![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by TriedEveryMedication on September 8, 2012, at 23:49:06
remeron gave me a major crohn's flare up and another inflammatory reaction, which has left me in severe pain this week.
Usually for crohn's I never ask for pain killers, but this is too much.
Doctor said no to opiods because those could cause constipation due to slowed down gut motility.
Are there any stronger-than-NASAID pain relievers that do not do this? I searched and couldn't find anything (other than stuff that would be completely out of the question)
Posted by Christ_empowered on September 9, 2012, at 6:52:32
In reply to pain relief that does not slow down gut motility?, posted by TriedEveryMedication on September 8, 2012, at 23:49:06
would tramadol (Ultram, or Ultracet, when used at a lower dose and mixed with acetaminophen) do this?
Posted by Phillipa on September 9, 2012, at 10:16:16
In reply to pain relief that does not slow down gut motility?, posted by TriedEveryMedication on September 8, 2012, at 23:49:06
Not to be nosey but how have you been treating you Crohns throughout all the other meds. Since you mentioned it isn't it kind of an heredity, autoimmune illness genetically passed down? I know how serious an illness this is. Does anxiety factor into it as well. I'm sorry chronic illness stinks. Phillipa
Posted by phidippus on September 9, 2012, at 19:24:11
In reply to pain relief that does not slow down gut motility?, posted by TriedEveryMedication on September 8, 2012, at 23:49:06
Lyrica is used to treat the pain of fibromyalgia. Perhaps it will help in your case?
Eric
Posted by jono_in_adelaide on September 9, 2012, at 19:29:47
In reply to Re: pain relief that does not slow down gut motility? » TriedEveryMedication, posted by Phillipa on September 9, 2012, at 10:16:16
I'd say tramadol (100mg qid) plus acetaminophen (1000mg qid) would be the least constipating of the stronger analgesics.
Another option might be Celebrex 200mg twice a day plus acetaminophen 1000mg qid
Posted by bleauberry on September 11, 2012, at 13:47:02
In reply to pain relief that does not slow down gut motility?, posted by TriedEveryMedication on September 8, 2012, at 23:49:06
For the scenario you presented here, all I can offer is that what you are looking for is not found in any medicines mad has made, but definitely in plants the earth made. There are some plant medicines that work amazing on inflammation and pain. Contrary to meds, they usually improve the other conditions as well, instead of making them worse. I happen to know a lot about this topic because I am a longtime Lyme patient and this is right up my alley. You are not going to find what you are looking for from a physician. The more you try, the more you will be disappointed. Meanwhile, herbs that could be in your mailbox in a few days cover it all.
Posted by bleauberry on September 11, 2012, at 13:54:38
In reply to pain relief that does not slow down gut motility?, posted by TriedEveryMedication on September 8, 2012, at 23:49:06
Forgot to mention....there is one possible med....LDN. Low dose naltrexone. Look it up. It happens to be specific for inflammation, hidden infection, immunity, pain, and....crohns.
Any time you've got gut slowness, the easiest fastest healthiest way to reverse that is vitamin C. The common way to know what our best dose is, is simple....a dose that is too high will cause soft stools or diarrhea. Find that dose, and then stay at a dose just slightly under that.
And of course, what you eat is really really important. If you eat like a normal american, that isn't doing you any good at all. Should be mostly veggies, fruits, some protein, a little bit of grains. In terms of crohns, you definitely should be gluten-free and dairy-free. If you are not, it is going to be a real hard road.
Posted by jono_in_adelaide on September 11, 2012, at 23:37:44
In reply to Re: pain relief that does not slow down gut motility?, posted by bleauberry on September 11, 2012, at 13:54:38
"In terms of crohns, you definitely should be gluten-free and dairy-free"
Care to presnet a scientific rational for that statement?
Posted by TriedEveryMedication on September 11, 2012, at 23:50:41
In reply to Re: pain relief that does not slow down gut motility?, posted by jono_in_adelaide on September 11, 2012, at 23:37:44
lactose-free can be indicated for crohn's, if there is inflammation in the ileum.
I guess gluten-free works for some people, not for me. i tried the specific carbohydrate diet for almost a year and it did nothing for me.I've tried LDN - nothing. I've been mostly in control using just mercaptopurine since 1997.
Curiously, desipramine, adderall, and wellbutrin seem to help some of my crohn's symptoms. Other psych drugs worsen them
BTW my doc broke down from all my whining and gave me hydrocodone and told me not to take it often. Once a day is fine for me.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.