Advil and Tylenol guidance requested

Posted by john1956 @john1956, Feb 3 5:22pm

My 1st day of posting and have to say this is an amazing website. So i have some strange stabbing pain below my right hip (not the hip or Bursa) that comes from inside that takes me over with pain. Both Advil and Tylenol work but as this has been 5 months of switching back and forth each day so i don't take to much of anything i'm now feeling stomach issues…. I would appreciate your real world remedies. I'm not listing all the attempts to address the actual problem as i think that's better addressed in another group. thanks

@john1956 welcome to Mayo Connect. We are not medical experts, but we are fellow patients, family members, and caregivers who offer our support and experience to others that are having issues similar to what we may have had or have now, sharing what has worked or not! It must be frustrating to not have any relief from the pain. A couple of things that first came to mine for me are the following: If this is not in the joint, then it may be muscle or tissue related. Have you have an MRI to rule out any deep muscle bruising or tumors or other things? Have you tried warm compresses to ease the pain? Have you tried massage or Chiropractic work? Does this affect any exercising that you do? What about doing any stretching – does that ease the pain or make it worse? Have you checked with your doctor to see about a referral to Orthopedic or internal doctor for blood flow in the area? I hope that you will come back and let us know what works for you in finding a reason for the pain. Like you, I do not take pain pills if I can find another way around it. It's too hard on my stomach, too.
Ginger

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Hello @john1956. I'd like to add my welcome to @gingerw's. Here is a quote from https://www.mayoclinic.org/drugs-supplements/acetaminophen-oral-route-rectal-route/precautions/drg-20068480 you find of interest, "Check with your doctor right away if you or your child have pain or tenderness in the upper stomach; pale stools; dark urine; loss of appetite; nausea; unusual tiredness or weakness; or yellow eyes or skin. These could be symptoms of a serious liver problem." It does also note that these types of serious complications are very rare. The stomach issues could be related, but may be something else as well. Have you discussed these symptoms with your provider or a pharmacist?

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@john1956 You do not mention what type of stomach issues. My experience with Advil… which was back in 1993 and it was prescription only then as Naproxen. I took two doses… I do not remember how high the doses were. I had stomach pain, nausea and vomiting. Not just for one day. I stopped the drug after becoming sick. I had to go back to the doctor. I think it was Carafate I had to take to get my stomach back to somewhat normal. I have had stomach acid and sliding hernia journey to go through over the years since and now Barrett's esophagus. Tylenol or opiate are my choices for pain now. I want to be off the opiate.. I hate how it makes me feel, but I hate how the pains of my body make me feel. With it I can function, but without I cannot do much. I am 68 years old.

ZeeGee

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I recommend you consult with your doctor about your pain medications. Even over the counter medicines can harm some people.

If the cause of the pain cannot be resolved or if the pain is chronic, I recommend that you get Mayo to evaluate your pain and access to see if you have Central Sensitization Syndrome.

Have a great day!

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@fourof5zs

@john1956 You do not mention what type of stomach issues. My experience with Advil… which was back in 1993 and it was prescription only then as Naproxen. I took two doses… I do not remember how high the doses were. I had stomach pain, nausea and vomiting. Not just for one day. I stopped the drug after becoming sick. I had to go back to the doctor. I think it was Carafate I had to take to get my stomach back to somewhat normal. I have had stomach acid and sliding hernia journey to go through over the years since and now Barrett's esophagus. Tylenol or opiate are my choices for pain now. I want to be off the opiate.. I hate how it makes me feel, but I hate how the pains of my body make me feel. With it I can function, but without I cannot do much. I am 68 years old.

ZeeGee

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Has Mayo evaluated to see if you have Chronic Pain Syndrome or Central Sensitization Syndrome?

Please (!!!!!) be extremely careful with opiate? It can be lethal.

Have a great day!

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@healingone

Has Mayo evaluated to see if you have Chronic Pain Syndrome or Central Sensitization Syndrome?

Please (!!!!!) be extremely careful with opiate? It can be lethal.

Have a great day!

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@healingone I am very careful. All my doctors including those at the Mayo Clinic know about my pain. I have one doctor responsible for prescribing oxycodone. I take a low dose. Most times it is every 6 hours. I sometimes can skip doses or take a half of a dose. I had thumb surgery two weeks ago and had to up the oxycodone to every 4 hours and added Tylenol into the regiment for a few days. I am back to normal dosage now. I keep my medications out of reach of my grandchildren and some other guest that enter my home.

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Thank you for sharing.

Have a great day!

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@fourof5zs

@healingone I am very careful. All my doctors including those at the Mayo Clinic know about my pain. I have one doctor responsible for prescribing oxycodone. I take a low dose. Most times it is every 6 hours. I sometimes can skip doses or take a half of a dose. I had thumb surgery two weeks ago and had to up the oxycodone to every 4 hours and added Tylenol into the regiment for a few days. I am back to normal dosage now. I keep my medications out of reach of my grandchildren and some other guest that enter my home.

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I am in excruciating pain every night of the week and I cannot get any Oxycodonehere I have put in the neuropathy which is in a trap nerve in my butt pretty much so I can’t sit down and cry in pain each night but they give me is nerve pain medicine which does not help me! How do I get a doctor to give me some of this

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@vklittle61

I am in excruciating pain every night of the week and I cannot get any Oxycodonehere I have put in the neuropathy which is in a trap nerve in my butt pretty much so I can’t sit down and cry in pain each night but they give me is nerve pain medicine which does not help me! How do I get a doctor to give me some of this

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@vklittle61 I am allergic to severals meds and others I just cannot tolerate the side effects. .. like hydrocodone which I get severe headache and nausea to point of vomiting sometimes.

In 2015 I had a very involved open abdominal surgery. I tried the hydrocodone then and it did nothing for the pain and gave me the aforementioned side effects. Of course the surgeons did not want their work undone with the vomiting. So I was put on oxycodone then.

During that surgery I had my arm put in a position to do the open surgery, I was sliced from sternum to shoulder in back, one rib cut and one cracked, muscles cut through… 3 loops of my intestines had made their way into my chest and pushed my left lung against my ribcage collapsing my lung. I was on a high dose of the oxycodone for a couple of weeks after release from hospital. Then dose cut in half and now I take as needed.. sometimes does skipped sometimes half doses.

I waited a year after that surgery before seeing a local pain doctor.. he is very good one. He worked with me with injections over a year's time. My ribcage with the cut muscles was the most excruciating. He managed to kill one nerve that I could finally manage to lean back in a chair. He calmed others, but the rib pain is bad at times. I have internal pain that happens more with movements as in doing laundry or running the vacuum or sweeping motions. These pains and the ones from severe arthritis in my back and other parts my body are enhanced when low weather fronts come through.. worse when it rains and worse with storms.

The raising of my arm for the surgery tore the labrum in my shoulder. I did PT for it, but not much relief. A local surgeon sent his assistant in to tell me would do surgery on it only if I was a young athlete. I wasn't wanting surgery anyway. I just want pain relief.

I do have some pain like you describe in the butt area. It comes from my bad back. It worsens with the low weather fronts. It was really bad a couple of years ago. I did PT and it made it worse.. probably a bad therapist. In the winter as I walked around our yard we had some burr weed growing and it bothered me.. so I bent my knees, leaned down and pulled them up.. and for some reason that motion helped relieve the pain. I still get the pain, but not as severe. I tried the lyrica and neurotin and neither helped and side effects not good either. So I was prescribed valium. My family doctor knew I tolerated it well because I have to take it when my head has to go in a MRI tube. It helps with the nerve pain and the muscle spasms I sometimes get. I do not take it all the time. I usually take half a dose when I do take it. So if a doctor suggest an antidepressant.. they don't think you are depressed or crazy.. the meds can help with pain.

I have no answer to your question of how you get oxycodone. Just because it helps me does not mean it will help you. Not everyone tolerates it.. just keep in mind that everyone is different. I do suggest you try a pain clinic. If you have tried PT and no help try a different one. Chiropractors can help.. but did not help me.. and so can acupuncture.. we do not have anyone in my town that does acupuncture that I know of.. except a veterinarian. lol.

Keep trying to get help… it may mean changing doctors and even going out of your area to find help. Eat good, nutritious food.. cut the junk.. Meditation can help… the mind needs to be in a good set. Exercise… is good too. I like to meditate.. and pray as I walk.

Best of luck in your search for pain relief.
ZeeGee

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@fourof5zs

@vklittle61 I am allergic to severals meds and others I just cannot tolerate the side effects. .. like hydrocodone which I get severe headache and nausea to point of vomiting sometimes.

In 2015 I had a very involved open abdominal surgery. I tried the hydrocodone then and it did nothing for the pain and gave me the aforementioned side effects. Of course the surgeons did not want their work undone with the vomiting. So I was put on oxycodone then.

During that surgery I had my arm put in a position to do the open surgery, I was sliced from sternum to shoulder in back, one rib cut and one cracked, muscles cut through… 3 loops of my intestines had made their way into my chest and pushed my left lung against my ribcage collapsing my lung. I was on a high dose of the oxycodone for a couple of weeks after release from hospital. Then dose cut in half and now I take as needed.. sometimes does skipped sometimes half doses.

I waited a year after that surgery before seeing a local pain doctor.. he is very good one. He worked with me with injections over a year's time. My ribcage with the cut muscles was the most excruciating. He managed to kill one nerve that I could finally manage to lean back in a chair. He calmed others, but the rib pain is bad at times. I have internal pain that happens more with movements as in doing laundry or running the vacuum or sweeping motions. These pains and the ones from severe arthritis in my back and other parts my body are enhanced when low weather fronts come through.. worse when it rains and worse with storms.

The raising of my arm for the surgery tore the labrum in my shoulder. I did PT for it, but not much relief. A local surgeon sent his assistant in to tell me would do surgery on it only if I was a young athlete. I wasn't wanting surgery anyway. I just want pain relief.

I do have some pain like you describe in the butt area. It comes from my bad back. It worsens with the low weather fronts. It was really bad a couple of years ago. I did PT and it made it worse.. probably a bad therapist. In the winter as I walked around our yard we had some burr weed growing and it bothered me.. so I bent my knees, leaned down and pulled them up.. and for some reason that motion helped relieve the pain. I still get the pain, but not as severe. I tried the lyrica and neurotin and neither helped and side effects not good either. So I was prescribed valium. My family doctor knew I tolerated it well because I have to take it when my head has to go in a MRI tube. It helps with the nerve pain and the muscle spasms I sometimes get. I do not take it all the time. I usually take half a dose when I do take it. So if a doctor suggest an antidepressant.. they don't think you are depressed or crazy.. the meds can help with pain.

I have no answer to your question of how you get oxycodone. Just because it helps me does not mean it will help you. Not everyone tolerates it.. just keep in mind that everyone is different. I do suggest you try a pain clinic. If you have tried PT and no help try a different one. Chiropractors can help.. but did not help me.. and so can acupuncture.. we do not have anyone in my town that does acupuncture that I know of.. except a veterinarian. lol.

Keep trying to get help… it may mean changing doctors and even going out of your area to find help. Eat good, nutritious food.. cut the junk.. Meditation can help… the mind needs to be in a good set. Exercise… is good too. I like to meditate.. and pray as I walk.

Best of luck in your search for pain relief.
ZeeGee

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Thank u so much for your input! I appreciate it

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@vklittle61

Thank u so much for your input! I appreciate it

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@vklittle61 You are welcome. I am sorry I was so wordy I get that way when I am very tired. I forgot to mention one other thing I do to help with pain. This will only help if you are side sleeper .. put a pillow between your knees. It will seem awkward at first; eventually if you tend to turn from one side to other you will not even notice the pillow. I use an old standard poly stuffed pillow. I prefer the pillow go from between knees down to between my ankles. My first pillow was a travel size pillow and went just between my knees. I started using a pillow after a knee surgery.. my kneecap had gone out of place.. and the physical therapist suggested the pillow. It does help with the back and butt pain. If you sleep on your back getting rid of your head pillow and tucking a pillow under your knees will help. I used to be able to sleep on my back some and I would just flip the pillow up when sleeping on my back and then flip it down when I turned on my side and my pillow would go back between my knees. I got to where I did not even wake up during sleep doing it.

I am still very tired . sorry.

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@fourof5zs I'm the same way with pillows at night also I can't sleep on a pillow it affects the nerves going into arm,hand I wake up with tingling sojudt sleep on mattress

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@fourof5zs

@vklittle61 You are welcome. I am sorry I was so wordy I get that way when I am very tired. I forgot to mention one other thing I do to help with pain. This will only help if you are side sleeper .. put a pillow between your knees. It will seem awkward at first; eventually if you tend to turn from one side to other you will not even notice the pillow. I use an old standard poly stuffed pillow. I prefer the pillow go from between knees down to between my ankles. My first pillow was a travel size pillow and went just between my knees. I started using a pillow after a knee surgery.. my kneecap had gone out of place.. and the physical therapist suggested the pillow. It does help with the back and butt pain. If you sleep on your back getting rid of your head pillow and tucking a pillow under your knees will help. I used to be able to sleep on my back some and I would just flip the pillow up when sleeping on my back and then flip it down when I turned on my side and my pillow would go back between my knees. I got to where I did not even wake up during sleep doing it.

I am still very tired . sorry.

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Thank you so much sweetheart for your input I really appreciate it I will try this. My physical therapist also told me to sleep with a pillow between my legs so I’m going to try it and then I’m going to try the no pillow under my head and the other thing you said about that

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