I have chronic cramping pain from my gastroparysis. The pain has brought me to the ER many times. I usually get, photonics, zofran and dilaudid for pain. I have no issues with movement of bowels. Lately the ER has been refusing the pain med. I need help getting over these episodes. Any ideas?
Hi, Pain medication changes gut motility and usually makes gastroparesis worse. There are a lot of medicines that increase or decrease gut tone and one of them is likely to work. Sometimes a blocker of acetylcholine, sometimes more acetylcholine. An antispasmotic like bentyl or one that works opposite to narcotics like movantik are helpful in some people. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist