Doctor insights on:
Pain Medications Pancreatitis Will Contract
Can bedrest & narcotics cause gastroperisis? Can the stomach return to normal function when the narcotics are stopped?
They're not causes: But, they probably would make the symptoms worse and when ended, they may improve. A link to info about gastroparesis follows: http://www.webmd.com/digestive-disorders/digestive-disorders-gastroparesis?page=1 If this is your Dx, there is no cure - just management and symptom relief. Discuss your condition(s) in depth w/ your provider to understand yourself and feel as well as possible. ...Read more
If a person is experiencing pain due to gastric cancer will bentyl (dicyclomine) give them relief?
Upper abdominal pain when juicing replicates severe gall bladder attack, however mine was removed some 30 yes ago. Can lack of gall bladder cause this?
Not exactly: Your pain could rarely be due to a primary stone of the bile duct. Evaluation includes ultrasound and labs. Treatment would be ERCP with stone extraction and stenting. Also consider duodenal or gastric ulcer. These are all treatable, so seek evaluation. Past other surgeries might matter. ...Read more
Hyperlordosis is causing severe pain to my already excruciatingly painful kidneys due to kidney stones. Will the pain ease after the stones are remove?
Spine anomaly: Hyperlordosis is a mechanical defect of the spine. The presence of kidney stones should not impact the quality of pain that you experience from your spine. Pain associated with symptomatic kidney stones is excruciating and debilitating; usually sharp and associated with visceral symptoms such as nausea and vomiting. ...Read moreSee 1 more doctor answer
Ask your doctor: There many types of "liver disease." you have to ask your gi/liver doctor what meds are best/worst for you. Your doctor will be able to give you a very clear list. ...Read more
What can be done to manage chronic abdominal nerve pain besides pain meds? Can you get off pain meds in one month?
Some possibilities: Has the cause of the pain been found? Nerves can be pinched, in the back, but in soft tissues, between muscles, by a stitch (from surgery), by a scar, etc. A good osteopathic exam, in addition to your current therapy might be in order & might lead to non-medicinal treatment. You can get off pain meds, but the question is are you more functional on or off them? That's a very personal decision. ...Read moreSee 1 more doctor answer
None,at least partly: Most drugs are metabolized in the liver or kidney, but almost all a combination of both. It is the proportion metabolized in one or other that varies. Alsoimpish liver, it is key to know which enzyme system metabolizes which drug, to understand what interaction one drug will have on another. A most important example is Coumadin (warfarin). Narcotics, as a family of drugs-mostly liver. ...Read more
what pain meds are prescribed for chronic pancreatitis when a person has daily pain from the illness?
Varies.: If there's chronic pain that's severe, a doctor might prescribe daily opioid - a long acting agent and then a short acting one for breakthrough. With flare ups of the pain, i've seen people use Amitriptyline along with opioids or nsaids, coupled with a short hospital stay where the person doesn't eat (so they don't stimulate the pancreas). ...Read moreSee 1 more doctor answer
Can alcohol cause cholecystitis ? Or any damage to gallbladder?. Intense gallbladder pain for 1yr afta quoting heavy drinking. US, BLOODS normal?
It is the pancreas.: alcohol usually affect the pancreas, and the attack is very similar to the gallbladder attack. make sure you have it checked by checking the pancreatic enzymes, like amylase, and lipase, in addition to the liver enzymes. it is important to do that, because acute pancreatitis not only painful, but it could be dangerous. so please have it checked, and you might want to slow down on the alcohol. ...Read more
How to seek ER help with Chronic Pancreatitis pain, pain also in kidneys? Fentanyl 25 mcg and 4 mg dilaudid home pain meds. Pain 7/10 not a drug seeke
Do anti inflammatory drugs help with deep muscular pain ? No inflammation on blood tests but I have chronic pain.
Anti-inflamm.: As adjunct to your combo of medications, worth a try, as prescribed. ...Read more
RRQ pain radiating to beneath rt shoulder, hx of dilated bile duct. Recovering from pyelonephritis on cipro, (ciprofloxacin) pain meds do not help all.
Need more info ...: To define the causes for your symptoms - from biliary or urinary tract, one needs more info on the specifics, relevance, & sequence of events of all related symptoms + physical exam + testing as needed before possibly deducing right diagnosis for right care. How? Follow instructions described in http://formefirst.com/eNewsletter06.html; thereby you can work closer & better with doctor to... ...Read more
Yes: Crohn's disease (especially ileal disease) can be associated with gallstones and gallbladder disease. Need to see md if having cholecystitis, especially if taking cd meds that affect white blood cells or immunity. Generally, should remove gallbladder once episodes of gallbladder attacks, to avoid complications like infection of bile duct or pancreatitis (inflammation). ...Read more
Narcotics: Unfortunately, once you start having gallbladder attacks, the only definitive treatment is surgery. Thankfully, this is a very simple, straightforward operation that can get you back to normal activity in 1-2 weeks. There are some ways to dissolve stones but they are ineffective in the long run: the gallbladder is the gallstone factory and new ones will form. ...Read moreSee 1 more doctor answer
Check stool color to: make sure it is not tarry black indicating ulcer bleed. You must call your doctor to help you manage this medically as you may be past the stage of DIY remedies, and need to protect against the consequences of the ulcer. Plus, you may need further work up for H. Pylori, and small bowel dysbiosis. Make sure to hydrate. Go to the ER if still in pain for IV and further medical triage. ...Read more
See your doctor: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more
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