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Meds, Medical Conditions, and Treatment >> Meds, Medical Conditions, and Treatment

Pages: 1
goddard3
Stranger


Reged: 02/11/04
Posts: 20
Loc: Southeast
Need information if someone knows....
      #146915 - 03/12/04 12:02 PM

I am a chronic back pain sufferer with a spinal cord implant. recently ive had issues with the implant my surgeon is replacing the battery unit, but may even have to replace the who thing.
Here is my question, I am on a number of meds for various reason to help the pain
Duragesic patch 50mg every 48hrs
Amitriptyline 10mg at bedtime to help me sleep (doesnt work)
Gabitril 4 mg 3x daily for deep nerve pain
Lorcet 10/650 4x daily for breakthru pain
Diclofenac which is for anti inflammatory
Ive had to stop taking that one until after my surgery

Now here is my problem, I have for over a week now had urination retention, I literally sit for 40 minutes trying to urinate and it takes forever before I do. I dont strain, and I dont have the pulling sensation one would have if you have a urinary tract infection, ive had that before and this isnt it. Also, i drink a good bit of water but have had to cut back because as much as is going in is not coming out, my feet have swollen and im wondering if anyone knows if any of those meds would cause such a thing, or if someone knows about spinal cord implants and if they could cause this problem. All the doctors act like they have no answer and tell me to raise my feet while lying down (duh) and to go see my PCP if it doesnt go away. I have to get some releif from this or know whats going on, its beginning to scare me and no one seems to know why. Does anyone out here know if a spinal cord implant would do this???? Or if the meds would. Pharmacy and doc say no, even though my pain doctor's physician asst. told me yesterday that fentanyl side affect can be urinary retention, she wanted to switch me to methadone, then he comes in and says no it doesnt do that and left my meds the same. The doctors are not helping me and everyone had a different opinion. Please if anyone knows anything they could PM me or post me back.
Thanks


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Sweetz
Diamond Mind


Reged: 05/11/02
Posts: 764
Loc: Texas!
Re: Need information if someone knows.... [Re: goddard3]
      #146953 - 03/12/04 02:24 PM

I would copy this post and post it in the "meds, conditions...." section. YOu'll get more responses there. then, come back and delete this one. I really do think you'll get some suggestions up there. Some people don't have time to cruise the whole board. Just an idea.

--------------------
"If you choose not to decide you still have made a choice."

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mikevx
Enthusiast


Reged: 02/06/04
Posts: 270
Loc: LV-426
Re: Need information if someone knows.... [Re: goddard3]
      #146961 - 03/12/04 03:00 PM

Pain meds do cause that problem. Happened with me and many others too.

For some advice, see this thread

Good luck


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jenniwoo
Stranger


Reged: 02/05/04
Posts: 1
Loc: east of atlanta georgia
Re: Need information if someone knows.... [Re: Sweetz]
      #146962 - 03/12/04 03:04 PM

i read your post and have a suggestion about the swelling and fluid retention. Nutritional yeast. you can get it at health food stores. I've sprinked it on popcorn. Good luck.

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goddard3
Stranger


Reged: 02/11/04
Posts: 20
Loc: Southeast
Re: Need information if someone knows.... [Re: Sweetz]
      #146968 - 03/12/04 03:23 PM

Sweetz, I would do what you asked about moving this post to meds section and deleting this one, however i am not board savvy and havent a clue as to how to do that.
thanks


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LumbarSpasm
Silent Chaos


Reged: 05/07/02
Posts: 1538
Loc: USA
Re: Need information if someone knows.... [Re: goddard3]
      #146982 - 03/12/04 03:45 PM

I'd think both could cause.
I'd try to narrow down which one, by onset timing.

I would think the spine...surgeon might be interested.
Also, are you sure Gabitrol is okay to take pre-op?
It might be fine, but I'd ask specifically about it.

--------------------
LumbarSpasm
Or just a pain in the butt?!


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goddard3
Stranger


Reged: 02/11/04
Posts: 20
Loc: Southeast
Re: Need information if someone knows.... [Re: LumbarSpasm]
      #147000 - 03/12/04 04:53 PM

Lumbar,

Didnt think about the Gabitrol, but I will ask first thing monday morning. Surgery is now within 12 days.
Thanks for the info


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Sweetz
Diamond Mind


Reged: 05/11/02
Posts: 764
Loc: Texas!
Re: Need information if someone knows.... [Re: goddard3]
      #147021 - 03/12/04 05:58 PM

Well, to copy and paste, follow these steps.

Highlight your whole post. Then put your mouse somewhere in the hilighted area and right click on your mouse. A small menu box will appear, select 'copy'. then, go to make your new post and when ready, put your cursor in the message area and right click your mouse again and this time select 'paste'. It will magically appear.

On everyone's own posts, the Edit button at the top right hand corner is there for a certain period of time. You can click on that to edit your post or delete it. However, if you delete it now, the responses will also go away. Maybe at this point, it would be best to notify the mod and ask them to move the whole thread to the right category.

Practice, it's not as hard as it sounds. Another way is to use 'control+c' to copy and 'control+v' to paste. You have to push control and the letter at the same time. Again, practice, it's not as hard as it sounds.

--------------------
"If you choose not to decide you still have made a choice."

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troll
Stranger


Reged: 07/18/03
Posts: 14
Loc: wy.,usa
Re: Need information if someone knows.... [Re: goddard3]
      #147384 - 03/14/04 07:26 AM

goddard3......
i'm sorry that i don't have a solution to your problem...but after reading your post,i do have a question...
how much relief do you get from your spinal cord implant????
i usually only lurk but this thread caught my eye....
doc has told me an implant is an option for me....however,am very,VERY skeptical of it.....
thanx for your time....
troll


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STARCHILD007
Journeyman


Reged: 03/03/04
Posts: 72
Loc: EAST COAST
Re: Need information if someone knows.... [Re: goddard3]
      #147393 - 03/14/04 07:55 AM

HYDROCODONE(LORTAB) WILL CAUSE THIS TO HAPPEN. IT DOES THE SAME TO ME.SOMETIMES I HAVE TO RUN THE WATER INTHE SINK TO HELP MOVE IT ALONG. YOU CAN ALSO TAKE A DIRUETIC(WATERPILL) WICH WILL MAKE IT A LITTLE EASIER. HYDROCODONE IS FAMOUS FOR MAKING YOU RETAIN WATER. BE WELL.

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goddard3
Stranger


Reged: 02/11/04
Posts: 20
Loc: Southeast
Re: Need information if someone knows.... [Re: troll]
      #147421 - 03/14/04 10:21 AM

Hi troll
The releif I get the spinal cord implant is like nothing elese. Its almost impossible to get the coverage to the lower back so therefore, still the pain management with that, but as far as the pain that was radiating into my legs and feet was 100% gone until I started having some hardware trouble that my surgeon is not too sure about until he does the surgery, finds out if a lead has come lose or if I need new hardware all together, that is rare for this problem to occur, but before that started happening ive had this implant for about 7 months now, and I can tell you that It has been great for the legs and feet. It works with a wireless remote on the outside of the body (which you never want to lose) that turns it on/off and power up/down. The way I can describe it is kind of like if you have ever had a pedicure and you sit int the massaging chair they have while they are doing your pedicure, thats what the inside of your legs and feet feel like/ a constant vibrating massage : ) Its very weird at first to get used to that feeling, but I go about my business with it on sometimes and totally forget its there. If you are a cadidate, because at the Emory Spine Center in Atlanta, they make you go thru a 5 day trial where its half in the body and half out to make sure its a feeling you can live it... then I say do it. I think it has been worth it. I would be next to not being able to walk if I didnt have it.


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ReOkie
Board Addict


Reged: 02/20/04
Posts: 314
Loc: Oklahoma
Re: Need information if someone knows.... [Re: goddard3]
      #147575 - 03/14/04 08:37 PM

When I was abusing the meds (taking more than I needed), I would have touble peeing. Sometime I would sit there a while BUT I would end up peeing and usually the normal amount but maybe not.

Just wanted to add my feedback since I have had this problem.

ReOkie


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troll
Stranger


Reged: 07/18/03
Posts: 14
Loc: wy.,usa
Re: Need information if someone knows.... [Re: goddard3]
      #147617 - 03/15/04 01:06 AM

goddard3.....
thanx much for taking the time to tell me a little 'bout your implant...
much appreciated...
troll


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goddard3
Stranger


Reged: 02/11/04
Posts: 20
Loc: Southeast
Re: Need information if someone knows.... [Re: ReOkie]
      #147620 - 03/15/04 01:34 AM

no abusing here, only take all meds as directed, i would be sick and unable to do the job i do, which is a high stress sales job. so thats not a part of the equation reokie. sorry it was for you, but i just dont find that as the problem. the patch is taken as directed and i have been taking lorcet or lortab for over a year now as directed and never had a problem until the patch, and other things were brought into the equation as well as a spinal cord stimulator that isnt working properly at this time.

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rla76
Member


Reged: 09/20/02
Posts: 156
Loc: San Francisco,CA
Re: Need information if someone knows.... [Re: goddard3]
      #149481 - 03/21/04 06:18 PM

I thought I was the only one with the urinating problem... I just drink lots of fluids and take no more of the medication prescribed and deal with it.....

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harleymom45
Stranger


Reged: 03/12/04
Posts: 21
Loc: MI.
Re: Need info/ Opiates and difficulty urinating [Re: rla76]
      #149487 - 03/21/04 06:58 PM

It is a known fact that opiates effect the bladder wall and interfere with the ability to urinate effectively. It doesn't really matter if you push fluids either. If you take too much pain medicine you can even cause paralysis of the bladder resulting in the need to catheterize yourself. It is only temporary until the drug concentration lowers. I am not sure about spinal cord stimulators though. Hope this helps a little for all you taking an hour to pee. Lol

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xiolablue15
Journeyman


Reged: 03/17/04
Posts: 59
Re: Need information if someone knows.... [Re: goddard3]
      #149489 - 03/21/04 07:11 PM

all right, i know that this may sound disgusting, but i have a sort of quick fix-it for the inability to urinate due to opiate use. what you do is, while you are sitting there trying to pee, if you rub your clitoris a bit you will tinkle. i dont mean this in a sexual way, the brief stimulation just makes things work. i used to be an opiate abuser and i found the clit trick to work wonders if i took too much. it can really be hell to have to sit there all night especially when you have a strong urge and nothing comes out. you may be skeptical, but try it, really, it works. i don't know a rememdy for men though...i guess they'll have to suffer.

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tone
Veteran


Reged: 06/29/03
Posts: 512
Loc: Chicago
Re: Need information if someone knows.... [Re: xiolablue15]
      #149514 - 03/21/04 10:09 PM

hey nice first post....but what if you are male? i think you just got to relax as much as you can and not think

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LumbarSpasm
Silent Chaos


Reged: 05/07/02
Posts: 1538
Loc: USA
Re: Need information if someone knows.... [Re: xiolablue15]
      #149537 - 03/22/04 02:16 AM

Welcome to the board Xiolablue15.
That was a post to be remembered.



--------------------
LumbarSpasm
Or just a pain in the butt?!


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LeighA
Member


Reged: 06/12/03
Posts: 117
Loc: Pacific Northwest
Re: Need information if someone knows.... [Re: LumbarSpasm]
      #149580 - 03/22/04 08:56 AM

OK. Well...I don't know what to say.

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FightIgnunce
Stranger


Reged: 11/06/03
Posts: 8
Loc: Los Angeles, CA
Trouble Urinating Due to Opiates? THIS WORKS! [Re: xiolablue15]
      #185871 - 09/10/04 04:10 AM

THIS METHOD WORKS FOR BOTH MEN AND WOMEN. Nothing ever works for everyone - that's a given - but many, many people find that this simple technique helps them to overcome troublesome delays in urination due to opioid medications.

First off, this is a mildly embarrassing but extremely pragmatic and useful topic! I used to have the problem of delayed urination, but stumbled upon a solution. After I had "made up" this technique on my own many years ago, I read a post online (can't remember where) wherein someone else said the *exact same thing* - which ;eads me to hypothesize that my solution is real and worth sharing - and not just some weird personal ritual.

i find that to alleviate the urinary hesitation, i first need to relax and clear my mind. I'm really "pee-shy" (i'm a male who doesn't feel comfortable going to the bathroom unless it's in private) and this compounds the problem greatly - which explains why i would care enough about this issue to address it (just in case any of you had your virutal eyebrows raised and were wondering! ;-> ) Due to my dual issues here, if i want to relax i prefer to be alone with no chance of anyone barging in. High traffic public restrooms are a bane to my existence, but i'm way more shy than most so i don't think most would have this issue. I find that the few female friends I've ever shared this with (girls seem more open about these kind of things) found it strangely facinating. I guess macho bravado prevents most guys who are shy from confessing to their girlfriends that they don't just like to whip it out at a trough-style urinal with other guys around. I guess this could possibly imply some kind of vague sexual tension among men and this is an implication that a lot of men don't want ANYwhere near them, even if it's not true. Anyway, I digress.

i exhale deeply, close my eyes or look up, and do my best to relax and clear my mind of extraneous thoughts. i remind myself that i have total privacy and that that the door is locked and no one can bother me so that i can relax. Whereas I would normally pull my pants down only a tiny bit (for the sake of being quick and efficient), i may drop my pants down to my knees. This is a more egonomic and leisurely stance that for me (as odd as it may sound) is a physical cue with psychological ramifications. it's a simple physical act but it somehow validates the idea that i do indeed have privacy and can relax. A physical action influences a thought process which in turns effects another physical action.

sometimes this relaxation is enough, but if not then here is the real trick. This is what another person had posted about and others had validated. With your fingertips you gently tickle the surface of your buttocks. Just a few nondecript, tickly circles around this large muscle (combined with the relaxation) usually will do the trick.

No - this is not some kinky BS or some freaky Freudian-drama nonsense. The fact is that somehow this light stimulation of the gluteus maximus muscle (comined with a conscious effort to relax and clear the mind) cues the bladder/ureter (or whatever parts are involved) into relaxing and alowing the urine stream to begin.

if i get interrupted by a knock on the door or my own slef-consciousness, i just repeat the whole process. it may sound elaborate but in reality the whole process only takes about 10 seconds total.

please, no bad jokes. I'm embarrassed enough already and just wanted to offer some info that may help some people who have this problem. It works and i think it's more than just coincidence that others had posted the exact same technique.

i think it's a combination of simple psychological relaxation as well as physical and mental cues to get the process going. if you have this problem of delayed urinary stream due to opiate medications (and/or simple anxiety), jusy try it. If it works for you, post be sure to post some feedback to help keep any naysayers at bay. :-)

since my doctor cut off my OC a year ago, i haven't had this problem. Since the only meds i've been able to get prescriprions for since have been significantly less effective, they've therefore had very few side effects.

----------------

A QUESTION
I have a question about another issue which is almost (if not more) embarrassing. We all know that opiates can cause constipation and that constipation creates general malaise and significant physical discomfort. The obvious solution is to stay well hydrated and to increase your fiber intake or take the OCCASIONAL (once every two weeks at most) mild laxative. However, getting adequate pain management is an issue for me and i worry about the effect that these measures may have - i.e. i worry about the extra fiber absorbing the medicine or the laxative washing it through too quickly.

are these real concerns or should i stop worrying? any suggestions? i know it is not a pretty topic and it's an issue most of us prefer to ignore, but i think it's very relevent because it affects most of us who take any pain meds long term. And it's an important thing to address when considering one's overall health and quality of life.


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neonsign2003
Old Hand


Reged: 12/26/02
Posts: 460
Loc: midwest
Re: Need information if someone knows.... [Re: goddard3]
      #185876 - 09/10/04 05:03 AM

Even with my "monster Unit" I have the same prpblem, only worse.I grew up in a house with 7 Boys and a mother who was a clean freak. We were not allowed to "urinate" while standing. We had to sit. To this day if I really need to empty I must sit! LOL before you guys tease me, you may as well know that I have raised the toilet seat in my house 9 inches because my "unit" is so long that it will "hang in the water" without a "Raiser" .........To all single women,
Yes, You can contact me>>>>NEON


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Linrue
Stranger


Reged: 07/14/04
Posts: 1
Re: Need information if someone knows.... [Re: neonsign2003]
      #185890 - 09/10/04 06:56 AM

Neon - OH MY GOD!!! My overnight bag is packed - please provide directions to your house right away.

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