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Pain meds an AD

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    #16
    I had problems with sweating due to hemorrhoids especially on bp days. Both internal & external can be painful when sitting. I decided to get a colostomy last March, it helped a lot but not completely because my hemorrhoids would still swell after sitting on the shower chair during my showers. I started taking a bed bath and washing my hair in a portable shampoo bowl that's on a stand instead of sitting on a shower chair. I rarely sweat when sitting up now.

    I have found that pain meds due help stop the sweating when I have something painful going on. I will take them on days something is causing me to sweat that isn't obvious and it helps. I would rather take the meds than be miserable, especially when it's cold weather.

    I hope you find some relief soon!
    Renee

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      #17
      Originally posted by SCIfor55yrs. View Post
      You are correct and that is what is so frustrating. We have done just about every lab test and imaging type available and everything comes up negative.

      All that seems left is to try to make me more comfortable. That means reducing the pain and sweating without turning me into a zombie. There appears to be little or nothing to stop the sweating other that eliminating the cause which we cannot find. As so often goes with an SCI, I find myself between a rock and a hard place
      If neuropathic pain caused AD, I'd have stroked out 30 years ago.

      I wish I had an idea for you to check, but it sounds like you've run the gamut. It does seem that something somewhere in your body below the level of injury is causing pain you can't feel, thus the AD. A pulled or strained muscle somewhere, a sprain, a tiny crack in a bone perhaps?
      Alan

      Proofread carefully to see if you any words out.

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        #18
        I seem to be making progress.

        I started taking 10mgs. of amitriptyline at bed time 4 days ago. I am very surprised by the results. Although my burning pain and AD sweating have not been totally supressed, I am so much more comfortable. The pain is at a tolerable level. It is not the total distraction that it has been. I still have occasional outbreaks of AD sweating but not the constant big blobs dripping from my head. I have not carried a towel around for 2 days. The only side effects I have noticed are a slight change in taste and I seem to be a bit drowsy for a while after getting up. Neither me or my primary care physician thought anything would happen with such a small dose. In a couple of days, I will bump the dose up to 20mgs.

        Note: In addition to the amitriptyline, I have been taking 100mgs. of tramidol 4x a day for shoulder pain.
        You will find a guide to preserving shoulder function @
        http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

        See my personal webpage @
        http://cccforum55.freehostia.com/

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          #19
          That's great news, glad you're getting positive results.

          Comment


            #20
            Originally posted by alan View Post
            If neuropathic pain caused AD, I'd have stroked out 30 years ago.

            I wish I had an idea for you to check, but it sounds like you've run the gamut. It does seem that something somewhere in your body below the level of injury is causing pain you can't feel, thus the AD. A pulled or strained muscle somewhere, a sprain, a tiny crack in a bone perhaps?
            I wondered about this, too. If you ever dislocate a hip bone, for example, apparently blood loss to that area can cause the death of bone. It's listed as one of the causes of intense pain in the groin area.
            C5/C6

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              #21
              Originally posted by SCIfor55yrs. View Post
              I started taking 10mgs. of amitriptyline at bed time 4 days ago.
              Note: In addition to the amitriptyline, I have been taking 100mgs. of tramidol 4x a day for shoulder pain.
              Were you taking the tramidol all along, or did you start it when you started the amitriptyline?

              Off label uses for amitriptyline (Elavil):
              * Chronic pain: Amitriptyline works best for chronic pain that is nerve-related, such as nerve pain from having shingles (including postherpetic neuralgia).

              * Anxiety disorders: Many antidepressants (including amitriptyline) are used to treat anxiety disorders.

              * Bedwetting: Amitriptyline has been used to help people stop bedwetting.

              * Attention deficit hyperactivity disorder (ADHD): Amitriptyline can be used to treat ADHD, especially if other ADHD medications have not been effective or have caused side effects.

              * Fibromyalgia: Amitriptyline has been used to treat pain and other symptoms of fibromyalgia (see Fibromyalgia Symptoms).

              * Prevention of migraine headaches: Amitriptyline can be used on a daily basis to prevent migraine headaches. Amitriptyline is not effective at treating a migraine headache once it starts.

              * Treatment for bulimia: Amitriptyline has been found to improve symptoms of bulimia, including binge eating and vomiting.

              * Smoking: Amitriptyline is sometimes used to help people quit smoking.


              All the best,
              GJ

              Comment


                #22
                Originally posted by gjnl View Post
                Were you taking the tramidol all along, or did you start it when you started the amitriptyline?

                All the best,
                GJ
                Been using tramidol 3-4 years.
                You will find a guide to preserving shoulder function @
                http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

                See my personal webpage @
                http://cccforum55.freehostia.com/

                Comment


                  #23
                  SCI55~ I have chronic AD from pain. It has been a series of experiments and mixtures of various classifications of medications to help reign in the AD.

                  I am glad you found your solution quickly and hope it keeps working.
                  From what you have described, has anyone done a workup for gastricparisis?
                  It is when the pyloric valve in the stomach fails to open and or spasms. It is very painful when it flairs.

                  Just a thought---aging SCI's tend to develop it.
                  Every day I wake up is a good one

                  Comment


                    #24
                    Glad something is helping and quality of life is back to better!
                    Aerodynamically, the bumble bee shouldn't be able to fly, but the bumble bee doesn't know that, so it goes on flying anyways--Mary Kay Ash

                    Comment


                      #25
                      Originally posted by cheesecake View Post
                      has anyone done a workup for gastricparisis?
                      It is when the pyloric valve in the stomach fails to open and or spasms. It is very painful when it flairs.
                      Gastroparesis is delayed emptying/decreased or failed functioning of the stomach. The term is also used to refer to functioning of the entire digestive system sometimes. There are a lot of causes in addition to valves.
                      Last edited by ~Lin; 13 Mar 2012, 7:51 PM.
                      Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

                      I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

                      Comment


                        #26
                        Originally posted by cheesecake View Post
                        SCI55~ I have chronic AD from pain. It has been a series of experiments and mixtures of various classifications of medications to help reign in the AD.

                        I am glad you found your solution quickly and hope it keeps working.
                        From what you have described, has anyone done a workup for gastricparisis?

                        It is when the pyloric valve in the stomach fails to open and or spasms. It is very painful when it flairs.

                        Just a thought---aging SCI's tend to develop it.
                        I have had a complete GI checkout and everything seems to be normal.
                        You will find a guide to preserving shoulder function @
                        http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

                        See my personal webpage @
                        http://cccforum55.freehostia.com/

                        Comment


                          #27
                          I'm a C5-C6 quad and a couple of years ago I was getting AD when I laid down flat. It took quite a while to figure out what was wrong and I slept at 30° to avoid AD. After a bazillion tests one doctor noticed something on my spine when he was looking at a KUB. An MRI was ordered but they had to put me under general anesthesia to get it done because of course I couldn't lay down flat. They tried to give me morphine on my first MRI attempt but my BP was about 230/120-ish when they finally got me out and checked it. I barely fit in the MRI machine under general anesthesia and they didn't think they'd be able to get the lumbar area but my wife screamed "just grease him up and shove him in because we have to get the lumbar area". They put some Crisco on the little piggy and got it done. I'm grateful I wasn't awake to experience it!

                          Bottom line the MRIs showed a stenosis at L2 and L3 and I ended up having decompression surgery in that area. Then a fusion from T10 to L4. My body had already auto-fused everything below L4. That fixed the AD problem when laying down flat so if you're having AD below your injury be sure to check out your spine. You might have something cooking there especially if autonomic dysreflexia is going through the roof.

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