Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
136 Doctors are Online

Have had severe IBS, abdominal pain. Not cured by medicine. Do I have narcotic pain syndrome?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2005
Answered : 364 Questions
I have had severe IBS since 1974. I also have had 24/7 moderate abdominal pain, for 5 years. I took Darvoset to manage pain for 25 years, and since darvoset has been removed 28 mos ago, I have tried 4 pain meds, with unpleasant side effects not much consistent pain relief. IN addition to IBS, I also have what I have self diagnosed as "CRONIC FUNCTIONAL ABDOMINAL PAIN" .. like nerve ending pain. I have also taken SRRI's (40 mg Citralipram) for 20 yrs. I cant get out of bed each morning until I take 3-4 ocycodone for ab pain,, I think I have Narcotic Pain Syndrome .I need relief from the cycle of pain. Thoughts?
Posted Sat, 30 Mar 2013 in IBS(Irritable Bowel Syndrome)
Answered by Dr. Mamun Kabir 4 hours later

Thanks for your query.

I am so sorry to know that you are suffering from chronic abdominal pain.

Irritable bowel syndrome itself is a functional cause of chronic abdominal pain.
There are 3 types-diarrhea predominant, constipation predominant & pain & bloating type.
You are suffering from the bloating type.

You have already taken the optimum drug therapy but less responsive.
Try to avoid wheat & dairy products.
If symptoms persist in spite of optimum drug therapy then you can try relaxation therapy, biofeedback or hypnotherapy.

There are some complementary & alternative therapies for IBS also.
Some examples are cognitive therapy, biologically based herbal products, probiotics, biofield therapies, ayurvedic, homeopathy etc.
In some cases these are proved effective.

Do consult your treating doctor who can plan on referring you to one amongst the above alternative medicine specialist.

I hope, I have been some help of your query.
Please write if you have any doubts.

Take care.
Above answer was peer-reviewed by
Follow-up: Have had severe IBS, abdominal pain. Not cured by medicine. Do I have narcotic pain syndrome? 2 days later
I can live with the abdominal cramping from classic IBS, but the other disorder known as CFAP (Chronic Functional Abdominal Pain) which I read research by Dr XXXXXXX Drossman Chapel Hill,NC.
IN looking at CFAP.. what about my taking a Fibermaylga type drug.. or gabentin, or pregbalin or carbamazebine .. for nerve ending pain..
Answered by Dr. Mamun Kabir 3 hours later
Thank you for your follow up question.
IBS & CFAP is quite similar but CFAP is less common.
Usually in CFAP there is no bowel abnormality.
Treatment is about almost the same.
Low dose amitryptyline helps in both.
Non pharmacological treatment sometimes overlap.
Gabapentin,pregabalin or carbamazepie are usually used for long term functional pain.

I hope I have some help of your query.
Take care.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor