Hi— Archie here-your msg was very interesting. Constipation is a serious issue at one time or another for us all. Especially if you are taking oral opioids. A simple solution can be Metamucil taken as directed. Another solution (RX only) for patients with more severe problems is a liquid called LACTULOSE. 30-60 ml/ day and the results are a return to natural function and can be marvelous. This is a daily dosage. It is a well-known solution among gastroenterologists, so now you know.
Re “What can PainMed Dr’s prescribe,” this surely varies by state, but in intrathecal pumps, for example, Dilaudid is often n preferred. Morphine can have more side effects like flushing, itching, stomach upset and so is not as satisfactory for many. Really there is no “medication” that PM folks cannot prescribe, but the patient and symptoms must fit the profile. Hence my recommendation that you keep a DIARY— make it obvious that you need help, and at what level. The choice of meds will vary, but the goal is always the comfort of the patient within the law and ethical practice of medicine. Also, please remember, often in the PM world, meds of the benzodiazepine class MUST BE PRESCRIBED BY A PSYCHIATRIST.Hope this helps Be well, Archie