Pain contract-Pancreatitis?!


Question: Pain contract-Pancreatitis?
I had a baby on Nov. 21, 2010. I started vomiting and having severe abdominal pain mid Dec 2010. It took a while to get in w/ my GI but was finally diagnosed with pancreatitis and a blocked bile duct Feb. 1, 2011. I was admitted to the hospital for 3 days, when they tried to place a stent in my bile duct, which was unsuccessful. So, I have to wait for an appt. at Vanderbilt (much larger hospital) and it's not until May 10. My GI said when I was discharged, he wanted to make sure this problem was fixed within a month. Well, now that's a different story. His office won't even return my calls and they said all I can do is wait. So, I've been having to get pain/nausea meds from my primary care. She put me on a pain contract about 2.5 weeks ago. The pain has gotten horrendous and I've had to go get pain shots at the hospital the past couple days. I'm going to see my doctor today b/c I've been having to take more of the pain meds than she prescribed, which I prob. should have called her about before-hand. She prescribed 7.5 hydrocodone every 6 hours. It just doesn't work anymore b/c I've been taking them for over 3 months. I feel she trusts me that I don't abuse them. Anyone ever had this problem or been on a pain contract? It just scares me. I have an appt with her today to talk everything over but I'm scared she's going to be mad.

Answers:

First and foremost, congratulations on your new little one- may they grow to be a strong and healthy adult!
The pain from pancreatitis is extremely difficult to control in anyone and your history complicates this problem because your body has a higher tolerance to the drugs which can be used in the home. Knowing you have a newborn in the house is likely an additional concern to your physician. I recommend you speak with your doctor. Perhaps it's possible to involve a Pain Management Physician in the planning of your treatment between now and your appointment at Vanderbilt. PMPs tend to be much more aware of the latest medications available, both narcotic and otherwise to treat pain. Their expertise may be able to help solve the problem you're having at this time.
Don't get yourself crazy over your meeting with the doctor today. Be completely honest with her and let her know your fears- trust in one another is the only way the contract can work.

Registered Nurse




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