My own pain management regime can be described as Level 1 in WHO's pain relief ladder while Hospis's pain management regime can be described as Level 2 in WHO's pain relief ladder. The prescription given by my urologist can be described as Level 3 in WHO's pain relief ladder. So, which is the right one to follow? Like I said earlier, different doctors have their own methods of pain management but for me personally, I prefer to follow WHO's guide in pain management. My case can also be described as slightly different from other normal cancer cases. The pain on my right abdominal area is due mainly to the healing reaction from the HIFU treatment. When the doctors in China performed the HIFU procedure, a substantial portion of my kidney tumors were "burned" to death inside the abdominal area. After the procedure, no attempts were made to drain or take out the dead tissues lingering inside the abdominal area. So, the pain on my abdominal may be a result of the dead tumors or it could also mean new tumors growing inside of it (unlikely at the moment). In fact, the doctors in China expect the pain to disappear overtime when the body has sufficiently remove the dead tumor tissues in the abdominal area. Furthermore, I am now undergoing intensive IVC (IV Vitamin C) therapy and this therapy is very effective in detoxifying toxins from the body. What this means is that even if I do not take the painkillers, there are good possibilities the pain will go away by itself when the wounds inside the abdominal area heals and the body drain dead tissues from the body through detoxification.
Anyway, at the moment, these are possible explanations and since I am off the painkillers, I hope to get a better understanding what's going inside my right abdominal area. Currently, there are some swelling around the area, much worst than that before the HIFU treatment. I suspect the swelling could be due to the inflammation of the wounds during healing. When there are inflammation, there will be pain. According to the CT scans, necrotic tissues can be seen in the scan.