IBS Natural Cure

Ultracet/Tramadol for pain. I get debilitating pain from IBS. Would this be a good pain reliever?

Vicodin works but I’m concerned about it being habit forming. The doc prescribed Hycosymine. It makes me very tired and does not ease the pain.

Hi…you raise such an important point, which I’ll rant about for a second before addressing the specific problem. For background I had major surgery over a decade ago, suffered severe nerve damage during it, and have had severe pain since. To say pain management is a topic I know well is one of the biggest understatements I could make. So on to some of what I learned.

You worry about medication being “habit forming.” In pain management there is a HUGE difference between your body becoming dependant on a medication (which will happen to everyone taking such medication) and “addiction” as we see all over the TV and news. The odds of a person with legitimate pain that is properly diagnosed taking narcotics and becoming addicted is less than 1%!! When a person taking drugs for recreational purposes, they get a euphoria or high feeling, which is why they get addicted. When a person has pain the medication works on the pain and that euphoria doesn’t exist. You may feel lethargic or have some side affects when first starting a medication, but if you are being properly medicated then that will never happen. I could write pages on why it is far more important to properly medicate pain (from quality of life, to overall better health, to more complicated but serious situation of once a body learns chronic pain it is almost impossible to unlearn it, and many more). Sadly Hollywood looking for hot storylines and celebs looking for excuses have done major damage IMHO to people really understanding all this. I know in the beginning that was me, I bit the bullet and I likely have much more pain for the rest of my life as I let it snowball and until I was in so much pain I couldn’t function and my nervous system learned to misfire furiously and continuously.

Anyway back to you. Another misconception my Pain Specialist (one of the top in the world and n one of the few that deserves that title) educated me about is how it’s not right to view medications as “stronger,” “more powerful,” etc. I know I have had better sucess combining medications which are considered “weaker” than when I take continuously “strong” medication.

If you are not seeing one I would STRONGLY suggest you find a board certified Pain Management specialist. They will work with you to try different medications to find what works best for you. Likely you will end up with a baseline medication and another medication for “break through pain” when the first medication isn’t handling the pain. Very importantly they will know what medications are likely to be more effective for your issue, and start there.

Also they should know (and this does vary with quality of MD) other medications that remove symptoms if need be. IE they might prescribe Provigal to keep you alert, or Tigan to remove nausea. If a medication is effectively taking care of your pain, and you can’t find another one that works as well without the side effects, then it is worth adding medications like this so you overall quality of life is better.

And of course all you can do to alter your lifestyle to prevent flare-ups the better. But since I’m not a pro on IBS I’ll leave that to those who know.

You might feel better doing some reading on pain management–I know I was very concerned about addiction until I read several documented reasons why it is safe. I’ll try to find the bookmarks to the sites that let you search for legit pain management specialists (not sure if they all are board certified so never hurts to ask) across the country. The sites are also great resources. Will add this info shortly.

Best of luck with this!!!

http://www.aapainmanage.org/

Probably the best resource for locating a pain specialist. For MD click Patient and you’ll see various options for locating local MD’s.

http://www.pain.com/

http://www.asahq.org/patientEducation/managepain.htm

http://www.painfoundation.org/

http://www.howtocopewithpain.org/resources/pain-organizations.html

Interesting site with some good links (some not as good IMHO, but overall good resource IMHO).

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