Morphine in pancreatitis

Common Questions and Answers about Morphine in pancreatitis

avinza

I have been diagnosed now with Pancreatitis and it is painful, Lortab and ofcourse the morphine helped the pain. I am new to this site and hit the wrong area accidentally, i am in the Gastro forum now..
Hello I found the forum while trying to find help about my current medication. About two years ago an x ray revealed degenerative dics in my neck region. The pain at that time was excrutiating. My Doctor prescribed first dihydrocodeine and then after the codeien didn't really touch the pain Morphine. (Severedol) Today I have to take 60mg of Morphine each day and since being prescribed this drug have been very cautious not to, quote, become an "addict".
When I was in the hospital there was a pain management doctor that came up and they put me on a morphine pump instead of the 6 mg of morphine they were giving me every 2-4 hours. That worked ok, until I started to throw it up. The GI doctor then decided to try me on 50mg of fentanyl and 5 mg of oxycodone for break through pain. I found that to work great, they sent it home with me on September 6th for a month supply.
My doctor can't explain the cramps (not in the back which is the usual area for pancreatitis) nor the weight loss (very gradual over time and definitely not from dieting). I have had recent CT Scan and while everything is not completely back to normal (enlarged) it is stable. Doctor not concerned ... apparently that is sometimes what happens in some cases. My original episode was quite severe with significant jaundice, blockage, emergency ERCP etc.
I was diagnosed w/ pancreatitis in 1997. Up until then, my lifestyle included a lot of drinking. When I was told in '97 that if I continued to drink I wouldodor, I stopped. Well stopped for the most part - from drinking 5 - 7 nights a week to 5 - 7 times a year. For many years I did very well. I was healthy. Then around 2001 the attacks came back. They found a non-cancerous tumor in the head of my pancreas. It was drained and again I had some good, healthy years.
His pain is getting better, even though the numbers are not, they have cut his Morphine intake by 2/3 and that still controls his pain. When he first came in they gave him 2ml per hour and 2ml every time he pushed the button on his machine. Now he is down to .75 and doing OK with the pain. I am very worried and want him to get better and come home.....believe me, he will not be drinking any more.
I cannot take certain medications for pain or I am in pain even more. I cannot drink alcohol in no way shape of fashion. I had an ERCP done by a Gastroenterologist who's speciality is the biliary tree. He did a sphincterotomy on the pancreatic duct and the bile duct. I cannot eat meat except chicken or fish. I hate fish. I cannot eat high fat foods. No gravey. It is kind of tough but believe me it is tougher to be in pain all the time.
After checking me out, they sent me straight to be admitted through the ER with Pancreatitis and lots of sludge in my gallbladder. They didn't take out the gallbladder though. They just kept me there until this evening on IV, morphine and went from nothing NPO to only broth to testing out low fat foods. I'd kept a fever throughout and when it was back to normal today they ran me off with some effective pain meds in case it starts up again. It totally sucked!
Does SOD always result in pancreatitis? How does it lead to pancreatitis in the first place? Is SOD curable? Is it progressive? My GI doctor thinks that I have a SO stenosis. I am so fearful that I'm going to experience this pain indefinately, and moreso, that I will develop pancreatitis and die. I feel too young to be combating something of this nature. What is the prognosis for SOD, and how can I ensure that I am receiving the most appropriate and proactive care? Can you hear the fear? Help!
He has always suffered from constipation (especially as a young child) this obviously became serious in hospital with all the medication fentinel, morphine etc. An adult pancratic specialist came to see him and is concerned it is his bowels that have created the pancreas to flare as the other tests other than high lipase didn't show anything. He is booked for a colonoscopy and mri of the bowels in august, howeveer his pain is still very severe and he believes it is getting worse.
Started me on 15 mg morphine sulfate ir 4 times a day. I have tapered down to 1/2 a tablet in the morning, for the past 3 days, if I just quit how long will the withdrawals be? I know that it has a very short half life and will be nothing like the methadone.
This is very frustrating since I know that there have had to be improvements and gains in the area of pancreatitis in the past 14 years! I just want to have the same chances that someone who has just been diagnosed with pancreatitis has now. I've been under maintainance medical care for the last 12 years, just treating the pain. I will investigate the autoimmune pancreatitis. I have an appointment on Jan 15th with a PA from the Dr's office I mentioned above.
There are many causes of pancreatitis in childhood , viral etiology including mumps , infectious mononucleosis , influenza A, german measles , and Coxsackie B virus . These would produce a clinical picture of acute pancreatitis with severe epigastric pain , severe enough to cause the child to assume a sitting position , radiating to the back , persistent vomiting and fever . If the pancreatitis is due to a viral uncomplicated infection , the prognosis is good .
There was construction so I had to park a ways away. They asked for ID which was in the car. By the time I got to the car it felt a little better so I sat in the car. I fell asleep for about 30 mins. When I awoke the pain was gone so I went home and fell asleep. I woke an hour later with the same pain and went back to the ER. I could barely lay still for the morphine shot. They drew blood and an ER Doctor came right before they sent me for a cat scan. He said you've got pancreatitis.
Extensive or invasive evaluation is usually not recommended in those with a single episode of pancreatitis who are younger than 40 but some reports recommend endoscopic ultrasound (EUS) even after one attack if the cause is not clear to look for pancreatic ductal abnormalities, small tumors at or near the ampulla, microlithiasis in the gallbladder or bile duct, and early chronic pancreatitis.
It has been reccommended and I would like to hear from anyone that has used it. __ Dear Beth, Chronic pancreatitis can produce an incapacitating pain,, as you are aware. In our practice we have had much success using Duragesic analgesic patches. In a small subset of patients, there is a single streicture of the pancreatic duct and in this group surgical treatment may be effective.
__ Dear Beth, Chronic pancreatitis can produce an incapacitating pain,, as you are aware. In our practice we have had much success using Duragesic analgesic patches. In a small subset of patients, there is a single streicture of the pancreatic duct and in this group surgical treatment may be effective. In general, however, surgery does not relieve the pain of chronic pancreatitis. This information is presented for educational purposes only.
__ Dear Beth, Chronic pancreatitis can produce an incapacitating pain,, as you are aware. In our practice we have had much success using Duragesic analgesic patches. In a small subset of patients, there is a single streicture of the pancreatic duct and in this group surgical treatment may be effective. In general, however, surgery does not relieve the pain of chronic pancreatitis. This information is presented for educational purposes only.
___________ : : Dear Beth, : : Chronic pancreatitis can produce an incapacitating pain,, as you are aware. In our practice we have had much success using Duragesic analgesic patches. In a small subset of patients, there is a single streicture of the pancreatic duct and in this group surgical treatment may be effective. In general, however, surgery does not relieve the pain of chronic pancreatitis. : : This information is presented for educational purposes only.
I am allergic to codine so the only thing they can give me for pain in morphine whivh i have to be addmitted to hospital for. what could this be? is it gallstones someone said i was too young at 22 to get this?
I was in a lot of pain today with Pancreatitis so I had to take a lot of painkillers. This wasn't an excuse it was genuine pain. I was admitted to hospital and given IV Morphine. I took a lot of painkillers when I got home and also a sleeping tablet. I'm back down to 2 Tramadol tablets a day.
Should I have them open the duct in which the stint is in or just remove the stint and deal with it. I am only 37 and otherwise in great health. Is there anyone out there with a similar problem?
If the pain is under the shoulder blade then it could be due to a problem with the stomach (like acidity, gastric reflux, hiatal hernia) or due to pancreatitis, or in the chest like angina or heart attack, pericarditis, pleuritis, pneumonia, pulmonary embolus, aortic dissection. Do discuss this with your doctor and get yourself examined. Take care!
Why are they leaving him siting here, sick and in pain, for months on end? Is it normal to have an episode of acute pancreatitis last for over seven months? The only pain medication he is being given is Darvocet, which at times is inadequate. We've asked twice for something stronger- the first time we were told that if the pain is that bad, go to the ER.
Why are they leaving him siting here, sick and in pain, for months on end? Is it normal to have an episode of acute pancreatitis last for over seven months? The only pain medication he is being given is Darvocet, which at times is inadequate. We've asked twice for something stronger- the first time we were told that if the pain is that bad, go to the ER.
Medical history:Was in good health and had quit drinking 10 years prior to onset of symptoms...2 years ago I had an abdominal x-ray revealing a giant bladder diverticulum with total urinary retention of 2300 ml. My bladder neck was also sealed shut with muscle mass and I had developed sepsis. After bladder neck surgery, diverticulectomy, and surgical reattachment of left ureter I kept developing multiple infections from pseudomonis?? to c-difficil.
Just a little history, I had my gallbladder removed via emergency surgery after I presented with pancrentitis in the ER 6 weeks postpartum. I had had the pain that everyone is talking about for months leading up to having my son. Then it stopped for a couple of weeks, and then returned with a vengence. My liver levels were 16,000, my sugar level was 13,000.. on top of that they gave me morphine.. which is something that should never be done.
If you are going to have the menometry done you should almost plan on spending a few days in the hospital. The risk for pancreatitis is high with menometry. Pancreatitis is very painful. I did get it, but I can tell you it was worth the pain. Anything to get rid of the pain I had been feeling for a year and a half. Every test I had prior to this came back normal. The Drs started thinking I was making up the pain. The pain was caused from the pressure in the duct.
I am still in the hospital unfortunately. I somehow developed pancreatitis and was not discharged as planned last Friday. I wrote up a journal entry if anyone is interested in reading more about it. Thanks Beach for your supportive comment. Anyway, the GI team wants to find out why I got pancreatitis and I've already had an ultrasoud and now I am going for an MRCP - a type of MRI in a few minutes.
It seemed the opperation caused more pancreatitis than what I had when I went in! I was doped up on a large quantity of morphine later that evening as I sought help from the emergency (the doctor who performed the ERCP said I would not need pain medicine because he didn't anticipate any pain!!!!) I called my gastroenterologist two days after the procedure and begged for pain medicine which she thankfully agreed with (I believe it was Darvocet with some Acetaminophen).
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