moontang Posted March 24, 2019 Share Posted March 24, 2019 5 minutes ago, rumak said: you did not say where in back. I am going to assume that it is lower back. Also when I "could not move" because of the pain it was because i would spasm just trying to sit or stand up. worst pain ! getting a dr to give you morphine is usually REALLY tough. They would offer tramadol or even paracetamin! crazy...when i , like you, could barely move. They gave me an IV...not morphine though i asked... and it did not help ! jesus HERE IS what helped me later on. I always refused the light stuff (anti-inflamatory type) cause they just don't work with real PAIN. Finally a DR i respect said "" at least take this ( it was diazepam....commonly known as valium). It is an anti-spasmatic . IT WORKS ! One 5 mg will put you to sleep. I take a half when feeling some light spasm. Hospitals don't want to give morphine , which is most effective, or diazepam which they have been taught is "addicting". I now self medicate when necessary with diclofenac ....and diazepam if really necessary. Extreme pain the diazepam works ... and is only thing i can get cause morphine they're not handing out unless you're dying agree.....they always want to give you some OTC for pain or NSAID, which is harsh on your stomach. They deny it, but the valium does work for some pain. I would rather do a biocalm muscle relaxer instead of bs pain reliever. Link to comment Share on other sites More sharing options...
Vacuum Posted March 24, 2019 Share Posted March 24, 2019 1 hour ago, jvs said: Kidney stones?They hurt like hell,what hospital are you going to? Sounds more like lumbago, no need for hospital. Link to comment Share on other sites More sharing options...
rumak Posted March 24, 2019 Share Posted March 24, 2019 lyrica is DICLOFENAC thai version is cheap and available at all pharmacies Link to comment Share on other sites More sharing options...
rumak Posted March 24, 2019 Share Posted March 24, 2019 2 minutes ago, moontang said: but the valium does work for some pain SPASMS....... and diclofenac is very useful for some types of pain. Nothing else ever worked for me Link to comment Share on other sites More sharing options...
simon43 Posted March 24, 2019 Share Posted March 24, 2019 How on earth can you be discussing medication when you don't have a clue what's causing the pain? I had a horse-riding accident yonks ago which compressed my lower spine. At any time, a disc could press against the spinal nerve and the resulting terrible pain had me automatically generating fountains of tears. I went to the best hospital in BKK. They gave me no medication but quickly requested a chiropractor to massage my lower back and to move the disc away from the nerve. The result? absolutely no pain, problem resolved, and no need for medication. Stop grabbing for pills every time your body complains!!!! Get to a decent hospital asap and get a proper diagnosis. Only then, see what the options are. (I'm sure in your current state of advanced pain, you'll tell me to GFM.... but IMHO pills are the easiest and 'weakest' way to mask your body's problems). Good luck ???? Link to comment Share on other sites More sharing options...
Sheryl Posted March 24, 2019 Share Posted March 24, 2019 In hospital they have available to them morphine, demerol, fentanyl etc. Tylenol or paracetemol with codeine can be prescribed for outpatient use (must come from hospital). OTC can get tramadol and NSAIDS. If pain is due to an inflammatory condition NSAIDS can be quite effective, sometimes even more than opiates. For back pain from orthopedic cause a short course of prednisilone (steroid) is sometimes given. While not an analgedic as such it reduces swelling such as can occur around a herniated disc and thus can give relief. This too can only be gotten from hospital. Alternatively epidural steroid injection sometimes given for pain and often helps but temporary of course. Lyrica or gabapentin often given along with other meds if it is thought to be nerve pain. It is true that pain from kidney stones is sometimes felt in the back. In which case heavy duty pain killers plus IV hydration is first approach otherwise if stone too large to pass may do lithotrypsy or surgical removal. If ortho cause could be entrapped sciatic nerve or herniated disk impinging on nerve root. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
faraday Posted March 24, 2019 Share Posted March 24, 2019 9 minutes ago, rumak said: lyrica is DICLOFENAC thai version is cheap and available at all pharmacies No, it is not. It is Gabapentin. Link to comment Share on other sites More sharing options...
from the home of CC Posted March 24, 2019 Share Posted March 24, 2019 There are a few pharmacies here that will sell an extended release Tramadol that's more effective for severe pain, 100mg timed release. When you get out of the hospital and if still in severe pain it might be something to consider - called tramadol retard. I've taken it occasionally over the years for severe pain (short term only) and it's effective but for me it limited my mobility cause moving around can make you nauseous. I would only take if absolutely necessary. Though only 10% or so of people have a problem with handling meds for pain we're all branded as junkies for wanting relief. Link to comment Share on other sites More sharing options...
RJRS1301 Posted March 24, 2019 Share Posted March 24, 2019 1 hour ago, KhunFred said: Tramadol works for my back pain. Just standard lumbago but it's the kind of thing that can ruin your day. Tramadol is kind of a controlled substance, so some pharmacies will not sell it. Lots of influence by Americans into Thailand's drug policy. Like everything else here, it is a fluid situation, so YMMV. What is the cause of the pain?? Is it muscular/nerve /neuropathic?? You need to know the Dx before you Rx Competent Dr will do scans/mri to resolve the Dx, if you do not know the Dx Competent Dr will also prescribe best Rx for you Self Dx and Rx can be dangerous Link to comment Share on other sites More sharing options...
Sheryl Posted March 24, 2019 Share Posted March 24, 2019 lyrica is DICLOFENAC thai version is cheap and available at all pharmacies No. Entirely different things.Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
sweatalot Posted March 24, 2019 Share Posted March 24, 2019 This threat is going too far in non professionals discussing pain management when there is no diagnosis. So, as I recommended a few posts ago take one of those pain killers or a combination mentioned there. If the pain doesn't go away or comes back - see a doctor. Link to comment Share on other sites More sharing options...
Sheryl Posted March 24, 2019 Share Posted March 24, 2019 No, it is not. It is Gabapentin.Not gabapentin either (though same class if drug). Lyrica us pregbalin.Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
rumak Posted March 24, 2019 Share Posted March 24, 2019 3 minutes ago, simon43 said: top grabbing for pills every time your body complains!!!! Get to a decent hospital asap and get a proper diagnosis. Only then, see what the options are. I went to many doctors and many hospitals . One thing I learned is that most of them do NOT give a proper diagnosis, whatever that means. They have read a book that tells them to give you anti inflamatories and do some exercise. After that doesn't work they want you to spend 10K baht for an MRI which does little to shed light on MOST of the problems. The one thing going to all these decent hospitals and expert doctors did was get me to learn for myself what might or might not be going on with my body. And the big advantage is I ACTUALLY CARED ABOUT THE PATIENT........AND LISTENED TO WHAT HE SAID....AND TRIED TO FIND THE SOLUTION. so, i am not taking simons advice...... I do agree however that people taking all these pills is stupid. But sometimes it does help, especially when you have the brains to figure out which ones . Then it is up to each individual to work on their body to keep it going Link to comment Share on other sites More sharing options...
RJRS1301 Posted March 24, 2019 Share Posted March 24, 2019 I feel that even if some of you are retired or practicing medical professionals it is very unprofessional to be recommending medication without a Dx. Link to comment Share on other sites More sharing options...
KarlS Posted March 24, 2019 Share Posted March 24, 2019 Just now, RJRS1301 said: I feel that even if some of you are retired or practicing medical professionals it is very unprofessional to be recommending medication without a Dx. Not only unprofessional but potentially dangerous. Link to comment Share on other sites More sharing options...
champers Posted March 24, 2019 Share Posted March 24, 2019 No more jumping off the top of the wardrobe. Link to comment Share on other sites More sharing options...
rumak Posted March 24, 2019 Share Posted March 24, 2019 6 minutes ago, faraday said: No, it is not. It is Gabapentin. sorry i was thinking Volatarin,, and Cataflam my mistake Link to comment Share on other sites More sharing options...
RJRS1301 Posted March 24, 2019 Share Posted March 24, 2019 Just now, champers said: No more jumping off the top of the wardrobe. Probably fell from the stilettos the last "entertainer" forgot to take with them Link to comment Share on other sites More sharing options...
jvs Posted March 24, 2019 Share Posted March 24, 2019 26 minutes ago, Vacuum said: Sounds more like lumbago, no need for hospital. I never had Lumbago but had kidneystones a few times,terrible pain also. Link to comment Share on other sites More sharing options...
scubascuba3 Posted March 24, 2019 Share Posted March 24, 2019 requested a chiropractor to massage my lower back and to move the disc away from the nerve. The result? absolutely no pain, problem resolved, and no need for medication. Problem is using a chiropractor is pot luck and is based on trial and error, click and hope Link to comment Share on other sites More sharing options...
Sheryl Posted March 24, 2019 Share Posted March 24, 2019 16 minutes ago, sweatalot said: This threat is going too far in non professionals discussing pain management when there is no diagnosis. So, as I recommended a few posts ago take one of those pain killers or a combination mentioned there. If the pain doesn't go away or comes back - see a doctor. reread the original post. The OP is enroute to the hospital. He wants to know what pain medications would be available there, through a doctor. Link to comment Share on other sites More sharing options...
Enoon Posted March 24, 2019 Share Posted March 24, 2019 1 hour ago, NCC1701A said: anyone esle please. no more from you thanmks I get regular, but infrequent, lower back pain. Dating from an injury when I was 18. Find some way to apply heat to the area. I strap one of these (hot water bottle) over it: Gives fast relief and speeds up healing. Link to comment Share on other sites More sharing options...
sweatalot Posted March 24, 2019 Share Posted March 24, 2019 15 minutes ago, KarlS said: Not only unprofessional but potentially dangerous. I think that if doctors are posting here they know very well what they can recommend and what not - and this would be neither unprofessional nor dangerous. Recommendations from nonprofessionals might be different. Link to comment Share on other sites More sharing options...
scubascuba3 Posted March 24, 2019 Share Posted March 24, 2019 I went to many doctors and many hospitals . One thing I learned is that most of them do NOT give a proper diagnosis, whatever that means. They have read a book that tells them to give you anti inflamatories and do some exercise. After that doesn't work they want you to spend 10K baht for an MRI which does little to shed light on MOST of the problems. The one thing going to all these decent hospitals and expert doctors did was get me to learn for myself what might or might not be going on with my body. And the big advantage is I ACTUALLY CARED ABOUT THE PATIENT........AND LISTENED TO WHAT HE SAID....AND TRIED TO FIND THE SOLUTION. so, i am not taking simons advice...... I do agree however that people taking all these pills is stupid. But sometimes it does help, especially when you have the brains to figure out which ones . Then it is up to each individual to work on their body to keep it goingI agree figuring it out for yourself is important, a scan did help me to explain what was causing the pain otherwise you are always wondering Link to comment Share on other sites More sharing options...
Sheryl Posted March 24, 2019 Share Posted March 24, 2019 OP - if the problem is ortho, the doctor you want at bangkok Hua Hin is DR. WITTAYA PAYACKAPAN Link to comment Share on other sites More sharing options...
buick Posted March 24, 2019 Share Posted March 24, 2019 19 minutes ago, Sheryl said: Tylenol or paracetemol with codeine can be prescribed for outpatient use (must come from hospital). sheryl, thanks for the informative post (not only my cut/paste above). OP if you are prescribed the above, in terms of strength, that is above tramadol but below hydrocodone (vicodin, lortab, norco). as noted by others, pain killers aren't necessarily the best solution for back pain. i've also had back issues over the years. muscle relaxers are nice to have. but in my previous posts, i simply answered your (OP) question in terms of strength of pain killers. Link to comment Share on other sites More sharing options...
scubascuba3 Posted March 24, 2019 Share Posted March 24, 2019 I get regular, but infrequent, lower back pain. Dating from an injury when I was 18. Find some way to apply heat to the area. I strap one of these (hot water bottle) over it: Gives fast relief and speeds up healing. Good advice, i found frozen peas and hot water bottle helped, better than drugs Link to comment Share on other sites More sharing options...
KarlS Posted March 24, 2019 Share Posted March 24, 2019 1 minute ago, sweatalot said: I think that if doctors are posting here they know very well what they can recommend and what not - and this would be neither unprofessional nor dangerous. Recommendations from nonprofessionals might be different. Any "doctor" recommending medication for what is described by the OP as "horrible back pain" would, in the absence of a diagnosis be both unprofessional and irresponsible. Link to comment Share on other sites More sharing options...
nausea Posted March 24, 2019 Share Posted March 24, 2019 The guy's in great pain and waiting for a ride to the hospital where, presumably, he'll be diagnosed and given whatever medication is appropriate. He needs an otc medication which will work now. If Tramadol doesn't do it I really don't know what to suggest, apart from a bottle of whisky. I've suffered from acute back pain myself, but I was always able to relieve it to some extent by adjusting my body position; like I've never suffered back pain that was constant no matter how I positioned myself, sounds like a nightmare. Link to comment Share on other sites More sharing options...
Vacuum Posted March 24, 2019 Share Posted March 24, 2019 Medical marijuana? Failing that, Morphine. Link to comment Share on other sites More sharing options...
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