Is Acetaminophen the one and only painkiller?

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Veteran Member

Date Joined May 2009
Total Posts : 703
   Posted 6/23/2009 10:13 PM (GMT -7)   
I've been told by my GI to avoid NSAIDs (aspirin, ibuprofen, naproxen) because they may irritate the intestines and to avoid narcotics because they slow down the digestive system. So, that appears to leave only acetaminophen, which I've been taking quite a bit of lately. I'm also wondering if there may be any issues with long-term acetaminophen use--I've seen mention of possible liver or even kidney damage. However they did prescribe me quite a bit of dilaudid in the hospital during my first flare, and that's a narcotic. Acetaminophen's more than enough right now, just wondering if there's anything else...

Post Edited (GDen) : 6/23/2009 11:17:22 PM (GMT-6)

Veteran Member

Date Joined Jul 2008
Total Posts : 674
   Posted 6/23/2009 10:17 PM (GMT -7)   
As far as Im aware Tylenol is fine to take.  Other then Vicodine for extreme pain my GI suggests I use doesnt do anything to help me though, however it might work for you.
Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed.
Current Meds: Imuran 50mg, Vitamin B12 (injection), D, and C tablets. Fish Oil Tablets, Cats Claw, Slippery Elm, and Reishi.

Veteran Member

Date Joined Apr 2008
Total Posts : 1753
   Posted 6/23/2009 10:39 PM (GMT -7)   
I've used hydrocodone, ultracet, and percocet...all by prescription for various things but I would have some left over and use them as needed (like tonight with yet another partial obstruction; am so euphoric right now..).

The sad reality is that we're going to need pain killers at times and tylenol just won't make the cut. It's a matter of trust between you and your GI as well as trusting yourself. Personally, I can't stand using them if unless I am desperate because they make me a nervous wreck, but they do help...
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking: Prednisone 10 mg, pentasa 2 pills 4x a day, bentyl as needed, omeprazole in the morning, prenatal multivitamin, humira every other week, and Align probiotics prescribed by my GI.
Diet almost completely without refined sugars, wheat, flour, gluten, high lactose dairy, and/or junk food in general.
Learning how to live again.
"He who has a why to live for can bear with almost any how."

Veteran Member

Date Joined Dec 2008
Total Posts : 947
   Posted 6/24/2009 4:10 AM (GMT -7)   
I was also told by my GI to only take tylenol. I can't even tell you the last time that I took tylenol, gotta be a couple of months now.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.

Veteran Member

Date Joined Mar 2007
Total Posts : 2832
   Posted 6/24/2009 5:21 AM (GMT -7)   
I don't use it because my job subjects me to random testing, but perhaps the most effective painkiller of all is one that is not permitted to be discussed on these forums but is pretty much legal in California, and arguably less addictive and destructive on the body than nicotine cigarettes.
Pancolitis >20 years, allergic to all 5ASAs
(To pharma: enough already with the umpteen variants of Asacol!)
Tried everything under the sun (natural and alternative)
Some partial success with TSO but was too expensive to keep up 
Remicade Humira, lots of probiotics, entocort, tapering increasing pred again,
maybe surgery this year soon

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 6/24/2009 5:50 AM (GMT -7)   
Nsaids are not allowed for us as they can irritate and cause bleeding. We are recommended to use Tylenol, but that stuff doesn't ease my pain at all. By the way, I get my pain meds from my family doc, not my GI. GI's are notorious for not giving pain meds for the reasons you stated, but sometimes the pain is too much and opiates are called for. I have been taking 1/2 a tab of Percoset 3 times a day for awhile now, I couldn't function without them. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and 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"*

Regular Member

Date Joined May 2009
Total Posts : 177
   Posted 6/24/2009 11:42 AM (GMT -7)   
I avoided all NSAIDS for the last four years. I was really bummed, as Ibuprofen and Aleve worked wonders for me before Crohn's. I have had arthritic pains and swelling for the last four months. My GI suggested the prescription NSAID Mobic for me. I take it once a day, most days, and it really helps. I have not had any stomach problems thus far. I've been taking it daily for two months. My GI says he has a Crohn's patient who has been on it for five years with no problems. Tylenol really doesn't help me except for very mild headaches. Doesn't help at all with the Crohn's-related arthritis.

Regular Member

Date Joined Jul 2005
Total Posts : 141
   Posted 6/24/2009 11:43 AM (GMT -7)   
Tylenol doesn't really work for me either but that's all I've been told to take.
Crohn's Colitis - officially diagnosed Feb. 2005
(Imuran, Folic Acid, B12 shots)
Interstitial Cystitis - 2002 (Elmiron)
Raynauds - 2005
.::I can do all things through Christ who strengthens me. Phillipians 4:13::.

Lady G
Regular Member

Date Joined Sep 2006
Total Posts : 321
   Posted 6/24/2009 12:05 PM (GMT -7)   
I'm with some of the comments up above, my pain got so bad I had no choice but to move up from the T3's and use the Percocet (which I really tried not to use for the longest time but gave in), which my dad with crohns also has to rely one said, sometimes we have no choice but to make that move up to something stronger. But yes, Tylenols are best, no advils or aspirins or anything of the such. I've also take Toradol lots (for menstrual pains) and found it decent, its not particularily a crohns friendly med either, but in this case, its all that works for me, so the day or two of taking it outwieghs anything else for me.

Veteran Member

Date Joined May 2003
Total Posts : 1671
   Posted 6/27/2009 10:39 PM (GMT -7)   
My old doc put me on darvocet for my cd-related arthralgia. It is a narcotic so the constipation side effect is helpful, but really it's never truly made me even close to constipated. It's also acetominophen. I've taken up to 4 per day for years. Now my new docs in another state are freaking out about potential liver failure and considering changing me to something else. I asked what, and they suggested morphine. Does that really make any sense???? Something about a stronger med but time-released might be better. Well, nothing has changed yet so we will see. On rare occasions I do take ibuprofen, so far without any noticeable effect. I don't when I'm flaring though.

Regular Member

Date Joined Apr 2009
Total Posts : 111
   Posted 6/28/2009 8:36 AM (GMT -7)   
My doctor has me on Tramadol, which is a godsend. It's a synthetic opioid for moderate to severe pain, but doesn't have the mental side effects of the stronger drugs like Percocet, Vicodin, etc., so I can take it and still function like a normal human being without all the loopiness and drowsiness.
Diagnosed with Crohn's in 2008 at the age of 22.
Currently taking: Azathioprine, tramadol, welchol, promethazine
Surgeries: Cholecystectomy (2007)

Veteran Member

Date Joined May 2005
Total Posts : 4219
   Posted 6/28/2009 9:57 AM (GMT -7)   
Probiotic, just b/c your job drug tests doesn't mean you can't take prescription narcotics. It just means that if you get selected for drug testing you have to show a legit prescription for the medication. The only exception to that rule is if you work in police work or heavy machinery and have a requirement to disclose all prescriptions that may have side effects. Then you would need their permission to take it and work.
27 Year old married female law student (last year!!). 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). 

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