Still In Pain !

[ilovemarkb]

would my nan be allowed a stronger pain relief from her doctor She is in a lot of pain from for her back. The doctor has stopped her codeine as its causing constipation. thankyou. She is 86 !! This pain has even stopped her going to the betting shop !! so it must be bad !!

she takes
ibuprofen 400mg 3 times per day
paracetamol 500mg 4 times per day
enalapril 20mg 1 per day
levothyroxine 125micrograms once per day
lanzoprazole 15mg once per day
senna tablets 7.5mg 2 in morning and 2 at night
lactulose 3 x 5ml twice per day

[woofgang]

has she seen a pain specialist and if not why not?

[ilovemarkb]

shes back to see her gp tommorow so maybe this may be a possibility

[woofgang]

I think that should be the next step if the "usual suspects" in pain relief aren't working and the back isn't getting better. If its thought that treatment could help her back then an orthopod and if its chronic and intractable then a pain specialist consultant or nurse. With respect to practice nurses, don't let her be fobbed off with the "practice nurse who has an interest"
Yu are probably aware that constipation deffo makes back pain worse and its really hard to go to the loo at the best of times with back pain, so I would suggest that there is some urgency to getting this sorted.

[Sqad]

Do we know with what condition we are dealing?
Ibuprofen 400mgms 3 times a day is a "piddling dose".
That's is all I have to say at this point.

[magsmay]

I'd be more worried about the 4 senna tablets a day shes on.

[anneasquith]

if her pain is not controlled. yes, there are many alalgesics available.

[lcg]

get her to ask gp for pregabalin......

[ilovemarkb]

shes given tramadol

[Sqad]

That seems reasonable...thanks for the feedback.