three days out from an appendectomy. no decrease in symptoms and i'm again experiencing lrq pain. i have not had a bowel movement or passed gas. bladder pain during urination. i have difficulty sleeping and eating. does this warrant an appt?

Question

We hav a female patient that has to hold her urine until her bladder is full to have a bowel movement, what could cause this?

Answer 1

S/p appy: Yes. Go to ER could have prolonged ileus, abscess, adhesion, volvulus,. Any pain that interferes with sleep warrants ER visit

Answer 2

NO,There is a : Potential interaction between Prozac (fluoxetine) and ultram .There is a risk of developing serotonin syndrome when the two medications are taken together. Serotonin syndrome can be serious and even life threatening. It is the result of high levels of serotonin in the body. Serotonin syndrome is characterized by having at least three of these listed symptoms: tremor, shivering, agitation, diaphoresis fever.

Answer 3

Unlikely: No evidence i know of that and there are significant interactions. Though interactions are the same there is evidence that Cymbalta (duloxetine) may help with chronic pain. Talk to your doctor about all the medications you are on and he/she can help you weigh the benefit vs risk of such combinations.

Answer 4

Maybe the wrong cate: Often, antidepressants of a certain class can be used in combination with opioids for neuropathic pain. The class includes drugs like cmybalta. Check with your physician

Answer 5

See below: Depression worsens the experience of pain. Prozac (fluoxetine) reduces depression and ultram reduces pain. However, there are better options if the goal is to treat depression and especially neuropathic pain as the other answers suggest.

Answer 6

Both up serotonin: There is a precaution about using both as it could lead to a serotonin syndrome--your question is interesting both raise serotonin--do you think they r helping?

Answer 7

Possibly: Amoxicillin is a great for an ear infection. Yet, some people have allergies to penicillin. However, what makes this hard to answer is sometimes agents that cause ear infections can cause a rash too! if it is only a light red rash and he has no other signs of something bothering him, you can watch to see if it goes away.But if any sores are in his mouth or a high fever he must be seen right away.

Answer 8

Possibly: Most rashes while on antibiotics are more likely due to the body fighting off the infection than a reaction to the antibiotic. Having said this, i recommend discussing this with the prescribing physician and having the rash examined. Do not discontinue any medication without advise from his physician. Consult an allergist for possible testing if the rash is believed to be allergic in nature.

Answer 9

Get re-evaluated: It seems that your pain is distressing/frustrating you from lack of response from med..And possibly not knowing exactly why. I would recommend seeing your doc again and express your concern--he/she may send you for xray/mri, pt, add/change med, or send you to a specialist for additional eval/treatment. Best of luck.

Answer 10

Not enough info.: There are many different causes of pain, which must be treated different ways. Don't trust anyone who thinks they can help with so little information. I trust the lidoderm and 'pain meds' were prescribed for this pain by a physician after an examination and proper workup. If not, you should do so. Not everything can, or should, be treated with a pill.

Answer 11

Orthotics: Assuming you already have supportive shoes that fit properly, you will benefit from custom orthotics. These devices fit into shoes and are made to properly support your feet. The type of orthotic is dependent on your foot structure, activity and weight. Consult with a podiatrist.

Answer 12

Custom orthotics: See a foot specialist to check alignment of your foot. You may need more support than commercial available arch support. Shoes also need to be checked. A more rigid shoe is needed. It sounds like you have flat feet and are having symptoms that are consistent with this condition. Earth shoes may help offload the ball of your foot.

Answer 13

Foot evaluation: I would suggest you be evaluated by a podiatrist. There are many treatments that can help with general foot pain.

Answer 14

HEADACHE: Constant headache x 3 days, unilateral, periorbital, left temporal, occurs same time of the day can be cluster headache. Alcohol intake triggers it. Because it is exdruciating, attacks are aborted by injections of tryptans and ergotamine. Prevention is with verapamil , etc. See neurologist for more advice.

Answer 15

Family history: Of migraines? Sounds like migraine equivalent headache. Have you had similar episodes before? If you have magnesium in the house try that and a cold compress (ice in a bag) on the back of the neck. Find a doctor who can prescribe an appropriate medication such as a triptan/ pain reliever tomorrow.

three days out from an appendectomy. no decrease in symptoms and i'm again experiencing lrq pain. i have not had a bowel movement or passed gas. bladder pain during urination. i have difficulty sleeping and eating. does this warrant an appt?

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