists are good at prescribing medication (and sometime that needed) but there are a lot of other tools one can learn in therapy to help manage anxiety. Cognitive Behavioral Therapy, along with when needed anxiety medications, is generally considered the gold standard. If you saw a therapist, maybe you need to try to find another one, because it seems the anxiety is a significant part of this. Even you mention motrin might be able to control your pain if you dealt with the gout.

We all have to start taking some medications we don't like. I just had to start taking a major medication for GERD and Barrett's esophagus, in addition to all my pain meds. I don't want to take any of these, but have little choice, especially because some of this could become life threatening for me. We each have to look at the big picture, try to find the best TEAM of health care professionals we can (doctors, physical therapists, in your case a therapist specializing in anxiety, etc.) we can, and then managing our symptoms if they can't be cured.

Just a thought I also had - you mentioned being in the military. Is there any possibility you could be suffering from PTSD? That is like an anxiety disorder, but much more complex, and if not treated by someone with that expertise it might not be helpful. Many anti-depressants can also help with anxiety.

There's also an Anxiety forum you can post to (and you can post here, too) easily but using the Quick Jump menu at the top of the page.

Hope some of this helps!

Again, welcome.

PaLady

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/27/2009 3:24 PM (GMT -7)   
Chimaira, I also want to welcome you here. I am glad that you came here and introduced yourself. I am sorry about you having Gout. I have heard that it is painful. Anxiety can be extremely bad. I have had problems with anxiety,too. I think we all have been there is one way or another. And yes, medications to control our problems can often times leave us feeling not the greatest. And at times it is indeed a catch 22. I do understand that. I want to encourage you not to just stop your meds. That is a decision that you need to make with your doctor. And if you do chose to discontinue them, it needs to be done with supervison only. It can be very dangerous. I don't know what meds you are taking, you didn't say. But please reconsider this. Make an apppt. with your doctor and talk this out with him/her. There are many anti-anxiety meds and anti-depressant meds available. It would be helpful to you. It may take a while before one is found that works for you. Personally, I do take xanax 0.25mg. It does help me. It doesn't leave me loopy. For me, it just helps me to calm down enough. You mentioned that you don't want to take it. I assume that you have taken it before. People require what works for them. I do hope that you are able to talk with your doctor about your meds. If you are having problems with them, it should be discussed with your doctor. They may need to be changed or adjusted to better fit your needs. I am glad you posted. I wish you the best.Good luck to you. And keep us informed on how you are. I do hope that you will stick around here for as long as you need to.
anice

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 6/27/2009 3:28 PM (GMT -7)   
I also want to welcome you here to our family......

I will have to agree with everyone else don't stop you meds. I will say you need to start taking your meds as prescribed to you. Then deal with the anxiety. I think most of us here have nerve issues with dealing with pain.

Take a deep breath and work your way through step by step. Otherwize it gets to overwhelming..

Best wishes
Laurie
39 yr young female with,
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD
Also CHF (Congestive Heart Failure) and Sleep Apnea
Hopefully NO MORE........ I think I have it all


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 6/27/2009 7:12 PM (GMT -7)   
:-)          Dear Chimaira,
 
     Good evening! It is very nice to meet you. My name is Dani. :-) I do hope you pick up a chair, sit, relax (as much as possible) and stay a while. This is a wonderful outlet for those with chronic pain. Welcome to the Healing Well Community *huggs*
 
      Im not sure what gout is but I will learn more! I am new here too. It seems that there are so many things that can happen within the human body to cause chronic pain and I find myself literally learning more and more every day. There are so many people here, so many stories and resources it is amazing!
 
      deptression, anxiety and social anxiety
 
     I've only been here a few weeks, but! It seems to me, that depression and anxiety  seem to go hand in hand for alot of Chronic Pain Patients. I've been meaning to look in to that, but.........   :-)
 
     My anxiety (or its just who i am) makes it so i dont want to take my allopurinol, or any of the gout medications really.
 
     Its really important to take all medications even if you dont quite understand why you are on that particular combination. I bet your doctors wouldnt mind answering any questions you  have. The term "snow ball effect" comes to mind. Be careful when not taking a medication. And shoot... I dont know about you? But sometimes in the mornings? I think, jeeze! I might as well put 'em in a bowl and add milk! Got pills big enough to feed a third world country!
 
      read that there are terrible side effects that can happen amongst other things such as liver damage. The pain is unbearable and up until this month has been hitting every 2 weeks or so. My chronic pain i beleive, probably could be handled with a motrin. Because of my anxiety, i wont lie, my pain meds calm me down, they help controll the anxiety as a side effect. Now when i have an attack, without them i have to go to the e.r and receive multiple dilaudid shots.
 
     Have you talked to your doctor about mybe trying something differant? That doesnt have such scary side effects? Reminds me of when I went in for my first procedure I was so frightened, and you have to sign this paper.. and get this! Right there! It lists like all these possible 1% chance of stuff "May wake up with aliens in aruba!" kidding, but scared me to peices first time, just told my doctor I was frightened and they totally understood. :-)  I guess im trying to say that if you are frightened or scared by your treatment plann you should let them know. I bet they would really welcome the feedback. :-)
 
     and i dont take it at night because it gives me panic attacks, lately ive been waking up in a pool of sweat (which im betting is due to the medication
 
     When you talk to your Doctor next realy that aswell. I'm betting that they will know exactly what to do about it :-) No worries
 
 
      I want to be done with it, tommorow im just going to stop.
 
      Nope a roony my new friend. *huggs* Don't think that way! Not how it works. Did you doctor talk to you about something called "physical dependancy" before you started your medicine? It isnt that I dont think you have the will power. I do! In fact will power is something about you that hopps off the page from the first 2 sentences of your post. I've no doubt that you are an increadibly strong individual, but your body on the other hand... cannot and does not have the capabilities to go through sudden withdrawl. But! No worries! Again, your doctor can help you put together a plann and or try something differant. :-)
 
       I kinda just needed to get all this off my chest, do the pain meds for anyone else make it hard for them to wake up in the morning? sweat during the night and in the day? feel unmotivated and hard to do anything such as school or work? i need answers to some of these questions.
 
         That is ALOT to have on your shoulders! Yes! Mine did, I just told my doctor and he completly understood, in fact, I got the distinct impression that he had expected that. *shruggs* The sweating part could be a couple of things so tell you doc. They will know what to do. The unmotivated part might be as simple as adjusting your medications to things you can all agree on level/type or maybe just a quick blood test check for other stuff :-)
 
      I just dont know what to do, all i know is want off of them, and im going to stop completely tommorow, ive went to therapists, ive gotten anxiety meds..they all make u like a zombie, i refuse to go on xanax thats for sure, im just confused.
 
     A friend of mine had to sift through medicines for 6yrs for her anxiety! crazy no? Don't give up thou!  And by the way I would think a junkie would sell said computer vs. hopping online and meeting new folks that are really excited to meet him. *huggs*
 
     Dont you worry one minute about not liking hospitals, you and me BOTH! And just WHO do they think they are fooling with the fake trees? Not exactly the picture of warmth and comfort rolleyes most certianly doesnt smell anything like my grannys kitchen used to. Not quite the "healing" atmostphere... smhair
 
    *huggs*
dani
 
 
TWO roads diverged in a yellow wood,  
And sorry I could not travel both  
And be one traveler, long I stood

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