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Constipation, bloated, pain in stomach. On methadone. Help

hi for the last 2 week i have been feeling like i am constipated but i have no trouble going the doctor i went to gave me lacatose but all it seems to be doing is making me really gassy and my belly feels very upset I am on methedone but i have never been constipated in the 2 yrs i have been taking it at 33mls/day i dont know what i should do because the pain doesnt seem to be getting any better
Asked On : Sat, 27 Apr 2013
Answers:  2 Views:  70
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Gastroenterologist 's  Response
Thank you for the query.
Likely your constipation is because of methadone.
Lactulose can be causing abdominal distention, bloating and mild pain.
Can stop it and switch over to over the counter medication like liquid paraffin if available and see if you feel better. If not may need additional laxatives after consulting your doctor.
If pain continues need to see your doctor urgently.
Wish you a speedy recovery.
Answered: Sun, 23 Jun 2013
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General & Family Physician Dr. Varnika J.P.'s  Response
thank you for your query,

Methadone being a synthetic opioid, has more or less similar side effect profile as other opioids.
And constipation is one of them.

So, when you are taking Methadone, it is important to include fiber rich foods in the diet & maintain adequate hydration to avoid constipation.
Lactulose, as prescribed by your doctor is a laxative, which acts by absorbing water from Gastrointestinal tract and softening the stools.
The symptoms like gas formation & pain can be taken care of by medications like Pantoprazole & Dicyclomine preparations.
Kindly consult your Physician & get a prescription for the same.

Thank you,
You can contact me for any follow up questions
Take care
Answered: Sun, 23 Jun 2013
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