WOMENS-HEALTH Messages for June, 1998: Re: Pain Medications

Re: Pain Medications

From: anonymous@obgyn.net
Sun, 7 Jun 1998 18:10:55 -0500 (CDT)

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At Sun, 7 Jun 1998, Nannie wrote: >
>Would you prescribe pain medication for a patient after a operative
>laparoscopyy and which would you consider the most effective?

All of my patients receive pain medications during and after operative laparoscopy, and receive a prescription to go home with.

For example, many ob/gyn physicians inject "novocaine" (local anesthesia) into the tiny cuts made during laparoscopy, before the patient wakes up. This seems to help with postoperative pain. She then gets an injection of a narcotic analgesic, such as morhpine or demerol, if she complains of pain. (Some of us give a non-narcotic injection of a medication called Toradol which is often very effective but does not cause sedation; however, it can cause difficulty with bleeding in some patients).

At home, patients receive advice to take 3-4 ibuprofen tablets (200 mg each), 3 times a day for the next week. If they need further pain medication, they have a prescription for narcotic medications like percocet, darvocet, tylenol with codeine, etc. I do many laparoscopies and only get a couple of phone calls a year from patients who need more pain management. In fact, this is a signal that a complication might have occured, and if indicated, such patients are seen immediately in the office or emergency department.

I hope this helps answer your question.

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida

The above information is provided for medical education only, and is not intended as specific medical advice. I am sorry, but due to time constraints, I am unable to answer personal e-mail.

Next message: Shoup: "PCOSupport Chat Tonight"
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In reply to: Nannie: "Pain Medications"
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