Docs want me to see a pain specialist..

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Leebie3
Regular Member


Date Joined Mar 2012
Total Posts : 171
   Posted 4/14/2012 9:42 PM (GMT -6)   
Hi guys,

My name is Lee and I normally frequent the IBD forum.. Have just come out of hospital for the third time in the last 3 weeks (approx 2 weeks in there all up) for pain relief. They have been giving me IV morphine as well as endone.

today they have sent me home with oxycontin as well as oxycodone for breakthrough pain. They also want me to see a pain specialist because whatever my diagnosis ends up being I will have to learn to live with this abdo pain long term. Most of the time it's ok with the occasional need for panadeine forte or even just ibuprofen.

What will a pain specialist do? Will they offer things like TENS? I don't like taking morphine because my father became addicted ot it after having his spine fused :-s

thanks in advance for your advices :-)

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16296
   Posted 4/15/2012 12:01 AM (GMT -6)   
Hi Lee and welcome to the chronic pain forum. I am assuming its your gastro that is making the referral for the pain mgt dr. I know most of them do not like rxing pain medication long term.

You asked what a pain mgt dr would do, he/she would probably prescribe pain medication to help you out when you do have the problems with bad pain. If I am reading your post correctly you do not always have this pain, it happens when you have a flare-up, meaning you will not need medication on a daily basis. I don't see a person getting addicted to medication when they take the medication as prescribed by the dr and take it responsibly. Do you have crohns, ulcerative colitis, celiac or what? I have not ever heard of a Tens being used for either of these conditions, but I am not a dr either. I do have crohns & UC so I know what the flare ups are all about. I have never been offered a Tens for either condition. One of the goals of pain mgt is to get a patients pain under control with the lowest dose of medication. I understand your fears of pain medication because of what happened with your father. However, studies have shown only a very small amount of CP patients become addicted to pain medication.

With you being new to pain mgt you probably are not aware of the changes that have been made with drs that rx narcotics. We now have new rules and guidelines in place for drs that rx narcotics that has been set up by the DEA. Drs. do not want the DEA coming into their offices and doing audits because they are scared. Therefore, because of all this new hoopla with the DEA it pretty much leaves this area of medicine up to pain mgt drs.

I have heard of some pain mgt drs offering blocks & injections for abdominal pain but I do not know of anyone that had any success with this type of treatment. Please let us know how your appt goes with the dr. Take care and good luck...Susie
Moderator, Chronic Pain Forum & Psoriasis Forum

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 4/15/2012 12:24 AM (GMT -6)   
Hi Lee,

Welcome to the CP forum. I'm sorry you've been in/out of the hospital....

Susie said most of what I would say - including that only a very small percentage of patients w/ true chronic pain patients become addicted to their meds.

Hopefully the meds they give you will help w/ your abdominal pain. And I think seeing a PM doc is a good thing.

Anyway, take care and welcome. --Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

Leebie3
Regular Member


Date Joined Mar 2012
Total Posts : 171
   Posted 4/15/2012 12:25 AM (GMT -6)   
thanks Susie :-)

I don't know about the tens machine I was just trying to think of non narcotic ways of pain relief and figured it works in labour LOL I have NO idea.. just guessing :-)

My general practitioner can prescribe me the narcotics for flare ups (I do have confirmed IBS but and being tested for Crohns).. there is only on pain specialist in Cairns.. I'm guessing you're in America? I'm pretty sure it's not like that here with docs scared to script narcotics. I just don't like the idea of being on narcotics indefinitely or is it more that I have no idea when the flare will end.. I don't know.. The hospital docs haven't referred me.. just mentioned they thought it'd be a good idea given the amount of pain I am in.. cannot function and we have our own business as well as kids so i NEED to function which I'm more than sure you understand all too well :-(

yeah, the docs keep telling me that I can't become addicted if I'm in pain.. maybe I should say rather that my Dad is dependant on them (I read the pain relief 101 section :-D)
diagnosed with IBS 2006.. doc querying IBD 2012.. undergoing testing.

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 4/15/2012 2:39 AM (GMT -6)   
There are many non narcotic medications available to try that can help with pain management. There are also things like nerve block injections. I am not a doctor so I can't say what may be appropriate for your type of pain.

One thing I would suggest you do is learn about what addiction really is and the differences between addiction, tolerance and dependence. Many people both civilian and in the medical community wrongly interchange these terms.

The bottom line though is that people who take pain medicines for legitimate needs and take them properly have an extremely low chance of becoming addicted. They may and probably will develop both tolerance and dependence if they take them long enough but that is quite different than truly becoming addicted.

Also the vast majority of people who do become addicted to prescription pain meds are people who already have a drug addiction and/or alcohol problem.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.
Moderator Depression Forum.

CRPSpatient
Forum Moderator


Date Joined Mar 2011
Total Posts : 1276
   Posted 4/15/2012 2:58 AM (GMT -6)   
Hi Lee, and welcome to the CP forum from me too.

Cairns, huh? I'm from near Melbourne, but it's good to see another Aussie :-)

I think a pain management doctor is an excellent idea. Things certainly seem to work differently here to how the guys in the US have to play it. We are very lucky here I think.

From my own experiences - I have multiple specialists (PM, GI, cardiologist, endo). My GP acts as kind of a central processing point. If one of my specialists wants to start a new medication, they do so - and then forward the information on to my GP to that he can continue prescribing. As far as day-to-day pain relief - I'm on Oxycontin, Endone, Topamax and Mobic. My GP looks after the lot. The only time he has insisted on me seeing my PM for a narcotic script was when I trialled Methadone - and that was only because he'd never prescribed it before and wasn't comfortable with the dosing, rather than because he couldn't. He is also the one with whom I discuss any changes in dose - and he usually just leaves it to me to let my PM know where things are at.

Laura
Moderator - Chronic Pain Forum

Full body CRPS with spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bursitis, CTS, osteoporosis, multiple compression fx, disc bulges.

Oxycodone ER/IR, Topamax, Mobic, Somac, Cipramil, Midodrine, Vit D & C, SCS, baclofen/bupivacaine pump

Leebie3
Regular Member


Date Joined Mar 2012
Total Posts : 171
   Posted 4/15/2012 5:25 AM (GMT -6)   
thanks heaps everybody! :-)

yep Jim.. I had read that after I posted..

"yeah, the docs keep telling me that I can't become addicted if I'm in pain.. maybe I should say rather that my Dad is dependant on them (I read the pain relief 101 section :-D)"

and as you say.. my dad was addicted/dependant to other things before that

Thanks Tina and Laura too..

:-)
diagnosed with IBS 2006.. doc querying IBD 2012.. undergoing testing.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16296
   Posted 4/15/2012 10:13 AM (GMT -6)   
Lee another thought on this too, is once you have been diagnosed and say it turns out to be crohns, then the drs can put you on the proper medication for crohns and hopefully your flare ups will not be so severe. In all honesty, someone taking pain medication on an as needed basis, addiction should be the last thing to worry about. Taking something every day, yes then you can run into tolerance issues.

I do hope the drs can come up with a diagnosis so you can get on with life. Hanging in limbo not knowing is so trying. Take care & keep us posted...Susie
Moderator, Chronic Pain Forum & Psoriasis Forum
New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, June 22, 2018 7:38 AM (GMT -6)
There are a total of 2,974,420 posts in 326,174 threads.
View Active Threads


Who's Online
This forum has 161250 registered members. Please welcome our newest member, Gunner823.
351 Guest(s), 12 Registered Member(s) are currently online.  Details
19tarpon47, torontolyme, opugirl, Missouri, owleyes, Pratoman, Minnesota, onceitfreeze66, RobLee, Old Mike, andwes, straydog