As you can see, I have been going round in circles. This constipation-bloating-nausea-vomiting is giving me a lot of problems. I can't even eat decently because every time I do, I would vomit almost immediately afterwards. Although I have metoclophamide drug to manage the vomiting, it has not been very effective. As a result, I am continuing to lose weight. I have been thinking for a while now, whether I should abandon my new pain management regime? After trying the new pain management regimen for almost a month now and with all the problems I am experiencing, I think it's time to do a rollback to the point before all these problems started.
After consulting so many specialist doctors and receiving so many recommendations, this is what I will do. To cease taking opioid based painkillers like onxcodone as the background painkiller. Revert back to Ultracet (tramadol and paracetamol), one tablet every 6 hourly or 4 tablets a day. My doctors said I can increase the dosage up to 8 tablets a day. I will monitor my pain level from there and keep some oxycodone immediate release for breakthrough pain.
I would like to thank Yeong and Khadijah for presenting me a book called The Pain Chronicles by Melanie Thernstorm. As I understand, it's not a mere self help manual on pain management but a elegantly compiled treatise.