Pain Med Dilemma

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Swetty
Regular Member


Date Joined Apr 2007
Total Posts : 57
   Posted 5/31/2008 5:46 PM (GMT -6)   
Hello everyone!
 
It's been a while since I posted, so I'll go over my history real quick...I was diagnosed with UC in 2005.  I tried all the basic meds; asacol, canasa, sulfasalazine, prednisone for over a year...ugh!  I was allergic to all the sulfa drugs.  I'm now on Remicade infusions every two months and my UC is "under control".
 
I've always had difficulty with the pain aspect.  At times the cramping and pain associated with passing a stool can be fairly unbearable...maybe I'm just a wimp.  Anyway, my GI Doc is real understanding and refills prescriptions for Norco whenever I need it.  So whenever I hurt real bad or can't sleep because of the pain, I take the pain meds.
 
One thing that I noticed, is that after taking Norco or vicodin, I pass solid bowel movements.  This never happens otherwise even if I take a bunch of Lomotil.  If I could, I would take the dang Norco everyday...but my job and my desire to lead a productive lifestyle keep me from such use.
 
As far as I understand, opiates have a constapating effect on people.  So does anyone know of a drug that has just the chemical that slows the bowels found in pain medications?  Or is this just a property of the drug and cannot be isolated?
 
If it doesn't exist, we need to get on this, people!  We could exploit the rest of the IBS community and make millions with our miracle pill.
 
Does anybody else have this same experience, or am I being weird?
 
 
 21-year-old Male diagnosed with Ulcerative Colitis in September of 2005....still not in remission
Allergic to Sulfa-based drugs like Sulfasalazine, Asacol, and Canasa
40 mg 30 mg Prednisone
50 mg 6-MP  Bumped it up to 75 mg 6-MP
Remicade Infusions
500 mg Flagyl (3x a day) & 500 mg Cipro (2x a day)
100 mg Minocycline (the Prednisone makes me break out)
100 mg Trazodone to help me sleep when I'm roiding...
Pain Meds....mostly only when I have a bm or am about to....
 


UC Dude
Regular Member


Date Joined Aug 2005
Total Posts : 438
   Posted 5/31/2008 8:09 PM (GMT -6)   
100% with you. All true.
 


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 5/31/2008 8:44 PM (GMT -6)   
I've experienced the same. I use Darvocet when the pain requires it. Usually I use Tylenol. I do get some of the same effect from it - slowing the bowel, allowing it to absorb add'l fluid, leading to a more solid bm.

As for pain during a bm and cramping, I try to just breath through it and remind myself that it will go away!
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Getting close to remission!?!?!
 
Asacol 12 per day,  Azathioprine 100mg, Aciphex, Forvia, and Pro-Bio
Last dose of pred: May 25
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 6/1/2008 6:24 AM (GMT -6)   
Narcotic pain relievers makes the colon sluggish. Extended use of narcotic pain relievers or it's productive ingredient is not recommended unless you need the med. Just like Immodium, it can slow down the colon and increase your risk of toxic megacolon. TM is a rare complication but it can happen if the bowel is slowed down too much over an extended period of time. Also too, when taking narcotic pain relievers, your body can become accustomed to it in which you need a higher and higher dose until eventually it will stop working. Think of what that can do to your colon. I personally think that unless you are in long term chronic pain that it should only be used sparingly. Narcotic pain relievers, for me anyway, constipates me very badly so I have to use mine sparingly. And that to me is a good warning sign that I just can't do them too frequently.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Allergies-Singulair
~Secondary Reynauds Syndrome-'04-Norvasc~Spinal Stenosis~Sacroiliitis-epidural injections
To help Healingwell - click here: DONATE
 
 
 
 

 
 


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10407
   Posted 6/1/2008 7:12 AM (GMT -6)   
The other problem with narcotics is a thing called "habituation." This means that the dose you're taking gradually becomes less effective, so instead of every six hours you're taking it every four. Then the dosage has to increase. This continues to the point where you can't increase the dose any more without risking death, but it still isn't covering the pain. Long-term use of opiates is tricky and really needs to be closely managed by a doc with lots of experience in pain management.

Oh, I guess I should just say "Yeah, what Sherry said"
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Asacol, Rowasa, Pentasa, Prednisone, Entocort, Azathioprine
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.


JerryGarcia
Regular Member


Date Joined Feb 2008
Total Posts : 68
   Posted 6/1/2008 8:13 AM (GMT -6)   
So what options are there for long term pain control then? I know we're not supposed to take NSAID's, so whenever I'm in pain I take codine and paracetamol, but as this is an opiate I'd rather use something else...
DX with UC Jan 07
Currently taking Colazide (allergic to Asacol and Pentasa) 6 a day
Also taking VSL3 X1 a day


DocGonzo
Regular Member


Date Joined Dec 2006
Total Posts : 151
   Posted 6/1/2008 8:27 AM (GMT -6)   
Paracetamol is actually the safest NSAID you can take, since it doesn't affect the stomach and bowel mucosa like other NSAIDs. If it works for you there's no reason to limit its use. The problem is you have to use products that don't contain codeine, since codeine is an opiate, but it's also a big part of why those drugs work so well. Without the codeine part paracetamol is less effective in reducing certain types of pain, but it's still worth a try.

Sara14
Veteran Member


Date Joined Mar 2007
Total Posts : 4034
   Posted 6/1/2008 4:32 PM (GMT -6)   
Paracetamol is not an NSAID.
24 years old
Diagnosed with UC March 2007; yet to go into complete remission
Asacol 4 tablets 3x/day
Rowasa (generic) - nightly; Canasa (1,000 mg) in the morning
Nature's Way Primadophilus Reuteri 2/day; Chewable multivitamin; Metamucil; Viactiv


DocGonzo
Regular Member


Date Joined Dec 2006
Total Posts : 151
   Posted 6/2/2008 6:03 PM (GMT -6)   
You're right, it's not classified as such because it's not a very good anti-inflammatory agent, but it is a very good analgesic and antipyretic and is often used when NSAIDs like Aspirin or Ibuprofen can't be tolerated (IBD patients can't use Ibuprofen at all)...
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