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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain While On Tramadol?

I have been taking Tramadol 200 mg slow release for about six months previous I was taking 50mg 3x daily for diabetic neuropathy. I have been experiencing severe abdominal pain. I have had blood work, urine test and X-rays and 2 Ct scans. Nothing is showing up. My Doctor thinks it could be the Tramadol that is causing my pain. He has reduced my Tramadol to 3 pills for 2 days and 2 pills for 2 days and finally 1 Pill for 1 day. I am now at 2 pills for 2 days. I am still in a lot of pain. I am also on a clear liquid diet. Can you please help! Does this sound like it could be the Tramadol that is causing my pain. I am a 67 yr old female. Thanks Donna Scott
Fri, 18 Dec 2015
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Tramadol induced Hyperalgesia-with Narcotic like Bowel Syndrome(NBS).
Though this is not a narcotic drug,is opioid and is known to cause severe pain in abdomen.
Reduction of its dosages and shifting to Gabapentin CAp-300 mg x 3 times a day with increase up to 600 mg , would resolve your issues.
Hope this reply would help you to plan further treatment with your doctors there.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Severe Abdominal Pain While On Tramadol?

Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Tramadol induced Hyperalgesia-with Narcotic like Bowel Syndrome(NBS). Though this is not a narcotic drug,is opioid and is known to cause severe pain in abdomen. Reduction of its dosages and shifting to Gabapentin CAp-300 mg x 3 times a day with increase up to 600 mg , would resolve your issues. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS