I'm reviving this thread after a couple of over night stays in hospital in mid January for severe migraine type headaches. Basically severe headaches and constant vomiting for several days, almost a week.
I was in hospital one night and sent home. The treatment they gave me worked. The next night I was back in hospital and the infusion they gave me the first time did nothing this time. All I heard from drs was its probably opiate medication overuse syndrome.
Usually I take 50mg tramadol every morning or I'm bent over like a half open pocket knife all day but I haven't used much at all as I have been off work for 9 months now with a knee issue. Work flares my lower back pain up. So tramadol use has been minimal.
My days usually start with a mild headache or brain fog and slowly increase from there to a moderate to severe headache. Migraine/vomiting type headaches aren't that common but I do get them. I have been taking one endone at the end of the day when headaches get worse. I actually asked my dr what he considered too much. He said 1 box of 20 every month using them as I do was fine.
Sometimes my headaches are what I call generalised headaches and other times they are what I call shingles headaches as they are left side of head where I had shingles or having a shingles outbreaks.
My headaches have been getting worse, more frequent etc. I was/am on lyrica as a preventer. My dr wanted me on zoloft but I can only tolerate 25mg, which he said I need to get to 50mg. The week I went into hospital I had increased the zoloft to 50mg the previous week. Because lyrica also puts wt on people easily I suggested to my dr to change over to Toprimate as its more wt neutral. It actually helped me lose wt quite well. So I was in the middle of tapering off lyrica, down to 75mg a day from 150mg twice a day over a couple months. I was on 100mg Toprimate and just upped the zoloft.
So when I was in the middle of these medication changes was when I had this severe headache issue. I think the medication adjustments played a big role. But I kept hearing them go on about medication overuse headaches etc.
I rolled around this dam hospital bed in pain and vomiting for about 4 days. All they did was drugs to stop vomiting which didn't help as it was my head pain causing the vomits and wanting to give me paracetamol and brufen. I felt so shithouse that I couldn't argue with them if I tried. There was little clarity of thought other than my head hurts, where's the vomit bag.
They had me down for an mri but that was really to cover their arse but I eventually got it done after 4 days. No concrete answers other than I could have increased intracranial pressure as it looks like my pituitary gland is pushed up against a Boney part in the skull, could be. Then said I need to see a neurologist, which I have to find myself. About July is when I get to see one.
The advice from the hospital General physician was to not take opiates for the pain but could take 8 paracetamol for the rest of my life if I needed too. Best to take 2 when I first wake up as they work better before the pain starts. Also brufen 3 times a day for 3 days every so often.
After 4 nights in hospital of not eating and just vomiting dry retching, I came home and did the same for another week. I lost 10kg in that time. My guts was torn to shreds. I look back now I can think straight and just think they were cruel bastards. I should have had IV fluids all the time and some sort of antacid regularly. When I got home that's what I did, mylanta and somac daily to settle my stomach. I was eating a table spoon of jelly and a tablespoon of ice cream twice a day, I couldn't handle anymore for well over a week.
I was off any narcotic for well over a week and my head felt shit. I'm normally fine to drive anywhere etc but had an ortho appointment for my knee but I was in no state to drive and had my son drove me. I would have driven like I was over the drunk driving limit. That stay in hospital did a number on my guts and my head.
Pisses me off as this medication overuse headache thing seems like a trend for drs to turn it around on the patient. I still don't really know what is going on. I'm still getting daily headaches. Every 3 or 4 days I take a stronger pain killer and function really well. I don't get a rebound from it. But I'm trying to go a fortnight with nothing and then I see my gp, which I will tell this is all bullshit.
I'm suppose to be doing rehab exercises for my knee but feel to shitty from the constant headaches.
I actually got told in hospital acute pain there's damage done to tissue. Chronic pain it's a software issue and no actual tissue damage. I was too out of it to argue but picture some poor old bugger with chronic hip pain being grinded away to dust but its chronic so it's not tissue damage, WTF. Then she mentioned chronic pain is treated by CBT, then I knew it was all BS coming from her.
The whole opioid epidemic along with Drs don't have answers to everything, is working against people who actually need treatment. Everyone is treated as a druggy or potential druggy and if you have a condition they can't treat its probably your own fault and cbt will fix it.
I've been wanting to write this for a month, because it really pissed me off. They don't know what's going on so make shit up. I'd really like to see these bustards in chronic pain and positive think their way out of it. That's right, don't drink caffeine. My wife walks out to get a drink, both drs that just saw me are buying coffees, hippocrites. WTF I hate drs.
Enough of my whinge.