I have short bowel along with massive adhesions and now crohns. The gi has tried a lot of medications with no success so far (bile absorbers, 6 mp and steroids) I got some relief from steroids but can not ween off them. During this time I also convinced the Dr to let me try opium tincture to control pain and crohns symptoms. I wasn't taking much .7 cc twice a day and life became worth living again. The pain and overwhelming fatigue was gone and the best part is the slowing of the gi tract mobility that kept my bathroom trip down to 6 to 8 a day. I could eat what I want without worrying, even consumed vegetables and it did not come out looking like it went in. I gain my energy back and only had a few days every few months where the pain and symptoms were bad enough to keep me on the couch all day. Well here comes the bad part, out of nowhere my last visit he refused to give me another prescription for opium tincture that he had been giving me for the last two years. He said it is not considered standard of care for crohns and just flat out refused telling me to use Lomotil instead. I've done lomotil and if I take a little I get no relief if I add more gi mobility just stops completely not to mention it does nothing to help the pain. so I am back on the couch, heating pads and runs to the bathroom. I am waiting to hear if the local pain dr will accept me as a patient ( I guess the have to review records and then let you know if they will see you) in the meantime I sit and suffer. No otc drugs comes close to touching pain and only seem to aggravate the crohns. The bathroom runs are sucking all my energy out of me and all I feel like doing is crying from frustration. Any ideas on pain meds that may help?
Oh yes, the gi wants me to try biologics ( Humira) but I am reluctant because of the pain caused by processing the 6 mp drugs through my liver that shot my numbers up and never stopped climbing.
Short bowel 2002
Adheashion
Crohns 2015