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Re: Rx pain meds for end stage liver disease

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Barby,

I take acetaminophen w/codeine #3, as needed, for pain. I generally

use it most, but not every day of the week. But, I have other gut

issues, too, which contribute to my abdominal pain.

C.

95 UC, 00 PSC, 04 Partial removal of pancreas from pancreatitis

complication following ERCP (I still recommend and get ERCPs when

needed, though)

>

> Hello all,

> I had what might be my last ERCP on Tuesday. My hep says

there is no more he can do for me in the way of dilating the ducts

and said he would contact the tx center about setting up my tx

evaluation. He had dilated the ducts in late April and already they

were totally closed down. Anyway, the tx eval. is on assuming that

the extensive brushings he took in the ducts comes back normal. I

was curious about why he wrote an Rx for pain meds and said I would

need them. I have had some pretty intense substernal pain recently

and maybe that is what he is talking about. However I don't

remember any on this forum who said they needed pain meds pre tx.

Am I the only one or am I forgetting something? Thanks for your

responses.

>

> Blessings,

> Barby - KS

>

>

> UC - 1965, ileostomy - 1972, BCIR (continent pouch) 1994, PSC -

1995, arthritis 2007

> married 27 years , 5 sons, 2 daughters in law, 1 granddaughter

born 6/06 and 2 golden retrievers

>

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Quantell had intense URQ pain pre-tx. Toward the end he was on

methadone, nortriptyline AND T-3.

Pam

(mom to Quantell, 17, dx 1996, tx 2001, dx recurrence with AIH overlap

2006)

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Thanks to C. and Pam for responding to this question. I guess I struggle with just treating pain and not actually doing something to help the cause of the pain. I'm not one to just treat symptoms. What causes the pain some people have pre-tx? I've been developing stones in the bile ducts. Could that be it? So far in the week since the ERCP I haven't needed any pain meds. Blessings, Barby - KS UC - 1965, ileostomy - 1972, BCIR (continent pouch) 1994, PSC - 1995, arthritis 2007married 27 years , 5 sons, 2 daughters in law, 1 granddaughter born 6/06 and 2 golden retrievers

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Stones in the bile ducts can absolutely cause pain. 's pain always improved some after an ERCP. I was also told by one GI here that if the liver is enlarging, the capsule around the liver stretches, which causes pain. The only thing you can do for that is treat the pain and wait for the liver to stop growing. AmiBarby wrote: Thanks to C. and Pam for responding to this question. I guess I struggle with just treating pain

and not actually doing something to help the cause of the pain. I'm not one to just treat symptoms. What causes the pain some people have pre-tx? I've been developing stones in the bile ducts. Could that be it? So far in the week since the ERCP I haven't needed any pain meds. Blessings, Barby - KS UC - 1965, ileostomy - 1972, BCIR (continent pouch) 1994, PSC - 1995, arthritis 2007married 27 years , 5 sons, 2 daughters in law, 1 granddaughter born 6/06 and 2 golden retrievers Ami mom to - 9 yrs - Double Lung Tx 2/26/2006, PSC - Pre-Liver Tx, Central DI, Steroid Induced Diabetes,

Hypothyroid, GERD, High BP, ADD, Anemia, Osteopenia, Gastroperesis, Varices mom to Emma - 13 yrs - Migraines stepmom to - 14 yrs - ADHD, ODD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

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