pain meds + bowel prep: a bad combination.

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Date Joined Sep 2005
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   Posted 9/10/2009 10:45 PM (GMT -6)   
I'm in the middle of a really horrible joint disease flare that is making me feel completely miserable, and I am trying to manage it with Panadol and Endone, which are the only pain meds I've been prescribed.

I have a colonoscopy in about ten days, and am worried about how to manage pain while doing the bowel prep. Endone & Panadol both slow the bowels, and I don't want to have all the prep liquid stuck inside me, just because my pain has been bad and I've had to take a lot of pain meds before starting the prep.

Does anyone know of STRONG pain meds that won't lead to slowing of the bowels and ?constipation? The meds do need to be reasonably strong - even the Endone isn't even enough atm and I'm going to be admitted to hospital shortly for help with pain management (and other things).

I have a gp appt in a few days and am hoping, with your advice, to be able to ask him for a specific med, just so I feel safe about managing my pain before the c'scopy.


Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~

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Date Joined Oct 2008
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   Posted 9/10/2009 11:07 PM (GMT -6)   
Would a pain patch do it? Since it doesn't go through the bowel, perhaps it wouldn't cause constipation?
34 years old, Crohn's disease for 15 of them
Current Meds: Humira since 7/08, Pentasa, Effexor XR
Supplements: 3 kinds of Fish Oil, Multi-Vitamin, B-Complex, Vitamins D, E, & K, Calcium, Magnesium, Enzymes
SCD since 12/01/08 - eating Stage 3 foods

Elite Member

Date Joined Sep 2005
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   Posted 9/11/2009 1:22 AM (GMT -6)   
Thanks, Spooky. I'll ask about that, but I don't expect the drs to like it. I have a feeling that that sort of med is highly controlled and directed towards terminal cancer patients etc... but I can try...

Does anyone else have some ideas?

Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~

Veteran Member

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   Posted 9/11/2009 1:28 AM (GMT -6)   
the narcotic will tend to slow the bowel, in excess it will spasm or cause megacolon. You seek an non-narcotic analgesic or topical anesthetic.

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 9/11/2009 8:58 AM (GMT -6)   
Ivy, I would highly recommend you stay away from the patch. I had a liver resection in late 2002 and they use these. They are highly addictive, and your body becomes dependent on them quickly. Trust me the withdrawals were horrible.

Maybe a time released morphine pill? Very strong, but easier to withdraw off of. Another is methadone, but again very addicting med.

Sorry you are suffering so.

Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Crohn's Disease for over 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
It's scary when you start making the same noises As your coffee maker.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

New Member

Date Joined Sep 2009
Total Posts : 1
   Posted 9/11/2009 9:51 AM (GMT -6)   

I have had Crohn's for 40 years plus short gut syndrome. I have been on almost every narcotic around for management of my pain. I doubt if you will find one that will not compromise the movement of your bowels.

However, if were just talking about pain management for Crohn's I have found dilaudid 4mg tablets excellent for managing the pains associated with Crohn's.

God Bless

David Stevens

Elite Member

Date Joined Sep 2005
Total Posts : 10404
   Posted 9/11/2009 6:13 PM (GMT -6)   
Thanks, all. I just need to emphasise, again, that this is for connective tissue disease pain, not Crohn's pain.

Nanners, that makes a lot of sense about the patch. It explains why they're happy to give them to terminal patients (where it won't matter if people get addicted) and less willing to give them to the general population.

Medchrt - "non narcotic analgesic". Any ideas???
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~

Veteran Member

Date Joined May 2005
Total Posts : 4219
   Posted 9/11/2009 7:49 PM (GMT -6)   
Methodone is addicting in the sense that your body will need it and you will need to taper or face withdrawals. But, it isn't addictive in the sense you become high from it. I only know from working w/ drug addicts so i can't say from personal experience. Why don't you pop over to the Chronic Pain forum for some advice. Also, I'm guessing the prep would overrule any bowel slowing effects of the drug.
27 Year old married female.  Graduated law school this year and waiting for results of the bar exam.  Start a new job sometime in September.  Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 

Veteran Member

Date Joined Apr 2008
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   Posted 9/11/2009 9:20 PM (GMT -6)   
The pain meds slow down your bowel by their action in your central nervous system so it wouldn't really matter how they get in you, they would still slow you down.

It sounds like you are already taking the pain meds. Are you going OK now? What are you taking to help with C now? If you are managing your C reasonably well, you probably will be ok.

The bowel prep is pretty strong so it should counteract the pain meds. You may need to do some prep before your prep. Maybe two days of a liquid diet instead of just one.

Your bigger problem may be controlling your pain with oral meds during the bowel prep. Once you start the prep, your body may not absorb your next dose, especially if everything is moving fast. I took a tramadol in the middle of a prep and saw it floating a short while later.

good luck.

Veteran Member

Date Joined Sep 2005
Total Posts : 517
   Posted 9/11/2009 10:30 PM (GMT -6)   
No I dont. NSAIDs is not gonna be enough compared to the drugs you mentioned which also slow the bowel to some degree and looking back to the post you even said that already.

Someone said the prep would get you evacuated. I would agree. I would ask for the tylenol 3 with codeine (mite be diff name depending where u r), whatever the drug class, you are looking for something to get you to the scope procedure. So I would definitetly ask, and additionally, get the drug they normally provide to get you through the scoping on top of that, not sure what that is.
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