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Ageing. It's a Bugger....

Codeine does wonders for my herniated back with zero side-effects. Paracetamol alone is rather uneffective.
Many people get nauseous with codeine or morphine. I'm lucky.

People usually develop a tolerance to the opiod after about a week of daily usage.

It can be the similar (but not always) with the constipating effect.

That is why it is usual to prescribe an antiemetic if giving an I.V. whack. Can go for the oral route as well, with pre-emptive antiemetics. They can be tailed off after a few days. Usually something to increase the bowel action as opiods slow it down - (in layman’s terms)
 
I lost a great friend a year or so back to pancreatic cancer which we believe had spread to other organs as well. Pain management seemed to us visitors to be somewhat hit or miss. Assurances that this next drug will do the job only to find him in pain an hour later but but due to the first choice drug having been used the next one couldn’t be administered for a specified period. Not nice to hear or see!
To our surprise Methedone was prescribed which appeared to be the only drug that curbed his pain once eventually it had been sourced. It was in high demand on the day the decision was made to administer it but we believe it made his final week as comfortable as was possible!
 
I don’t like Methadone, it has a long half-life and can difficult to use with any accuracy.

Sorry to hear of your loss, Pancreatic cancer has killed a few relatives of mine. Nasty disease.
 
Codeine is strange, I can take it without any problems, but my mother has had it and it wreaks havoc.

Codeine gave me the strangest dreams. When I talked to my GP about it he said opiods have the opposite effect on cats and dogs - tranquilize one, make the other hyperactive ( and this wold be a better story if I cold remember which way round it was ) . I am more one than the other, apparently.
 
Anything that causes constipation is literally a pain in the backside !! It's the most dreadful thing when it won't come out . Anything that stops it happening is worthwhile when folks are doling out opoids.
 
I don’t like Methadone, it has a long half-life and can difficult to use with any accuracy.

Sorry to hear of your loss, Pancreatic cancer has killed a few relatives of mine. Nasty disease.

Thanks, nasty disease is a good description. Seeing the effects of Methadone on a patient at end of life and the effect it had on those around him as they like me were just glad to see the guy get some relief from pain.
He did have some moments of hallucination but I felt being in that place pain free was better than being “here” and in pain.
 
Thanks, nasty disease is a good description. Seeing the effects of Methadone on a patient at end of life and the effect it had on those around him as they like me were just glad to see the guy get some relief from pain.
He did have some moments of hallucination but I felt being in that place pain free was better than being “here” and in pain.

Pain relief in the terminal stage of a disease is a different kettle o fish.
The rules change. Specialist stuff.

Some of my most rewarding times in life have been at the end of someone else’s.
Bearing in mind I worked in 3 hospices and an intensive chemo/radiotherapy/experimental unit for most of my professional life.

It is a bit too real for a HiFi forum.

It is a positive memory that relief that your good friend had, especially if they had a period of uncontrolled symptoms. Good that you have that.
 
Two words. Psyllium Husk. Should have tried it years ago.
Great stuff - I have it every morning as part of my breakfast. It's very low carb., mostly just fibre, and excellent for filling you up. I was recommended it as part of my Keto-type diet, not for constipation, but it sure keeps you regular!
 
Yes good to keep you regular but when the constipation sets in only things like lots of movicol , can clear and then it can be a VERY messy and painful process
 
The problem with using Fybogel or similar fibre-intense product to treat constipation is that whilst it works very well for some types of constipation, it can exacerbate a problem.

The issue with opioid analgesics is that it slows the peristaltic action of the bowel.
(imagine centipedes legs walking, and now imagine that is how your bowel works, pushing along the contents)
The desired laxative agent would have a specific effect on that peristaltic action, i.e. speed it up. Senna I believe does this as an example. (no pun intended, for a change)

More fibre certainly gives more for the bowel to push against, ‘form a stool.’
Note: the longer poo stays in the lower bowel, the more water will be taken out/absorbed by the body, making it harder. The harder it gets, literally, the harder it gets. And more painful and difficult to pass out of one’s ass.

In the end it is what suits the individual, but it is worth knowing that there are many types of laxative, and they work in different ways.

There is an old joke that states that Doctors regard Nurses as Walking-Bedpans.
We know our sheet.

There is a good retort gag amongst Nurses, but it is not for here. ;)
 
I have been using Fybogel for years. It contains Ispaghula Husk..whatever that is... and it works. I don't need it all the time.

When I was given Codeine 30 Mg for acute back pain last year, I started using Movicol before using the Codeine. We just happened to have a box of the stuff lying about after 'another family member' had 'surgery of the innards'. The Movicol just about won.. but it was a close fight.

Speaking of laxatives.. Anyone who has had colonoscopy or similar will no doubt be familiar with the pre-test routine. You are sent a pack containing a large sachet, which you are told to dissolve in about half a gallon of water, and then drink over a period of a couple of hours. You are clearly warned not to stray too far from a toilet.. and the fun starts pretty quickly.

You are then asked to dissolve a much smaller but more sinister looking sachet in a smaller volume of water.. which immediately boils on mixing. Having allowed said potion to cool down.. you swallow that too. Having spent a few hours trying to avoid turning yourself inside out, you then stay off any food until you have had the indignity completed by the insertion of a camera in your fundament.

On reflection, the more recent one I had involved slightly less intimidating chemicals, though with the same end result. Mercifully, the camera up the fundament was replaced by an MRI scanner, but I was still fundamentally assaulted by the insertion of pipe used to pump air into the bowel to inflate it. :eek:

I remarked later to the nurse who 'attended' me, that it was difficult to keep the air in and avoid the embarrassment of 'letting one rip'. She just grinned and said, "You shouldn't have worried.. if you deflate yourself, we just pump you up again". :D
 
I have been using Fybogel for years. It contains Ispaghula Husk..whatever that is... and it works. I don't need it all the time.

When I was given Codeine 30 Mg for acute back pain last year, I started using Movicol before using the Codeine. We just happened to have a box of the stuff lying about after 'another family member' had 'surgery of the innards'. The Movicol just about won.. but it was a close fight.

Speaking of laxatives.. Anyone who has had colonoscopy or similar will no doubt be familiar with the pre-test routine. You are sent a pack containing a large sachet, which you are told to dissolve in about half a gallon of water, and then drink over a period of a couple of hours. You are clearly warned not to stray too far from a toilet.. and the fun starts pretty quickly.

You are then asked to dissolve a much smaller but more sinister looking sachet in a smaller volume of water.. which immediately boils on mixing. Having allowed said potion to cool down.. you swallow that too. Having spent a few hours trying to avoid turning yourself inside out, you then stay off any food until you have had the indignity completed by the insertion of a camera in your fundament.

On reflection, the more recent one I had involved slightly less intimidating chemicals, though with the same end result. Mercifully, the camera up the fundament was replaced by an MRI scanner, but I was still fundamentally assaulted by the insertion of pipe used to pump air into the bowel to inflate it. :eek:

I remarked later to the nurse who 'attended' me, that it was difficult to keep the air in and avoid the embarrassment of 'letting one rip'. She just grinned and said, "You shouldn't have worried.. if you deflate yourself, we just pump you up again". :D

The ‘prep’ is horrendous, but worth it.

Folks get turned away if the prep. isn’t followed, waste of time. Like trying to inspect a stylus that is covered in fluff…

One thing that The Wife couldn’t believe was there is such a thing as a rectal ‘Flatus’ tube.
 
The problem with using Fybogel or similar fibre-intense product to treat constipation is that whilst it works very well for some types of constipation, it can exacerbate a problem.

The issue with opioid analgesics is that it slows the peristaltic action of the bowel.
(imagine centipedes legs walking, and now imagine that is how your bowel works, pushing along the contents)
The desired laxative agent would have a specific effect on that peristaltic action, i.e. speed it up. Senna I believe does this as an example. (no pun intended, for a change)

More fibre certainly gives more for the bowel to push against, ‘form a stool.’
Note: the longer poo stays in the lower bowel, the more water will be taken out/absorbed by the body, making it harder. The harder it gets, literally, the harder it gets. And more painful and difficult to pass out of one’s ass.

In the end it is what suits the individual, but it is worth knowing that there are many types of laxative, and they work in different ways.

There is an old joke that states that Doctors regard Nurses as Walking-Bedpans.
We know our sheet.

There is a good retort gag amongst Nurses, but it is not for here. ;)
brilliantly put bt.... you should work on the Macmillan advice line still!!!
 
brilliantly put bt.... you should work on the Macmillan advice line still!!!

:)

I certainly know a few Mac. Nurses.

Typing at my own speed is much better than trying to have a conversation with me. Trying to hold a conversation reveals my speech/comprehension/understanding difficulties. I struggle if more than one person is speaking.
 
I struggle if more than one person is speaking.

This is a normal discriminatory hearing syndrome, BT. I'm beginning struggle with ONE person speaking but unfortunately I don't have the keyboard accuracy to compensate. Strangely this inability to hear the wheat from the chaff doesn't happen when listening to a duet or whatever in music.
 
Codeine works by being changed yo morphine in the body. Not everyone has the mechanism to make this change which is why codeine doesn’t work for some people. A bit like some people having smelly wee after asparagus
 
This is a normal discriminatory hearing syndrome, BT. I'm beginning struggle with ONE person speaking but unfortunately I don't have the keyboard accuracy to compensate. Strangely this inability to hear the wheat from the chaff doesn't happen when listening to a duet or whatever in music.

I learned to touch-type on a manual typewriter in the 1980’s, not very fast, but more than one finger.
Music is no problem, my ears are the best part of me.

Finding words in my head is also an issue. We accept it, sometimes it is really funny.
It also makes me very upset. Note: this is not the aged common complaint, I could be holding the item and still not be able to name it. I also swear a lot, socially unacceptable in a supermarket.
Far better to keep my gob shut, as goes the term.
 
Codeine works by being changed yo morphine in the body. Not everyone has the mechanism to make this change which is why codeine doesn’t work for some people. A bit like some people having smelly wee after asparagus
Blimey, That’s only 40% of the population can smell asparagus pee.
I hope codeine metabolises in more than that!
 
Quoting seems to have gone a bit 'pear shaped' at this time, but in reply to Big Tabs, I can say with pride that my own GP reported that I was 'complemented on my preparation', by those who staffed the Colonoscopy Torture Dept. of my local Hospital.
 


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