Sorry to here you are in chronic pain--it sucks. I'm not clear what kind of pain you have, and the cause. Is it the fissures and the absesses causing pain? Is it that they know you have a clear cause for your pain and can't help, or they don't know the cause and don't "believe" the pain you are in? Either way, sounds like you need a more sympathetic physician. I have a prescription for tramacet but it is specifically for bowel obstructions and chronic pain from adhesions. My doctor calculates how many to prescribe based on a calendar of the obstructions I keep. They do help my quality of life I think, as I would otherwise be in and out of the ER all the time and not sleeping well due to pelvic pain.