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Aug 20, 2014

Vicodin and Ileostomy - Safe or Risky? Experiences?

This topic is about the use of Vicodin after ileostomy surgery and whether it might cause an intestinal blockage. A patient, who had surgery a year ago and has a parastomal hernia, received conflicting advice from doctors about using Vicodin. While one doctor warned against it, another prescribed it, leading the patient to seek advice from others with similar experiences.

Here are some helpful insights and advice shared by the community:

1. The patient tried Vicodin three times without any issues. He manages his condition by wearing a hernia belt and eating small, frequent meals to reduce abdominal pressure.

2. After a previous emergency surgery to repair a kinked bowel and hernia, the patient was advised that the hernia might recur and could require further surgery.

3. For an upcoming molar extraction, the oral surgeon prefers ibuprofen, but the patient is considering asking for a low-dose Vicodin.

4. It is suggested to use a stool softener alongside narcotics to help prevent constipation or slow bowel movements.

5. Some people have taken Vicodin or stronger opioids like oxycodone, hydromorphone, Percocet, and Fentanyl without experiencing blockages, though individual tolerance can vary.

6. Starting with a low dose of Vicodin and gradually increasing it is recommended, as standard doses may not suit everyone.

7. Staying hydrated and keeping active while on Vicodin is important. One person noted that whole Vicodin tablets appeared intact in their pouch, highlighting the need for plenty of water.

8. Overeating while on opioids can lead to severe constipation and blockages, sometimes requiring hospitalization.

9. If concerned about opioid-related slowing, consider non-opioid pain relief options like acetaminophen or ibuprofen, if suitable, or request IV morphine in hospital settings for acute pain.

10. Wearing a hernia belt can help reduce pain from a parastomal hernia, and many insurance plans may cover the cost.
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