Usually I post in the Crohn's section

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Regular Member

Date Joined Jul 2007
Total Posts : 188
   Posted 3/13/2009 5:31 PM (GMT -6)   
I have been referred to a pain managemnt Dr.  They said my Doc. has to send all my paperwork to the Pain Spec. and then they will schedule my apt.  I have Crohn's and one of my symptoms with crohns is pain and chronic kidney stones.  I already take Lortab 10 for this-but I really want someone who knows about pain and the medications and that's why I am really excited to go to the new Pain Dr.  But, I have never been-So what can I expect when I go?  Will he keep me on the same meds that I take for pain?  I somewhat hope he does simply b/c it is something that I can take and it doesn't affect my crohns nor make me sick.  Any help is greatly appreciated.
Thank you

Tony McGuire
Regular Member

Date Joined Feb 2009
Total Posts : 483
   Posted 3/13/2009 5:44 PM (GMT -6)   
I don't have Chrohn's, but since no one has greeted you yet, WELCOME TO PAIN!

Lot's of great people here, but always glad to have another join in.

No doubt there will be one or more who will check in before too long who is familiar with Chrohn's and will give their advice or at least experience.

Again, welcome and glad you could join us.
Wife: Liz
Dogs: Koshka & Chomp
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Veteran Member

Date Joined Jul 2008
Total Posts : 1560
   Posted 3/13/2009 5:45 PM (GMT -6)   
I too would like to welcome you to the CP part of HW! There are, as Tony pointed out, many great people here and I consider them my extended family. I don't have Crohn's either but I thought I would welcome you to this part of the boards.


What doesn't kill us only makes us fight back harder! :P

Forum Moderator

Date Joined Feb 2003
Total Posts : 16757
   Posted 3/13/2009 5:56 PM (GMT -6)   
Hi Bible,
Welcome to the CP forum, I am sorry you have to here but so glad you decided to hop over. I too have crohns so I know where you are coming from. I am in with a pain specialist and have been for quite some time. One thing I will caution you on is never ask a dr for a specific pain medication. It wil send a red flag up and make you look like a drug seeker. We have a hard enough time getting drs to believe us and give medication. I have a Medtronic Pain pump so my situation will be somewhat different. My former pain clinic dr when I went to him initially he did a physical exam and went over everything. He wanted to know what medication I was and if it was covering the pain, along with asking what I had been on previously for pain. Yoy should always make it clear to the dr if your medication is not working. He did change my medication because what I was on was not helping. Depending on the kind of pain you have many pain drs are do different kinds of injections and procedures to try and lessen the pain. You may want to make a pain journal of a sort for him to see so he can perhaps get an  idea of your peak times when the pain is at its worst. Is you pain constant and where is the pain located? Is there anything in particular that makes the pain worse. I have been on just every medication there is and none of it ever interferred with my crohns. One thing I will tell you, is taking strong medication you must eat something before taking the meds otherwise you can end up sick at your stomach.
I hope you will hang out with us as this a great group of people. Please keep us posted on how you are doing. Susie

Veteran Member

Date Joined Jul 2008
Total Posts : 2317
   Posted 3/13/2009 5:56 PM (GMT -6)   
Welcome! I don't know about your specific situation. Honestly, I'm not sure even someone else with Crohn's could say with any certainty. Best I could say is bring all your records with you to the PM & explain to him that you would like to stay on Lortab if at all possible. It is ultimately his call whether he is comfortable writing you for that, but I've found that usually PM's will heavily weigh a patient telling them that a particular medication has really been helpful. Of course there are no guarantees & who knows whether a different med might be even more helpful, but best you can do for now is describe how the Lortab helps you.

good luck!

Veteran Member

Date Joined Aug 2006
Total Posts : 9664
   Posted 3/13/2009 6:50 PM (GMT -6)   
Sorry to be slow in my response, wanted to says welcome, and of course sure
wish it was under better circumstances, but that being said "Hello"
Well, with any Doctor I sure hope you get a good PM Doctor!
Make a list of all the medications your on, I usually have my hubby type mine.
Make a list of questions you have, You might have to sign a PainManagement Contract
which states you'll only go to one pharmacy for all your medicines, so make sure you have
a good pharmacy and take the address and phone number of that pharmacy with you to
the first appointment, also, in the contract it might state that you can only see this doctor for any pain related
stuff, like if you have a toothache you'll need to see your PM doctor for the medicine and you'll need to know what
hospital's he/she practices at in case you have an emergency, as you'll only be allowed to see him/her...
Other's will know more on that point...
Good Luck at your appointment and keep us posted.
Lots and lots of soft {{{{{{{{{{{{{{{{{{{{{{{{{{{{{HUGZ}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd, Enlarged Pituitary Gland
******** "We could never learn to be brave and patient if there were only joy in the world" from Helen Keller *********


Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 3/13/2009 7:12 PM (GMT -6)   
Welcome, Bible,
I just wanted to add my hello here, although I can't add anything more to what others have said. Maybe the one thing would be to make sure this pm doctor offers all services including prescribing medications. Some only do the high tech interventional procedures, and don't prescribe medications. So you may want to call his/her office and check this out.

Again, welcome.


Becoming undone
Veteran Member

Date Joined Jul 2007
Total Posts : 927
   Posted 3/13/2009 9:26 PM (GMT -6)   
Welcome Bible: seen you a lot on the Crohn's forum...There are some other crohnies on here as well...alas Crohn's can be literally a pain in the bum.
I go to a PM as well. Best thing I ever did. One thing...with Crohn's you MUST stay away from any and all NSAIDs. That is why going to a PM who can develop other treatments is so good. Not to mention take into account the digestive issues that may be at hand (does the med exit the body to early, will the med cause further damage,is the med effective against abdominal pain as certain meds are not as good ) I am on the patch for just such these issues. Not only does it bypass my GI (cause in my system they can go too fast or come right back up; to really be effective.) This has helped me get some life back if only for a few hours each day.

Good luck...
"The earth laughs in flowers"

Veteran Member

Date Joined Mar 2008
Total Posts : 3089
   Posted 3/13/2009 10:19 PM (GMT -6)   
Hi Bible,

I don't have much more to add to all of the advice you've already gotten from everyone here, but I do want to welcome you to the CP board! Feel free to post here anytime! We can offer some wonderful support! I hope this new PM can help provide you with some relief! Let us know how it goes!

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