There are a couple of ways to go about
this that are very reasonable. First, is to request that he recommend a good Pain Management Doc to address the pain related problems, including sleep disturbances, that you are having. While going in that direction, you can even mention that you've been told that a sleep study can actually determine if your trouble sleepingis caused by pain in the same way that it would show sleep apnea or other sleep releated problems. (more on this in a bit)
ZNExt, you can tell him that the Norcos, being a short acting narcotic, are not allowing you a full night of sleep, which I'd bet is also true. Norco wears off between 3 & 6 hours after it kicks in. Most people whith CP are treated with long acting narcotics which last a minimum of 12 hours, allowinf us a full night sleep and a full day of living, as opposed to having to stopping every 4 or so hours to take more pills and wait for them to kick in. Truth be told, I would not consider continuing to see a Doc who would disagree with any of these FACTS and refuse to treat me as my conditions requires.
You might also want to discuss other medications which might bring you some relief. In addition to my narcotics, I have also been taking Neurontin and Cymbalta, both of which have given me some level of relief from the nerve pain I've suffered.
Back to the sleep study. I could have had a V* and then maybe I would have realized that my increased pain and inability to sleep was froma tolerance to my current pain meds. Next week I hope to adress this with my Pain Doc and if we can't get me adjusted to a change of meds or dosage, I'll be seeing my Pulmonologist for a sleeep study to "prove" that my pain is real. He suggested that I consider this a few years ago, but I was doing OK at that point. Now, it may well be a useful tool to obtain appropriate treatment.
I hope that all goes well with your Doc and that you find the relief you need and DESERVE.
Keah a.k.a. Wormy
God helps those who help themselves.
Please help us support this invaluable forum.
Crohn's Forum Moderator