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What Causes Sharp Chest Pain While On Lyrica?
Question: I was on opioids for 4 four years, recently my Pain Mgt. Dr. assisted me in withdrawal, now on Buprenorphine / Naloxon 2mg twice a day, in 12 hour increments. Also taking Lyrica 300mg twice a day. Actually saw him, my doctor two days ago, as a follow up visit and to confirm 2mg was the right dosage. While on withdrawel I was using Prunes to help with the constipation. Usually have 3 BM in the am, one in pm. But for the last 8 days one BM per day or none. Also have a real sharp pain on or near my heart. It comes and goes, but is increasing in duration and intensity. My abdomen is hard, firm, and sensitive to the touch. The pain is getting unbearable, I have one hemmorrhoid . I'm drinking plenty of fluids, due to fact I just had two MRI's back to back, with contrast of my Thorastic Spine and Lumber Spine. What can I due to ease the pain and have reg. BM's and get some sleep not sleept in two days, also nauseous.
Brief Answer:
Could be due to GERD
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. It is good to know that your pain medication is gradually being tapered off. However, based on the location of your pain it seems that your problem could be due to gastritis or gastroesophageal reflux.
I would insist you to try the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake. It is good to know that you are taking prunes.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe (gastroesophageal reflux, which could explain the pain as well as the firmness of your abdomen) and on the other hand the bowel habits would not be proper (constipation leading to hemorrhoids). So, I think that my postulate correlates.
As of now, you can try taking acetaminophen (tylenol) 500 mg two tablets together for the reduction of pain. Hopefully that should help.
Let me know if I could help further.
Regards
Could be due to GERD
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. It is good to know that your pain medication is gradually being tapered off. However, based on the location of your pain it seems that your problem could be due to gastritis or gastroesophageal reflux.
I would insist you to try the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake. It is good to know that you are taking prunes.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe (gastroesophageal reflux, which could explain the pain as well as the firmness of your abdomen) and on the other hand the bowel habits would not be proper (constipation leading to hemorrhoids). So, I think that my postulate correlates.
As of now, you can try taking acetaminophen (tylenol) 500 mg two tablets together for the reduction of pain. Hopefully that should help.
Let me know if I could help further.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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