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I had my illeostomy reversal surgery on May 20th and was in the hospital for a week due to complications with restarting the bowels.  I was given oxycodone for pain once they took me off the morphine IV drip. I just finished my last oxy pill on thursday during lunch and I would say since friday I have felt miserable with stomach cramps, bloating and all around belly pain.  I thought I was in recovering getting better but now this stopped me in my tracks.  My doctor said I should not be on pain meds anymore but it is clear that something is wrong.  I was even thinking pouchitis but the timing is weird.  Could I possibly still need the pain meds this long after surgery ?  Please help...

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It's only a month since your surgery.  Jeff was sent home with dialodin.  

My son's surgeon told us the same thing, but he was very clearly in pain.  So they did put him pack on oxy And dialodin, but with a plan. unfortunately the plan didn't work because he developed serious complications with the pouch.  Long and short, he was on oxy from September until April.  But he also had more surgery, etc.  what they did was put him on a compo of drugs.  Dialodin for longterm pain, and I think oxy for break through.  They they started slowly cutting back and switched him to toradol.  Pls excuse my spelling, I can't spel for s**t.  but anyway, while the surgeon may think you should be fine, that is not always the case.  Everyone handles pain differently.   You should be able to get more.  Perhaps tramadol.  

At over a month post-op I'd be *much* more interested in why you're having pain than in how to get strong pain meds. If you're having a late post-op complication (e.g. an abscess), masking it won't serve you very well. If, OTOH, you just need to learn to live with your pouch (e.g. explore diet choices, "stretch" the pouch, get used to new sensations, etc.), then that may be the better focus. Is the pain intolerable?

 

Opiates have a direct effect on the gut. They can be useful for that purpose when ordinary adaptation (supplemented by Lomotil) fails, but they can make things worse (by slowing the gut too much), and IMO are best reserved for when they are really needed.

I still need pain medication after my 3rd surgery in 8 months for an incisional hernia 4 years ago.  I was opened up for the third time through the same incision.  I had a big abscess under the original incision that resulted in a large hole that I had to let heal open after my take down surgery.  I had to pack several times a day for over a month.  

 

I went back to my surgeon because of my pain and he discovered the hernia 6 months after take down and he discovered the hernia.  I've had 5 abdominal surgeries and my abdomen has a lot of adhesions.  I take Norco, which is like Vicodin, daily.  My PCP is managing my pain, not my surgeon or GI.  They know that I need medication for pain but they don't see me often enough to prescribe it.

 

I agree that you should go see your surgeon who should help you figure out the reasons you are in pain.

 

You have been on very strong narcotics for a long period of time.  I believe that you should have weaned yourself off of them rather than quitting "cold turkey".  Our body becomes tolerant to these medications and the physical and psychological withdrawal can be quite nasty.  If indeed your symptoms are that of withdrawal it does not mean you are addicted or a junkie.  This is a normal process that anyone goes through when stopping these kind of medications quickly.  I hope you find something that makes you feel better very soon.

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