Can tramadol irritate stomach?

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Alcie
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Date Joined Oct 2009
Total Posts : 3554
   Posted 8/12/2010 5:29 PM (GMT -6)   
After endoscopy my GI doc said I have gastritis and duodenitis but offered no explanation.  Just go home and take Nexium.
 
I was drinking 2 cups of coffee with my morning tramadol, but that was half skim milk.  I only take 2 tramadol a day - morning and noon.  The only other thing might be the vitamin pill.
 
Has anyone else had stomach problems with tramadol?  I can't take anything else.
Alcie
 
 

White Beard
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Date Joined Feb 2009
Total Posts : 3307
   Posted 8/13/2010 8:25 AM (GMT -6)   
Alcie
 
The answer to your question is Yes, Tramadol can cause gastric problems, does your GI Doc know that you take Tramadol every morning? I would make sure he knows that, and I would mention to your prescribing Doctor of the Tramadol  what problems you are having with it. Maybe you could be put on something else. You might want to Google it, and look Tramadol up and see adverse side affects of this medication.
 
Good Luck to YOU
 
White Beard
 
 
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3554
   Posted 8/13/2010 10:15 AM (GMT -6)   
Thanks White Beard. I suspect tramadol as the irritant since it is known for nausea, although I don't have that. My GI doc does know I take it, but I don't think he has a terrific chemistry background. He's notably good on procedures.

Unfortunately, there's nothing I've tried that does the same job of pain relief - fibromyalgia and arthritis in the spine (causing radiculopathy). I have an entire typed page of meds and my reactions, even had to reduce the font size to get it all on one page. I can take Vicodin, but don't want to get hooked, and it stops working after about a month. Max dose of Tylenol is only just better than nothing, and there goes the liver.

I COULD switch for a month though. But I don't know how to tell if the stomach is any happier. I have no stomach pain, onle a little esophageal irritation. Maybe after I am on Nexium for a month - which is what I'm supposed to be on. GI is sure Nexium will fix me right up. Ha! He's convinced Nexium stops reflux, but after being on that and other ppi's for over 25 years I know it doesn't.
Alcie
 
 

Jim1969
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Date Joined Jul 2009
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   Posted 8/13/2010 11:56 AM (GMT -6)   
I was on Tramadol for a short time while trying to find a pain med that worked for me and the doctor who put me on it said that if I ended up feeling queezy on it to take it with some food.

Coffee is also a known gastric irritant. In general there are many foods that can cause gastric issues, not to mention stress, genetics and a whole host of other things.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 8/13/2010 4:55 PM (GMT -6)   
Alcie,
I was also going to mention the coffee, as well as other dietary possibilities. I have GI issues (Barrett's esophagus along with acid reflux) and take nexium twice/day, but I've also had to change my diet and have pretty much eliminated coffee (although it's been so hot this summer I don't miss it!). You might try eliminating the coffee just to see if it helps.

If your doctor's office didn't give you any dietary suggestions for the gastritis and other GI issues, I'd call his office and see if he has a nutritionist he works with, or can send you a list of foods that aggravate it. You can also find this pretty easily by looking online at credible sources like webmd or mayoclinic.

PaLady

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3554
   Posted 8/13/2010 4:57 PM (GMT -6)   
My GI doc did a gastroscopy on Tuesday after had a vomiting blood episode brought on being put on Darvocet-N, after having a bad serotonin syndrome from the pain doc adding Flexeril. I have been having constant refllux and intermittent mid-sternum pain since the vomiting. (Actually it was just hard heaving since I have a Nissen fundoplication and can't really vomit.)

Now that that's clear as mud - I asked the GI doc for pain med before the scope and he ignored me. I was expecting some small IV pain med. I thought I was being nice and not taking my pill so he could see the stomach without a bunch of particles in it. My procedure was delayed and I was 3 hours late already after coming out of the procedure (wide awake and hurting since I refuse Versed and react badly to Fentanyl). GI said he "doesn't prescribe narcotics."

I finally got someone to get my purse so I could get my own out. Good thing I hadn't had the throat spray and could swallow! Still, being stressed and late on med when I needed it threw me into a fibro-flare for the whole next day.

I asked why my stomach was irritated - no answer. At least (from what little you can see from the inside) my wrap appears intact. Of course that doesn't jibe with my refluxing and new ability to burp since the Darvocet episode.

Anyway, I'm off coffee, just having a cup of green tea (hoping that's not too acid). I'm taking my Nexium. And I'm trying to find out what is causing the stomach irritation and what I can do about it. I'm not going to take Nexium forever.

I'm still mad at the GI. He knew I had pain. I give him my list of meds and current conditions every time I see him. I don't think a couple of tramadol a day is even close to a big deal for: fibromyalgia, post-polio pain, Spinal arthritis, kyphosis, scoliosis, lordosis, Degenerating disks, spondylosis, arthropathy, extraforaminal protrusions, annular tears, Radiculopathy L5, S1, herniated disc L3-L4, Cervical foraminal narrowing, 3 Slipping ribs, deviated nasal septum, Torn left knee medial meniscus, axillary web syndrome from cancer surgery.

I'll keep searching. Thanks for the support! You do come up with good suggestions.
Alcie
 
 

mlatida
Regular Member


Date Joined Aug 2010
Total Posts : 129
   Posted 8/14/2010 1:44 AM (GMT -6)   
I have Crohn's disease and a script for tramadol. I actually use tramadol to alleviate tummy pain.

left forum.
Regular Member


Date Joined Jul 2010
Total Posts : 200
   Posted 8/14/2010 7:12 AM (GMT -6)   
Hey,
I take 200mg of tramadol (slow release) morning and night for chronic abdominal pain which we don't know what is causing it yet, when i was first on the tramadol every time i stood up i would vomit twice and turn green for the first few weeks of taking it, this stopped it working because most would just come back up! but after i managed to keep it down i felt nauseous and slightly weaker and faint for a few months, i have now been on it for 3 years, it affects my concentration and memory alot now but i don't get nausea, but i do get a huge amount of reflux, so much that sometimes it gets so bad it stops me keeping fluids and food down. they aren't sure if its the tramadol causing the reflux but think it may be, i am on nexium 40mg twice a day but it has had no affect yet, does nexium work for you? i have only been on it a week because its bad at the moment i know it takes a few days to kick in but it hasn't had any affect yet.

what your doctor did sounds typical of many of my doctors that are only there to do their job and not actually have care and understanding for the patients!!
Hope you sort things out,
best wishes xx
15 years old,
Chronic stomach pain with no diagnosis yet and lots of other things.

When the going gets tough, the tough get going.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3554
   Posted 8/14/2010 8:42 AM (GMT -6)   
Hhi Buttercup -
Abdominal pain is nothing to ignore. It can be all sorts of things like endometriosis (which can be diagnosed by ultrasound). Nexium at that dose twice a day is way too much. I hope you ar seeing a gastroenterologist. Something is very wrong.

I was on Nexium for over 25 years until I had a bad wreck last year and the seatbelt pushed my stomach into my chest and I needed surgery to bring it down. I was then able to stop the Nexium. So I've been off for a year. I've been on tramadol for a couple of years for fibromyalgia and was fine until I had an (attempted) vomiting episode a couple of weeks ago caused by Darvocet. It's just since then that I've had symptoms of reflux and sore throat returning. I never had nausea from tramadol, still don't.

The surgery (Nissen Fundoplication) is a last resort, but necessary if nothing else works. See the GERD forum! I've posted there a lot about trigger foods and keeping a food log/journal to find your triggers - searcheable.

I'm just trying to figure out what's happened to me since the Darvocet episode. I'm refluxing all the time and suspect damage to my wrap. But I also need to find out if my current meds are contributing.
Alcie
 
 

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3307
   Posted 8/14/2010 8:44 AM (GMT -6)   
Alcie
Most of the time they usually don't give any type of major pain relievers for this type of procedure. They usually spray your throat with the numbing stuff and give you the Versed IV cocktail and do the scope job and then send you to recovery and that is it!.  The whole idea with the Versed is the patient will be a co-operate and of course you do not remember anything after it is over, they usually always use it for the colonoscopy! I have had the endoscope of my stomach done, with and without the versed cocktail. I would much rather have it with the IV versed! For me they usually do it in conjunction with doing the colonoscopy.  Maybe your GI Doc might have been a little miffed because of the way you chose to have it done.?????? But that is just a guess on my part!
 
For acid reflux and stomach pain, I alway use and antacid,   tums or rollaids,  for me Gaviscon works the best because it foams up and coats the upper stomach, I have a hiatal hernia and it is great for acid reflux for that condition.  Your nexium and those meds usually slow down or prevents or lowers the amount of the acid  being produced, which is good, but the antacids, neutralizes the acids that are present in the stomach. With the acid reflux the acid is getting up into your esophagus  from your stomach, where it is not suppose to be and and thus causing you problems, and can cause the difficulity that PALady talks about having which is Barretts esophagus, and that is not a good thing to have!  The Gaviscon foams up and coats the lower esophagus and upper stomach, and neutralizes the stomach acids. You might talk to your GI Doc about using both the antacid with other meds.????? Just a thought!
 
Good luck to you!
 
White Beard
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3554
   Posted 8/14/2010 12:25 PM (GMT -6)   
WB -
Actually, the anesthesiologist said if it pretty standard for the hospital where I had the gastroscopy is to use propofol. It doesn't mess the patient's mind up nearly as much as Versed. No spray needed. It's much better for bad gaggers like me. There's really nothing to cooperate with. I've had the procedure before with just the spray.

I am quite fussy, I will admit. My GI doc doesn't like that. He absolutely didn't believe me a couple of years ago when I told him I figured out I was allergic to sulfites and that by avoiding them I had stopped having refluxing spasms, although of course, that didn't stop acid getting past my bad lower esophageal sphincter. He's been wanting me to get surgery, but I was perfectly happy with having no real problems just on Nexium. Then I had the bad wreck and HAD to have the surgery.

He also doesn't like that I have questions he can't answer. I've got a 2" diameter bruise in the middle of my sternum where he pushed really hard with his nuckle and asked if the intermittent chest pain was like that. No, it is deeper, not as painful. It's exactly where I had heart attack pain 4 years ago, but also exactly where the accident left me with a really big hernia - the one that was repaired.

I've never had Barretts. I can't take Gaviscon or Mylanta or any of the other liquids because they have too much sulfite. I've got about half a page typed of the OTC meds I've tried and can't take. If the Nissen fundo is intact I shouldn't have any reflux anyway. I wasn't before the Darvocet episode.
Alcie
 
 
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