Pain management in IBD?

Hi y'all, I have ulcerative colitis (? - I have a fistula so it's a kind of weird case of UC). I have been having lots of pain so they are sending me to pain management. Has anyone gone to pain management having IBD? I can't take TCAs because I have a heart condition, and gabapentin is a no-no for the same reason, so I am kind of always scared they are gonna tell me to try yoga and take a tylenol. (kind of exaggerating, but I have had some wild experiences - after extremely painful procedures and pain for months, getting told to take ibuprofen gets on my nerves)