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What Causes Constipation Inspite Of Being On Pain Medication?

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Posted on Thu, 30 Apr 2015
Question: Hi! This is XXXXXXX My e-mail is XXXX. My invoice # is XXXX. XXXX and doesn't believe in opiod painkillers. I was diagnosed with a tumor the size of a grapefruit in 1996. It was removed at the same time I had kidney failure. A year later, the tumor (benign) came back,very large and it was removed in 1997 while I was on dialysis. The surgeon removed it, and then apparantly dug into my spine to remove all the tumur this time. My spine fractured three years later. The kind of back pain I experienced during this time and after was excruciating. I could not lie in bed for more than four hours. I could not sit for more than two hours. i could walk for more than 10 min. with a walker. My partner would get up at 6:30 to go to work and he would find sittting at the dining table, crying; the pain was so bad. I was referred to a pain managemant doctor at Baylor Hospital. I am still seeing him and his staff for 11 years. He has tried many (light) opioids, but it wasn't until I was perscibed oxcontiin that I began to get relief, without acting drugged. Slowly, he had to increase the dosage to what I am on now. He saved my life! I was at the point were I could not take it anymore. I had written a question about chronic constipaton and was basically blown off. How do manage constipation when you are taking a stong pain medication (Oxycontin)?................... XXXXX. Thank you in advance.............By the way, I am a kidney tranplant patient now and i am doing great!!!!!!!!!!!!!!!!!
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Answered by Dr. Anshul Varshney (28 minutes later)
Brief Answer:
Laxatives.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. This HCM is not a scam. We are are here a team of doctors from all specialities operating through various parts of the world. So you can ask your health care issues related to any specialty.

See opiods are well known to cause constipation and if you check behind the basic mechanism by which they cause constipation is through constriction of anal spincter. I personally feel that if you need pain killers for a long time then opioid are the best as they don't harm your Liver and kidney like traditional pain killers. I would advise you to use Tramadol for pain relief. It is known to cause lesser constipation.

You should increase fiber in diet to fight with the constipation. Take one papaya a day. Even if your constipation is not relieved then you would require to take Laxatives like Lactulose. Initially you can start with low doses and gradually increase to the best fit doses.

When you are on opioid only high fiber diet and laxatives can help you.

If you have any further query, please ask me.
Stay Healthy.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Causes Constipation Inspite Of Being On Pain Medication?

Brief Answer: Laxatives. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. This HCM is not a scam. We are are here a team of doctors from all specialities operating through various parts of the world. So you can ask your health care issues related to any specialty. See opiods are well known to cause constipation and if you check behind the basic mechanism by which they cause constipation is through constriction of anal spincter. I personally feel that if you need pain killers for a long time then opioid are the best as they don't harm your Liver and kidney like traditional pain killers. I would advise you to use Tramadol for pain relief. It is known to cause lesser constipation. You should increase fiber in diet to fight with the constipation. Take one papaya a day. Even if your constipation is not relieved then you would require to take Laxatives like Lactulose. Initially you can start with low doses and gradually increase to the best fit doses. When you are on opioid only high fiber diet and laxatives can help you. If you have any further query, please ask me. Stay Healthy.