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kremer1 avatar

Amitriptyline/nortriptyline for abdominal wall pain

Digestive Health | Last Active: Mar 22 2:29pm | Replies (14)

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Profile picture for Janell, Volunteer Mentor @jlharsh

I understand your concerns about side effects of taking drugs to help a problem only to create different problems. You may want to review what others are discussing about adhesions and nerve entrapments. They may have ideas of non-medical options.

- Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES) Discussion
https://connect.mayoclinic.org/discussion/acnes-abdominal-cutaneous-nerve-entrapment-syndrome/
- Abdominal adhesion, symptoms, and therapy or surgery? Discussion
https://connect.mayoclinic.org/discussion/abdominal-adhesion-symptoms-and-therapy-or-surgery/
If you haven’t reviewed, here is information drugs your gastroenterologist recommends:
- VeryWell Health Nortriptyline vs Amitriptyline
https://www.verywellhealth.com/nortriptyline-vs-amitriptyline-similarities-and-differences-8410179
- Mayo Clinic Nortriptolyne Overview
https://www.mayoclinic.org/drugs-supplements/nortriptyline-oral-route/description/drg-20071998
- Mayo Clinic Amitriptyline
https://www.mayoclinic.org/drugs-supplements/amitriptyline-oral-route/description/drg-20072061
I am tagging @artemis1886, @findbecky and @emo. They may have information from their or a family member’s experience with amitriptyline or nortriptyline that may help you. While you wait for them, and others to comment here you may want to search for the drugs from the home page. From there you can browse through what others have been discussing.

You mention having issues. If you are comfortable it may help others to know how to comment if you provide more about the symptoms/problems you are having. Also, do you have specific concerns about either of these drugs, and do you take other medications that may interact?

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Replies to "I understand your concerns about side effects of taking drugs to help a problem only to..."

@jlharsh wish I could provide more insight, but I take Amitriptyline to help prevent migraines. I’ve been on a steady dose of 100mg nightly for almost a year now (working up from 10mg) and haven’t experienced any side effects myself.
I wish you all the best.

@jlharsh
Thank you for your comments and information.
You asked about symptoms, currently my pain and discomfort is across my mid abdominal area mostly right and mid but is sometimes completely across. There are stabbing, tingling, needle prick sharpness, slight numbness, and when I lay on my stomach on the floor I feel that area almost as if it is tight or firm. The area where one of the laporascopic incisions was for the GB surgery, on the right side mid ab, is quite tender most of the time. None of the imaging I've done, CT or ultrasound, has shown anything. The Gasto Dr thinks either ACNES or adhesions, and is suggesting the amitriptyline. I've been hesitant to try it due to the side effects that may effect GI function. But the trigger point injection I had didn't do anything, and finding the nerve to do ablation might be problematic. I might just have to try the medication and see how I react.