Pain Medication

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Terry73
Regular Member


Date Joined Oct 2009
Total Posts : 57
   Posted 2/18/2010 10:05 PM (GMT -7)   
I am just wondering what people take for pain meds when needed.  My crohn's is out of control and this week i now have a rectal prolapse that i am going to be having surgery on and of course cannot stop the flow my guts and *** are killing me lol.  On top of this i have a herniated disc in my neck that is compressing my spinal cord which acts up off and on.  I have been put on oxyconten and dilaudid for severe pain however i cannot take any of these narcotics cause then i get constipation and i wont go at all for days and then its like my system explodes and i have bleeding and severe diarrhea for days.  With this flare and the prolapse the dr has given my corticosteriod supositories to help with the inflamation (but since i can't stop the slow this isn't helping too much) he wan't to give me pain meds till i get in for surgery but im afraid to get contstipated now cause frankly diarrhea hurts coming out with the prolapse i can't even imagine a backup that id have to push out lol (sorry to be graphic but is scares the heck outta me right now).  ANy suggestions for pain management or should i just suffer through till the surgery???????
Offically diagnosed with Crohn's Oct 2009, been living with bowel problems since 1990
Current meds: Immuran, Prednisone, plaquinil, fluinzarine, rel-pax, lantus, humalog, vit d, calcium, multivit, omega 3, Vit B


Grandpato2
Veteran Member


Date Joined Dec 2009
Total Posts : 681
   Posted 2/18/2010 10:36 PM (GMT -7)   
Oxycontin is time realeased morphine it lasts 12 hours. If you take it twice a day 12 hours apart your bowels will constantly be under the slowing effect of the drug and of course you'll be backed up. I'd suggest that if you can to switch to a 4 hour release morphine ( I use Morphine Sulfate Immediate Release ) you may not need it 24 hours a day and your bowels will get a chance to act normally? Sorry that's the only thing I can think that might work. For myself, usually I don't need pain relief overnight, just to get to sleep. Then I sleep til morning and my bowels return to normal for a morning bm.


Male, 54 years old with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003. Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. 5-asa Salofalk, Entecort, Imuran and Prednisone in the past.


debilitated
Regular Member


Date Joined Jan 2010
Total Posts : 448
   Posted 2/19/2010 5:28 AM (GMT -7)   
Norco 10mg/325 or Fentanyl 12mcg when the pain is bad with other problems.

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 2/19/2010 6:50 AM (GMT -7)   
Can you get an Emergency consult with a pain management doctor? They understand the ins and outs of pain management so much better than the average doctor and have so many other options available to them. They aren't afraid to use them either, which a lot of GI's and GP's are. I don't know what specific meds would work better, I just know that going to a pain management doctor was the best thing I did. I no longer have to fight to get my doctor to give me pain meds. That doesn't seem to be your problem at the moment. But I do think that their knowledge base is much better and they would be able to help you get through this time until your surgery.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 2/19/2010 6:57 AM (GMT -7)   
I suffer with more constipation than diarrhea. May I suggest you take your pain meds, but take stool softners while on them to keep things softer and easier to pass. I take stool softners nightly, if I didn't I would be in a world of hurt. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 2/19/2010 12:36 PM (GMT -7)   
Nanners - I want to thank you for sharing that. I've read that you use the stool softeners before and tried it myself. Makes a huge difference and not only can I take my pain meds as necessary, but it allows me to be more "productive" in each bathroom trip. Less pain too because it's softer. So thank you!!!

PS - I should say when I first started to try that, I used Philliips MoM pills - those caused terrible spasms. Then I found a true stool softener, not a laxative, and it's a world of difference. One was a mistake and the other a life-saver
1 fistula, crohn's colitis, limited to large intestine
Compounded budesonide 3mg/daily, Cimzia, MTX . Dx Osteoporosis 10/08 started Forteo 1/27/09


Becoming undone
Veteran Member


Date Joined Jul 2007
Total Posts : 927
   Posted 2/20/2010 8:58 AM (GMT -7)   
I'm totally with Zanne here...find yourself a Pain Management (PM) doc soon. I know for me, it has made a world of difference...for the better. They tend to know the DEA laws a bit better, and therefore feel more comfortable rx'ing a whole range of meds. This takes any pressure off my GI or PCP...since they don't have to. PM docs will find the right med for you, cuz what works for one, doesn't always work for another, especially in the pain world. Me...I've been on the fentanyl patch and it works wonderfully. A lot of others have not had great success.
Well, tell us how it goes...
"The earth laughs in flowers"

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