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Suggest Alternative Treatments For Pancreatic Issues
Question: I am currently undergoing some pancreatic issues, the local hospital prescribed me Endone for pain, I was taking this as directed however I have now ceased this due to cronic abdominal pain and wind retention (within a hour of consumption) and constipation. I am not meant to take ibuprofen due to past stomach ulcers and find that basic paracetamol does not work very well. Is there any other options out there?
Brief Answer:
options available
Detailed Answer:
Helli XXXX
How are you? My name is Dr Suresh Raghavaiah. Iam a liver and pancreas specialist and I hope to answer your question today.
I am so sorry to hear that you are in pain. The pain of panc reatitis caan be extremely severe and most of my patients cannot do with IV medications. When it comes to oral medications, again opiods are the best . And I understand you are having issues with the same. Let me lay out the options for you and you can pick which ever works for you.
1. Opioid with a laxative: the most common complication of any opioid is constipation which in turn leads to bloated feeling. So usually all opiods are prescribed with a laxative (cremaffin, lactulose, etc). If endone is working for you with regards to the pain then I would advise you to start a laxative and give it a try.
2. Ibuprofen. With an acid inhibitor : I understand that you cannot take ibuprofen due to ulcer issues. But taking a acid secretion inhibitor (pantoprazole , omeprazole etc) before taking ibuprofen has worked for many of my patients
3. Tramadol with paracetamol : tramadol is a drug which has very weak opiod action but when taken in combination with paracetamol has very good analgesic activity without any of the side effects of constipation.
4. Cox 2 inhibitors: these are a special class of NSAIDS (just like ibuprofen) but which have no acid increasing properties. So it can be safely taken even in ulcer patients
4. Analgesic skin patches: a variety of locally applicable skin patches are now a vailable which has helped a lot of patients. The contents of the patch varies from plain lignocaine (local anaesthetic) to fentanyl and also opioid medications which supply a sustained release of drug for prolonged effect.
These are the usual options available for a patient outside the hospital. If your pain is severe, I would ad use you to get admitted to a hospital and get the pain controlled with if medications.
Hope this helped and hope you start feeling better. Please don not hesitate to contact me for any further clarifications
Have a great day
Dr Suresh Raghavaiah
options available
Detailed Answer:
Helli XXXX
How are you? My name is Dr Suresh Raghavaiah. Iam a liver and pancreas specialist and I hope to answer your question today.
I am so sorry to hear that you are in pain. The pain of panc reatitis caan be extremely severe and most of my patients cannot do with IV medications. When it comes to oral medications, again opiods are the best . And I understand you are having issues with the same. Let me lay out the options for you and you can pick which ever works for you.
1. Opioid with a laxative: the most common complication of any opioid is constipation which in turn leads to bloated feeling. So usually all opiods are prescribed with a laxative (cremaffin, lactulose, etc). If endone is working for you with regards to the pain then I would advise you to start a laxative and give it a try.
2. Ibuprofen. With an acid inhibitor : I understand that you cannot take ibuprofen due to ulcer issues. But taking a acid secretion inhibitor (pantoprazole , omeprazole etc) before taking ibuprofen has worked for many of my patients
3. Tramadol with paracetamol : tramadol is a drug which has very weak opiod action but when taken in combination with paracetamol has very good analgesic activity without any of the side effects of constipation.
4. Cox 2 inhibitors: these are a special class of NSAIDS (just like ibuprofen) but which have no acid increasing properties. So it can be safely taken even in ulcer patients
4. Analgesic skin patches: a variety of locally applicable skin patches are now a vailable which has helped a lot of patients. The contents of the patch varies from plain lignocaine (local anaesthetic) to fentanyl and also opioid medications which supply a sustained release of drug for prolonged effect.
These are the usual options available for a patient outside the hospital. If your pain is severe, I would ad use you to get admitted to a hospital and get the pain controlled with if medications.
Hope this helped and hope you start feeling better. Please don not hesitate to contact me for any further clarifications
Have a great day
Dr Suresh Raghavaiah
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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