Doctor

ManchesterMember

I've been having some pretty serious pain with inflamed back end and pain when going. What I would like is some kind of treatment along the barrier cream or sitz baths but I have just been to the doctor and they have prescribed enough morphine and codeine for a family of four for three months.

It just seems they throw pain medication at the problem everytime and not anything to prevent the problem.

I have literally just picked up 500 30mg codeine tablets and 400ml of morphine sulphate, not to mention 500 Gabapentin capsules. I realise some people have problems getting prescribed opiates and I should be grateful but I hate the withdrawals.

12/19/127:26 AM

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Jan DollarModerator, RN, retired

Well, what is the diagnosis? What exactly is thecause of your pain? If you have something like a fissure, you need more local treatment, and I am not sure codeine and gabapentin would do anything for that pain. Narcotics are nice for slowing the gut though, so in an around about way, it can help. The gabapentin (Neurontin) I am at a loss though...

Jan

12/19/122:59 PM

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Sonja6Member

My doctor wont even give me pain meds. Never really has. Except for right after my surgeries. It kinda sucks cause sometimes its just to much unbearable pain. I mostly just grit my teeth and deal

12/19/128:16 PM

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ManchesterMember

That's really awful. I wonder how long your doctor would cope without screaming for some analgesia. It really annoys me.

There is a time and a place for analgesia and for your doc to refuse you it when your suffering is bad form.

I understand this arguments a little against my original point but I meant that on this occasion my problem could have been addressed without opiates.

I would seriously consider tackling your doc on this subject. Don't suffer, don't ever suffer.

12/19/128:42 PM

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ManchesterMember

Jan

My pain is from a combination of a stricture, fissures, seton tightness and general BB. It has got to the point where I must have a bath after every BM to calm the irritation on the skin as its unbearable.

12/19/128:44 PM

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Jan DollarModerator, RN, retired

I think you are right. Systemic opiates don't address that sort of pain. Do you have topical anesthetics, like lidocaine? That can treat the fissure too.

Even a sensory nerve block would make more sense than just throwing pain pills at it.

Jan

12/19/128:49 PM

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ManchesterMember

Jan

I have emailed my IBD nurse at the hospital to seek advice regarding creams and lotions as the doctor seemed clueless. I will ask about the meds you mentioned.

Thank you

12/19/128:55 PM

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Jan DollarModerator, RN, retired

Other topicals for fissures are nitroglycerine or nifedipine (causes less headache than the nitro). But I would have thought you would have used these before resorting to a seton.

Nother option is B&O suppositories (belladonna and opium). Potent, yes, but they act locally.

Jan

12/19/1210:11 PM

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