Opioids include prescription drugs like Vicodin and synthetic drugs such as Morphine to treat pain due to surgery, cancer, headache, back pain, etc., and street or illegal drugs like Heroin. Opioids tend to cause drug dependence or addiction, sudden stopping of which can result in withdrawal effects. Their side effects include drowsiness, constipation, shallow breathing, and nausea.
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Does opiate withdrawal cause nausea, low BP, muscle pain and urea smell?
Query: Hello doctor, I am a 40-year-old female recovering from eating disorder. My BMI is 16. I am suffering from clinical depression and GAD. I was diagnosed by a neurologist with migraines approximately two years ago, and have been on Lyrica 75 mg twice daily. Recently, I started having trouble swallowi... Read Full »
Answer: Hi,Welcome to icliniq.com.It is fine to stop Lyrica (Pregabalin). In my opinion, your symptoms could be related to a panic attack, probably caused by Topiramate adverse effects. Besides, as Topiramate can also cause kidney dysfunction. So, I strongly agree with your doctor on stopping it. On the oth... Read Full »
Does my mother's MRCP report show the cause for dilated bile duct?
Query: Hello doctor,My mother had an issue with her abdomen. It has been one or two months since she is feeling an unusual pain in the abdomen. It is accompanied by bloating and severe intestinal gas. We saw expert doctors. One of them said the gallbladder is oily. And after seeing the result of the ultras... Read Full »
Answer: Hi, Welcome to icliniq.com. I reviewed the history and MRCP report (attachments removed to protect the patient's identity) of your mother. Oily liver or gall bladder is not an issue. Her biliary ducts are dilated, but there is no obvious cause of dilatation. There is no stone or tumor in it. It m... Read Full »
Can Suboxone cause bloody bowel movements and testis pain?
Query: Hi doctor, I am a 35-year-old male. I have been taking Suboxone for about ten years daily never really missed a day taking the medication. I have been feeling weak, tired, helpless, been given up on things lately. I just lost my will or drove to do anything. These are a few questions but im not sur... Read Full »
Answer: Hi, Welcome to icliniq.com. You have gone through hard times for quite a while, and so it is no wonder that you are emotionally and physically exhausted. I can assure you that there are doctors all over the place who also treat under-insured patients. Your symptoms can be due to the following ... Read Full »
Can Oxycodone affect the fetus if taken during pregnancy?
Query: Hi doctor, My last period was before a month. Yesterday, I took Oxycodone 15 mg. I realized that I am pregnant today. I got a positive result on the pregnancy test. I have taken opiates for pain before two days. I am planning to consult a doctor. But I want to know whether my fetus is fine. Read Full »
Answer: Hi, Welcome to icliniq.com. You have taken Oxycodone for pain. As it is your early pregnancy, do not take them on regular basis or like every day. I do not think that it would cause defects in the baby. You can take a scan and it is too early as of now. Kindly consult a doctor for changing you... Read Full »
Is there any recommendations to fix arm pain after titanium reconstruction for multiple fracture?
Query: Hello doctor, I have had a compound fracture of both the radial and ulnar forearm bones that resulted in two bones sticking out of my arm, torn ligaments and muscle, and nerve damage. I had the arm reconstructed with titanium and it has been two years since then. To this day, I still have nerve pai... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your complaint and seen your pictures. (attachment removed to protect patient identity). I feel sad that you had to undergo such a procedure and pain. Since you have chronic pain I would suggest you to use opioid analgesics like Oxycontin (Oxycodon... Read Full »
If heroin-positive menses blood is mixed with urine, will drug test be negative?
Query: Hello doctor, My daughter is currently in recovery from heroin and my husband and I believe she is using it again. We check her UA's at home and mail the findings to a lab. We suspect that she is giving us her friend’s urine. However, I know that today she began her menses and the urine she gav... Read Full »
Answer: Hello, Welcome to icliniq.com. Ideally, both the urine and blood screens come positive. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician Read Full »
Can Fentanyl and Suboxone be taken together?
Query: Hello doctor, I am getting a cardiac cath this morning. I am currently on Suboxone 12 mg, 6 in AM and 6 in PM. When I asked what they will be using to sedate, they said Fentanyl and Versed. I asked for Profol but got no answer. I spoke to a male nurse, not an anesthesiologist. If the Fenytal overri... Read Full »
Answer: Hi, Welcome to icliniq.com. Usually, for cardiac procedure anesthesiologist will prefer Fentanyl than Propofol because Fentanyl is opioid and it causes good pain relief and sedation and there is a high probability of heart stability and the chances of losing your breath and consciousness with Fent... Read Full »
I am taking Valium. Should I enquire about alternative to opioids before undergoing a surgery?
Query: Hi doctor, I am going to undergo a laparoscopic fundoplication surgery after a week for severe GERD. For the past two months, I am taking Valium 5 mg for severe anxiety (mainly related to my health) three times daily. I am also taking Omeprazole 80 mg daily for several months. I recently came acro... Read Full »
Dr. Kiran Kumar Kolla Gopalkrishna
Answer: Hi, Welcome to icliniq.com. Please convey your medical history to the anesthetist when you have a pre-anesthetic consultation. I am sure that they will be using Remifentanil infusion for the surgery. This drug is short-acting, and it does not interfere with Diazepam. I suggest you consult an anest... Read Full »