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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Spinal Headache And Back Pain

Hi, I am a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day with vomiting, cold, clammy dizzy, severe back pain awful sweet smell comes off of my skin. Unable to sleep for 49 hours and absolutely misserable. Today he ordered 25mcg fentanyl one patch every 3 days plus compazine. He just told me I had to tough it out. Do you have any suggestions it is very hard to take care of myself when husband is at work. Thank you so much. Donna
Tue, 8 Mar 2016
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Orthopaedic Surgeon,  's  Response
hi Donna
i can nderstand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief.cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake.spinal headache may be rrequiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is done
best wishes
regards

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Suggest Treatment For Spinal Headache And Back Pain

hi Donna i can nderstand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief.cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake.spinal headache may be rrequiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is done best wishes regards