
Suggest Treatment For Chronic Pain Post Opiate Withdrawal

SPECT Will help analyse the structure and function hope for the best
Detailed Answer:
Hi
Thanks for writing in again
Apologies for being late, was not at my desk and I received a call from HCM saying there is a direct query for me and I sensed it would be you, so I took some time off and am the desk to reply
Thanks for the kind words and blessings
I can understand the agony and when you have withdrawn opiates it would be something unbearable
Let us wait for a week or so and see what comes out on the SPECT
With the Christmas on and new year approaching let us hope it start with a new ray of hope,
In the mean time why don;t you give simple Paracetamol 650mg a try ?
Or if possible an 100ml infusion of Paracetamol twice or thrice a day ?
I had a patient an elderly lady of around 81 years with bad root pains had tried all analgesics and was not responding to any of these
Worked wonders with Paracetamol infusion 100 ml thrice a day for 5 days followed by twice a day for two days and then maintenance of Paracetamol 650mg thrice a day
Wishing you a MERRY CHRISTMAS AND A HAPPY NEW YEAR AHEAD


I'll address the pain medication you mentioned; if I had know increased sensitivity to pain would occur, I am not sure I would have asked to get off opiates during Christmas. I think you are one of a kind; I thank you for sticking with me and giving such thoughtful advise. Bless you.
Chronic Pain can also be taken care of
Detailed Answer:
Hi
Thanks for the blessings, really need them
Chronic pain can also be well managed, fortunately the pain consultant friend from US is in XXXXXXX these days, let me see if I get a chance to meet him, I will surely take time to discuss your case with him and see if there is a solution to it
Recurrent prolapse may need another surgery, do not know the extent of the prolapse, If it is around half to one inch, I would opt for a minimally invasive recto-anal repair
May be you may not wish to undergo another trauma
Do give Paracetamol a try, have been evaluating this molecule for quiet some time now in the management of postoperative pain
Keep blessing
Wishing you a really wonderful year and a Merry Christmas, just to share with you 25th December happens to be my birthday, would be more than Happy when my patients remember me in their prayers on this day......
Regards


Are you suffering from past surgeries? I know you have endured a lot; still treating your patients and following people like me when time spent with a doctor here is short.
My question, since the majority of my pain was after the colorectal surgery where he capped one end of colon; cut hole in side of rectum and held it with mesh strips. Since it's falling, could remaining mesh and sutures/staples have been causing the pain all along?
More blessings your way; you are a man to be admired and I hope your Birthday is full of many blessings.
With two years gone by it is very unlikely
Detailed Answer:
Hi
Thanks for all the wishes and blessings
Yes I do have residual shortening, but I have accepted it as a part of normal routine
Treating patients was a profession by choice and not compulsion so I am enjoying every moment of it
Regarding the pain being due to staples sutures or mesh it is unlikely as two years have gone by, yet let us wait for the SPECT
Thanks one again for the wishes and blessings


I'll say a Happy Birthday prayer for you and blessings for the new year. You are of the character that is rare and refreshing. I'll check with you after the scan and thanks for sticking with me.
Merry Christmas and Happy Birthday,
Thanks A Lot
Detailed Answer:
Hi
Thanks a lot for the wishing
Will await your reports
Wishing you a Merry Christmas And A Happy New Year in advance
Regards


Am honored
Detailed Answer:
Yes it is the Merry Christmas day here and Beloved XXXXXXX brings lot of Birthday wishes for me
Am honored specially when my patients remember me in their prayers
Will await your reports and am confident the new year will bring lot of good health and happiness to you
Wishing you a Merry Christmas once again


The prolapse has, from what I've been feeling, slipping for a very long time; I reported dropping inside (colon) and knew things were changing. I carried a table and felt more slipping, The entire colon and its normal function was drastically changed. However, just relax, celebrate, and know someone in the United States thinks a lot of a man so very far away. True blessings sent your way. And, enjoy the holiday; I don't need an answer right away and SPECT will be sent soon. Two Happy Birthdays.
Will Await For SPECT ?
Detailed Answer:
Thanks a lot
Though an answer is not needed we are supposed to reply to pending followup queries, hence these few line
MERRY CHRISTMAS


I have the same prolapse that I was told to have operated on; many problems. I reported the issues repeatedly, feeling the pulling in the area of scram; area the mesh was attached; now, it's been there for two years; prolapse, actually is harder to pull in now. Many say using mesh like this doctor did is not typical. Why would the mesh not be considered a problem when I told drs about the pulling; pain, etc and now, the prolapse. I am so complicated because of the colorectal surgery and hernia repair, it was easier to just give meds. Sacral Promontory shows inflammation. I do believe I will go nuts with pain and Tylenol and Celebrex doesn't do anything. I told the doctor about what you mentioned to take and he said that's really Tylenol..
Thank you for responding to my greeting. Busy doctor doesn't need to spend time; I just wanted you to know someone was thinking about you.
Very unfortunate
Detailed Answer:
Hi
Thanks for all the kind gesture and prayers am really honored by the blessings, yes it was a blessed birthday and am much better physically also
It is unfortunate that the prolapse surgery did not work for you, rather gave you more issues
Again am sorry to learn that Paracetamol is not working in your case
For temporary relief you may try Diclofenac patch also
We would wait for the reports before we come to a conclusion
Though I am busy but I have all the time for my patients as they are my only friends, I socialize a lot with my patients and their family
Thanks once again for all the care concern and love for your doctor
Wishing you a very healthy life in the upcoming new year
Regards

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
