Emergency room for pain-how do you know when to go?

Discussion in 'Fibromyalgia Main Forum' started by tanyasue, Jul 19, 2005.

  1. tanyasue

    tanyasue New Member

    I am in so much pain right now. For those who have been to the e-room, how did you decide it was time to go?

    I am on the duragesic patch, vicodin, soma and a few others-but my back feels like it is on fire. I just want to cry because it is so bad and I feel like it is never going to get better.

    I am worried that if I go, there will be nothing they can do for me. I feel like I want to scream, the pain is so bad.

    Your experience and insight is appreciated in advance.

  2. TishVA

    TishVA New Member

    I also use the patch w/Vicodin for breakthrough and I'm approaching the need for a dose increase in the patch, also for back pain. I hate the ER because I share the same worries as you; ie they won't do anything for me.

    Do you suspect you might need an increase on the patch?

    However, when I have gone to ER, I've never walked away without anything being done for me. I hope that should you decide to go, you will have the same experience. Pain is the 5th vital sign, remind 'em if you have to!

    I go to ER when I've been in severe pain (crying, etc) for at least a few hours, and I have taken the maximum prescribed dose of rescue meds and other "comfort therapies" heat or whatever helps, AND I have tried to get in touch with my Dr on what to do. I have a great relationship with my Dr, and I realize not everyone has a Dr that is available 24/7 by page, so this isn't always feasible.

    If you are wondering if you should go, you probably should, especially when you've done everything you can do at home to relieve your pain. I sincerely hope you get some relief-in ER or not. It's a terrible feeling to be at a "10", and a stress on our already stressed bodies.

    Gentle hugs,
    [This Message was Edited on 07/19/2005]
  3. rubysmom

    rubysmom New Member

    If it is keeping you from sleeping, and I think it is

    important to go because pain causes your blood pressure to

    go up , along with increasing your heart rate. I hope you

    will not feel like you are causing them problems at the

    ER. They are there to help. Best wishes, Tammy
  4. lana33

    lana33 New Member

    I don't have an answer for you. Just wanted to say, where I live, I would be in much more pain waiting in the er so I have never been for any pain.

    I had bad pain in my low back a few months ago. I did start crying. I never got to sleep. It was sort of like labor pains. It went in waves all night.

    My docs office opened at 8:30 am. I couldn't wait to call my pain doc.

    As soon as I started talking to the nurse and explaining my symptoms, my pain started to ease.

    Never had this happen before. I know it wasn't pshchological but I was just beside myself thinking how I was not able to get any sleep all night.

    I must have sounded pretty bad. Cause the office nurse called me back that evening to see how I felt. I had told her I didn't want to come in but would if my pain got worse.

    I didn't have the heart to tell her that although I hurt all night, my pain was easing as I started talking to her.LOL

    I hope, if you are having pain right now, that you go to the er. I just felt like telling this cause I had never mentioned it before.

    If I got scared because of a pain, I would go in, however.

  5. PVLady

    PVLady New Member

    If you are in that much pain, yes go to the ER. You cannot judge what will happen based on our experiences - Many times I took my mother who was having excrutiating pain that her pain meds were not controlling.

    They usually gave her a pain shot that helped. Since we have found a good pain specialist, we never had to go back to the ER.

    Pain treatment is hard until they find what will help. Like "trial and error" The only thing that ever really helped my mom was the pain patches. She is on 3 - 5% Lidoderm patches a day.

    Her doctor combined several meds such as a low dose of Prednisone, Davocette, Neurontin, Lortab, and some others I don't remember.

    I hope you are feeling better...

  6. tanyasue

    tanyasue New Member

    the last pill finally seems to have kick in and make it tolerable.i thought i was going to die last night. sincerely.

    i cannot stand this, and yes, i think i need an increase in pain meds, but am not sure what my doctor will do.

  7. ibisgirldc

    ibisgirldc New Member

    Do you have a doctor who prescribes these things to you? I'd call that person and get them on the phone... They'll either bring you into their office for an immediate visit or tell you to go to the ER. And if they tell you to go to the ER, they can call ahead to let them know that you're coming.

    I'd ask a doc this question and not us. If you're in that much pain, then you should consult one - either your own or at the ER.
  8. tanyasue

    tanyasue New Member

    I got in to see my doctor, and she is helping me out. She changed my medicine and ordered some more tests. I am extremely grateful for her and her help.

  9. Jeanne-in-Canada

    Jeanne-in-Canada New Member

    Heat can be amazing for tight, oxygen deprived muscles, which is exactly waht happens to us. The more pain in an area, the more shallow we breath, and the less oxygen goes to the area, then it just gets worse and worse.

    I used to be in acute pain all the time, if I was awake, every movement was pain. I'd take up to 4 hot, hot baths a day (didn't pay hydro back then. the oxygen and steam from the water helped my chemical sensitivities alot, which were big pain triggers for me. Some say, epsom salts and/or hydrogen peroxide adds to the benefit. Even baking soda.

    If you've tried all that, then maybe you can get your doc to clear the er giving you demerol shots or morphine for unbearably acute episodes. Sounds like his office is quite compassionate. They do this for migraine sufferers, why not us?

    That's another bee in my bonnet. How come a migraine sufferer gets help, pain relief and validation? There is no test to prove their pain either, but they are believed. Just don't get it.

    If you find some relief and longer term solutions, please share your good news and progress. And vent anytime you need to.

  10. Jeanne-in-Canada

    Jeanne-in-Canada New Member

    where your doc is trying to find better pain meds and doing more tests. Bless her compassionate, born to be a real doctor's heart.

    And please quote me directly. I'd love for a doc like that to know there is so many of us out here who appreciate her understanding for you and want her to know she is a gem among lumps of coal. What goes around comes around, my her life (and yours) be blessed.