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Crohn's Disease Forum » Surgery » Non-narcotic pain meds after surgery?


01-22-2016, 01:54 PM   #1
scottnl93
 
Join Date: Jan 2016
Location: Massachusetts
Non-narcotic pain meds after surgery?

I'm going in for an ileocolectomy next week at Massachusetts General Hospital. Years ago I had a small bowel resection and remember having patient-controlled anaesthesia (PCA) with morphine for pain management.

I was advised that now they give you gabapentin and a "mix of non-narcotic" pain medications after surgery. This makes me a bit nervous that they aren't using narcotics and I wonder if this is really enough for pain management? Does anyone have experience with this?
01-22-2016, 01:58 PM   #2
Absentminded
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Join Date: Nov 2009
Location: Bristol, United Kingdom
I had oxycodone in my last PCA as I find that morphine makes me very sick; it is a narcotic though.


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Lucinda x

Diagnosed: July 2009

Resection and removal of Enterocutaneous Fistula: Jan 2014
Pelvic infection Drainage: April 2013
Ileostomy reversal: February 2013
Ileocecal resection and temp. ileostomy (Say hello to Norman!): Nov 2012
Current Medication: NONE!

Past medications: Humira, Infliximab, Azapthioprine, Asacol, Budesonide, Prednisolone, Flagyl, Cipro, Cholestyramine (Questran), Fortisips.
01-22-2016, 02:13 PM   #3
HorseAngel
 
Join Date: Dec 2015
Location: Seattle

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I always am given scopolamine patches for nausea and pain plus fetanyl patches and oxycodone. I have never heard of no narcotics for post operative pain. Gabapentin is a seizure med that some claim helps neuropathic pain but has zero effect on acute pain. Good luck!
01-22-2016, 08:19 PM   #4
hawkeye
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Join Date: Mar 2011
Location: New Brunswick

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I had dilaudid in my PCA when I had my resection 2 years ago. They send you home with a prescription for it also when you are released and the discharge instruction sheet recommends getting it filled. I had surgery on a Thursday and the PCA went away on Monday and I was switched to Tylenol (full daily dose). I think they leave an order open for dilaudid incase the pain gets too much for the tylenol.
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Current Medications: None currently. Was on Imuran (150mg/day) and 5-ASA (3000 mg/day) as maintenance meds prior to surgery
Surgeries: Left hemicolectomy 2014.
01-22-2016, 11:56 PM   #5
ronroush7
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Location: vienna, Virginia

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I had oxycodone in my last PCA as I find that morphine makes me very sick; it is a narcotic though.
I had the same thing for PCA
01-23-2016, 05:54 AM   #6
tzvia
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Join Date: Mar 2012
Location: Philadelphia, Pennsylvania
I had morphine for a day or two, then oxycodone.
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Diagnosed with Crohn's in 2007, symptoms since 2000.
Hospitalized with bowel obstruction 8/2012
Ileocecectomy with 9" removed 10/2014


Current meds: Entocort, Questran
Past meds: Prednisone, Humira

01-28-2016, 04:39 PM   #7
Cornelliz
 
Join Date: Jan 2015
I had a laparoscopic ileocecetomy earlier this month, and they actually gave me an epidural PCA while I was in the hospital - they transitioned me off of it and onto oral meds on the 4th day before releasing me on day 5. I think there was a combination of narcotics (maybe fentanyl?) and a local anesthetic. We had a few hiccups (too high a dose = numb legs = can't walk as directed by doctors) but it worked quite nicely for most of my stay. The pain was well-controlled once we had it figured out, and I felt ready to go home on Day 5.
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