pain pills and stomach pain

// // 13 Comments
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Big Ed asks:

I've been on long term chronic pain pills (slow release morphine) for over three years. Anyone else out there like me? I still manage to go one or two times per week. It's very hard (and hard to pass) and it looks like compacted moose turds. The thing is that I've got a lot of stomach pain on the left side, which I haven't read anyone else having much. Is it possible that it's mostly gas trapped? I hardly ever fart until later at night... has the train stopped? I do know that my stomach is OK. What to do?


Dear Big Ed (sounds like a good name for a moose),

Gas does not get "trapped" unless something is blocking it. You probably have some impacted feces in your descending colon, which is on the left side of your body. Even though you are going some, there is probably a bunch stuck in there somewhere.

I am going to assume that you are obtaining your morphine legally, which would mean that you have a doctor that you are seeing on a regular basis. Tell him about the chronic constipation and the pain in your gut. He will most likely give you an enema to remove any impacted feces, then prescribe a stool softener to attempt to prevent any more.

Thanks for asking Motherload!

Motherload is a Certified Nurse Assistant as well as an IBS sufferer, which means she knows a lot about poop. Got a question for her? Ask it here.












13 Comments on "pain pills and stomach pain"

werewolf pooping on trees's picture
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It's on the left side? I would think it's appendicitis, but that's the right side. Make sure you don't have that condition where all your organs are reversed, which would put your appendix on the left side.
Do you know what that's called, Motherload? I read about it but I forget what it's called...

_______
...and they all lived crappily ever after!

...and they all lived crappily ever after!

healthy 1's picture
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What to do?

SEE A DOCTOR. Why do people ask Poopreport what they should do about potentially serious medical conditions, before they ask their doctor or go to the ER?

Though PR has some medical advice, PR is a poop humor site, not a site to ask about possible medical emergencies.
_______
"-55F, a new record low? Nope, thermometer went bad. Looks like -50F still stands"

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Mary Queen of Scats's picture
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Situs inversus, werewolf-I saw it on CSI :-)

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Bad kitty! Bathtubs are NOT litterboxes!

Motherload's picture
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WP, the rare condition in which the positions of the major organs are reversed is called Situs inversus, or Situs transversus.

You are correct about the appendix being on the right side of the body. But in actual cases of appendicitis, there is often severe pain felt more in the naval area or even further left than in the location of the appendix itself. This is known as referred pain.

Big Ed seems to be having more of a chronic pain conditon as opposed to a sudden onset of pain. Appendicitis is a very serious, potentially life-threatening condition and would render the person afflicted with it so ill that submitting a query to a humor-based non-doctor would not be on the list of things to do. With appendicitis there would most likely be loss of appetite, nausea, vomiting and fever as well.

Even stubborn folks that don't like to go to doctors will haul their ass in to the ER when an irritated appendix rears its ugly head.

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Always looking out for number two!

Always looking out for number two!

werewolf pooping on trees's picture
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Wow, you're really smart. I would never be able to keep all that stuff straight.
I guess this means I don't have to worry about appendicitis every time I feel even the slightest twinge to the right (I had been getting paranoid).

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...and they all lived crappily ever after!

...and they all lived crappily ever after!

DungDaddy's picture
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Motherload! A stool softener? I thought that makes things worse...

Motherload's picture
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DungDaddy, in a healthy digestive system, the colon extracts water from stool and then pushes it out of the body when we go to the toilet. But when one is constipated, stools can become hard and dry from hanging around in the colon too long, which makes them difficult to pass.

For patients taking medication with narcotics, constipation is always a problem. Opiate narcotics can decrease contractions that help move the stool downward. Lack of contractions means that the stool remains in the colon longer than it needs to, resulting in the absorption of too much water. Various medications, given both orally and rectally, as well as enemas, can help reduce constipation in different ways.

A stool softener is a substance that draws water back into the stool, making it softer and easier to pass, thus allowing things to clear out instead of backing up. I don't really see how that would make things worse in Big Ed's case. He apparently needs some kind of assistance in moving things along on a more regular basis, and I believe that a stool softener would cause less trouble than having him become dependent on laxatives would.
_______
Always looking out for number two!

Always looking out for number two!

Recto Magnifico's picture
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I agree with Healthy 1 on this. I have to wonder how the posters of some of these questions end up here in the first place, but I sure wouldn't find it on google and think, "Gee, I'll bet I can get a good diagnosis THERE!"
And, after getting a bunch of speculative input from people who have no idea of the poster's medical history or a complete report of symptoms, the OP is still left with the basic advice that should have ended the conversation: Go see a doctor, damn it.
And after you see a doctor, if you want to come back and share the results, maybe then we'll all learn something valuable.
There are countless reasons for abdominal pain. See an internist or a g.p., get a referral to a specialist, get whatever tests and exams are needed, etc., etc., etc.
And whatever you do, Big Ed, don't start taking laxatives, emetics, stool softeners, coffee enemas, sphincter dilators, shoe horns, fire crackers, eye of newt, or what have you just because someone on this site says, "Oh, yeah, I had a pain like that, and I found that the following fixed it right up...."
While you're waiting for the results of using someone's well-intended but ill-informed suggestion, you're only delaying a necessary visit to a doctor. If you're already on medication, someone's prescribing it. Ask that doctor what he or she suggests, and take it from there.
Best of luck. Please report back when you've gotten a little more in the way of a professional opinion.

br>_______
Livin' La Vida Caca!

Livin' La Vida Caca!

Anonymous Coward's picture
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i have the same problem that big al or ed had, it is true that people who take pain pills back up, i torn my ass off 3 times now! with a log the size of 4 bratworst tided together coming out sideways! that shit hurts! putz some butter on that shit!!

BM NOW's picture
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just got back from the doctor... and i was hoping she would suck the poop out with a shop vac. I saw the xray and OMG... there's alot stuck in there. It's been almost 3 weeks of constipation and I've tried everything. Almost.
I've had miralax, suppositories, enimas and now the magnesium citrate. I also started taking metamusil. So what do i get? I get to go #1 thru my colon. I've drank so much water, it's coming out of my butt.. OUCH! When will it end? I'm ready to see Mr Hanky in the bowl waving back at me... BUT NO~ All i get is brown water. SIGH =(

sittingpretty's picture
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BM now, it will end by tomorrow or tonight, depending on what part of the day it is where you are.
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...And their flesh like dung. Zeph. 1:17

...And their flesh like dung. Zeph. 1:17

Anonymous Coward's picture
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After just three days on a narcotic cough medicine I became severely constipated -- very unusual for me. I called the doctor and he told me to get some stool softeners and start taking them, and he asked if I had an enema bag, which I did not. But I do now! For immediate relief you really can't beat an enema -- although they are a bit of a chore and uncomfortable to take.

Captain's Log's picture
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For 8 years or so now, I've been prescribed Codeine Phosphate 30mg/Paracetamol 500mg (6 tabs a day) along with Tramadol Hyrdrochloride 50mg (4 tabs/day). I know all of that can bung you up, and I have had periods of constipation followed by periods of 'the skitters'. I've learned to balance things pretty well by keeping a close eye on what I eat, how much I eat, periodic increases and decreases in pain meds, taking sennacot for the constipation and Loperamide to clear up the skits.

All was going fine until I got a suspected Gastro bug which laid me up for several days, with severe stomach cramps, shitting water and ending up with dehydration. During these past few days I managed to run out of my Codeine meds. It takes the best part of a week to get a new script from my doc, so I'm going to have to wait a few days yet.
I know I'm probably addicted to them by now and the withdrawal is probably kicking in, not helping matters.

Thing is I'm still shitting water and my arse is red raw. Thats gotta be the worst part of it. Its just so sore. The actual passing water is painless for now, it's just when it comes to wiping, it has me in tears. The only thing I can do is lather the sore area in Centrimide Antiseptic cream which soothes it a bit but it doesn't help that by the time I've done all of that, I need to pass more water and go through it all again.

This last bout of stomach cramps seemed like there was something going through my guts and I feel like I'm constipated (I'm still just shitting water). There's also a bulge just up from my butt hole, like when I sometimes get bunged up. Could I have some impacted shit on its way through, maybe loosened by the gastro bug or lack of codeine tabs?
Whatever it is, it feels too large to crap out normally. What can I do?
Making an appt with my doc will take at least two weeks to be seen (which I'll do anyway) but in the mean time, is there anything I can do to try and get this thing out? (Bearing in mind the whole area around my butt hole and cheeks is red raw)

I ought to mention that since I've had the Gastro bug, I've not eaten and the only thing I've had to drink is water. I guess I'm hungry but the thought of eating anything makes me feel sick. Even drinking the water is making me feel sick unless I just take a sip every 10 mins or so.