Doctor insights on:
What Is Baseline Pain And Breakthrough Pain
Had an abortion 4 days ago, the pain is getting worse, also experiencing external pain and thyroid pain. Is this normal?
Pain post op: Some discomfort may be normal after one of these procedures. However, if pregnancy tissue was not completely evacuated you will continue to have significant cramping and bleeding. I've not heard of thyroid pain with a termination or suction d;c. I do not perform terminations, but like most gynecologists we see the complications in the er and our office. You may want to get evaluated. ...Read moreSee 1 more doctor answer
Persistent right side chest to arm pain for 8days. Ecg normal, muscle pain killers/creams not helping. Sometimes pain is on left side. What is this?
Many possible: diagnoses could explain your symptoms. At your age and sex and with a normal EKG and with the pain migrating it is unlikely to be anything serious. It is most likely musculo-skeletal. Potentially blood clots, bleeding or systemic inflammatory diseases could cause your symptoms. It would seem reasonable to get checked out by a health care professional. ...Read more
Is it normal to have increased sciatica pain after starting a round of prednisone for bronchitis? The pain seems to be nerve pain.
Ovarian cyst: There is no such thing as the best pain medication. Firstly the cyst should be evaluated fully. If surgical removal is not decided upon, then one can be placed on a pain medication . Usually the cyst causes pain based on hormone levels so pain medication should only be needed intermittently. The choice of medication is left up to your doctor. ...Read moreSee 1 more doctor answer
Chronic daily headaches. MRI came back normal. Taking Nortriptyline 10mg for the pain but not working. Pain killers don't help. What is this headache?
Chronic daily HA: This is a real diagnosis. It is hard at sometimes to treat and very frustrating. It may be some type of migraine or a combination of stress tension headache with migraine components. Have you seen a neurologist? This is important to do and also important of how often you actually have the headache. The nortriptyline is a basic start and this is at a low dose. Neg MRI means no tumor. Best wishes. ...Read moreSee 1 more doctor answer
7 weeks pregnant and having lower abdominal pain what is the difference in pain for ectopic and a cyst?
See below: Poth are similar. This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more
I am on nuvaring. Is it normal for me to have lower abdominal pain & light spotting ? (the pain is dull)
Is the severe abdominal pain a effect of ehrlichiosis? Pain not like nausea but more pain like? How old does that pain last once on the dixoy.
What is the association between shoulder pain and endometriosis?
What is cyclic shoulder pain?
What is diaphragmatic endometriosis?
Pcos take metformin and Duphaston from day 14 to 24 of period I have bad low back pain and left side abdominal pain and yellow discharge what is cause?
Pain and discharge: Most likely causes are cystic ovary or pelvic infection. With those symptoms you should see the gyn promptly. ...Read more
No: No. Percocet should not cause diarrhea. If anything, narcotics should cause constipation rather than diarrhea and the Percocet should make your pain should be better. You may have a GI problem. Contact your Ob for help if the C- section was within the last 6 weeks. Best wishes for you and your baby. ...Read more
Started physical therapy today(for my lower back pain and sciatica),is it normal that I feel more in pain now(while the PT,I felt pain relief)?
What is the first major sign of ectopic pregnancies, how intense is the shoulder pain and what week does the shoulder pain usually start.
Don't use symptoms: If you've had a positive test, most ectopics are pretty silent until about the 5th week at the earliest. Are you at risk for ectopic? If so and you are pregnant see a doctor asap, do not wait for symptoms. By the time you have significant shoulder pain you are already in deep trouble. ...Read more
Check it out : You should be evaluated by your doc to rule out serious conditions. ...Read more
Acute pain: Breakthrough refers to episodes of acute worsening of pain symptoms in a person being treated for chronic pain. If it occurs infrequently then immediate releasr pain meds are used to relieve discomfort. If it is occuring frequently, then an attempt to adjust the dosage of long acting analgesic can be attempted. The goal is to limit breakthrough pain and keep the patient as comfortable as possible. ...Read moreSee 1 more doctor answer
No: Breakthorugh (btp) pain is pain that is above the baseline pain. Not all episodes of btp require attention. 50% have no cause - it just happens. Btp usually peaks in 3-5 min and lasts about 40-60min. ...Read more
Maybe: Actiq is not the best breakthrough pain medication in my opinion. It is expensive and from my experience doesn't work better than less expensive oral options. Also, fentanyl has a relatively short half life and i find that most of my patients who are prescribed breakthrough pain medication almost never have any left at the end of the month, so they are really using it as maintenence medication. ...Read moreSee 2 more doctor answers
What would be a good med for me for breakthrough pain ? Oramorph 10mg/5ml doesn't seem to help much.
No easy answer: As to be able to best guide you, one would ideally need to know more specifics about the exact causes of your pain, quality of your pain and what medications you have tried in the past. Sounds like you need the input of a pain specialist. Best of luck. ...Read more
Very short effect: For this reason this med shouldn't be used for non-cancer pain. The effect lasts for at most 1 to 1 hours. Tolerance develops rapidly because of the rapid, intense effect. This results in the need for higher and higher doses over a very short time. This med is most appropriate for patients not expected to survive for more than several months as the med becomes less effective rapidly. ...Read moreSee 1 more doctor answer
Maybe: The active ingredient in Actiq is fentanyl, the same medication in the Duragesic patch. As such, i tend to prescribe fentanyl products for breakthrough pain in my patients with chronic pain on around the clock opioid treatment. Actiq works well, but takes a while to kick in, and needs to be rubbed on the cheek for a while. There are other products that work faster and not swallowed as much. ...Read moreSee 1 more doctor answer
Impossible to answer: Chronic narcotic use has enormous risks, especially in a 35 year old. Without detailed knowledge of your history, this question is impossible to answer. From the list of your other medical issues i would urge finding other treatments to address the pain and anxiety/depression besides narcotics. ...Read more
I have been wearing norspan 10 + 20 for 2 years and 5 months. Breakthrough pain is frequent now. Doc is reluctant to increase weekly dose. I am 72.
Opioid issues: Some docs just don't feel comfortable increasing pain meds, but it sounds like you might be due for an increase. However, other things need to be considered, including other health issues, concerns about falls, and the nature of your pain. I would recommend seeing a pain specialist or physiatrist to discuss other modalities, functional issues and increase or change in pain meds. Best of luck! ...Read moreSee 1 more doctor answer
As directed: As directed by your prescribing physician. Usually if you have been on a stable dose of oxycontn for several days, you have achieved a relatively stable blood level of the drug. This is why it is scheduled to be taken at regular intervals (eg. Every 12hr). In this case, bt medication can be taken irrespective of last long acting med dose. You really need to discuss bt pain with your physician. ...Read moreSee 1 more doctor answer
My doc just increased my meds (dilaudid) from 1mg to 2mg for breakthrough pain. Should i notice much difference?
Better pain relief: If you are having increased breakthrough pain and your physician adjusted breakthrough pain medication dose. You should experience better pain relief assuming your pain is opioid responsive. Since you are not opioid naive, you should not have much side effects, but also with increased dose you have to be vigilant about possible increased sedation. ...Read more
Is it safe to take 240mg of codeine daily and 5ml of morphine for breakthrough pain upto x4 a day? What ratio is codeine to morphine on average thanks
Probably too much: Oramorph is much stronger, and shorter lasting, than tramadol, so it may work too well, for too short of a time. It can be surprising, but sometimes these medicines do not work the same as you would expect. Their effects vary from person to person. If tramadol usually worked, normally naproxen, amitriptyline or gabapentin would help for remaining pain. ...Read moreSee 2 more doctor answers
Is there any reason a chronic pain patient should not be prescribed immediate release medication for breakthrough pain?
NoReason/MD'sChoice: There is no reason why chronic pain patients should not be prescribed immediate release pain meds and these are often prescribed.But what medicine and for whom it is prescribed is the decision made by the treating physician who knows what kind of pain Medication is indicated in particular case ...Read more
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