I am on a daily dose of oxycodone for chronic pain related to a spinal cord injury. (I fortunately regained motor functioning after the injury) Anyway, I have been on the oxycodone and a common nerve med, Gabapentin, from the beginning of my adjustment to the j pouch and until now I have had no problems with motility. In fact, I think the low dose of oxycodone balanced out the loose stools associated with the pouch and I still took 1 Immodium nightly. But now, two years out, I had a partial obstruction that resolved after a week but I continue to have difficulty with constipation and intestinal discomfort. Does it seem likely that the oxycodone is now causing problems as my pouch is more "mature." I am quite worried about this as I really need the oxycodone in order to cope with the chronic pain of Central Cord Syndrome. Also, just so you know, my rehab/pain doc is entirely behind my judicious use of the low narcotic which I do not increase despite greater pain then the med is able to manage. Just wondering how to understand my GI distress at this point and how to proceed in the future. I have an appt.in Sept. with my surgeon for my first flex sig and rectal exam so that should be helpful in terms of determining if I have a stricture. Other than that, at present I am using stool softeners and the occasional laxative to keep things moving. Also, drinking lots of water and walking a lot. I just feel discouraged. Having to cope with two conditions together-the pouch and the spinal cord syndrome- is really challenging. Are there others out there who are dealing with chronic pain, pain medicines, and slowed down bowel activity? This may be something I will need to manage and cope with forever. Any suggestions would be appreciated.
Savannah
2005 UC
2009 total colectomy/illeostomy
2010 two stage reversal and j pouch
2010 Central Cord Syndrome (partial spinal cord injury with return of motor functioning but significant neuropathy in all limbs)
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