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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I have gastroparesis so I have a similar experience at the ER. Opioids are the only thing that helps with the pain at the point, but I don't need them at home. I'm typically stable in a few hours or a day and can just follow up with my GI. The ER staff often don't know anything about Gastroparesis and if I'm in pain, I can't communicate well what is going on so I bring a companion or show them a letter from my doc. I still get treated like crap because they assume I am drug seeking. Never mind that I'm also asking for IV fluids, a scan with contrast to see how bad the blockage is, and anti-nausea meds. However, the letter does help. We also tend to call my doc/his service and warn them I am headed to the ER. That way, they will check in on me sooner.[/quote]

Narcotics make gastroparesis worse in the long run as it slows down your bowel.  The treatment for gastroparesis is non-narcotic medication/nausea meds/ and fluids.  If you get a CT scan every time you have your typical gastroparesis flare, you are nuts.  That is a crazy amount of radiation and the CT scans don't show anything for gastroparesis.  Now if you have a history of bowel obstructions, then that is different.  Amazingly, hospitals in this area are trying to majorly decrease narcotic use.  I LOVE that most of the ERs in this area are now dilaudid free.    [/quote]

Narcotics can definitely make gastroparesis worse that way.  However, on flares it can cause a lot of pain and opiods are given for that.  But it does have to be occasional or it will worsen the GP.  I gathered PP experiences this pain very rarely, but on those occasions she does need heavy duty pain relief.

I gather she needs a scan perhaps for fecal blockage, a not uncommon occurrence with GP and something that can cause the pain.

I thought dilaudid was still quite available in local ERs.  How else are they dealing with people who have been in bad accidents, etc.?[/quote]

They are admitted, and given dilaudid intravenously.[/quote]

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