Thank you for your interesting question. In order to provide an accurate diagnosis, I would need more information. I would need to know the full details of your medical history and also perform a thorough physical exam. In addition, you may need further testing, such as blood work, an ultrasound, or a CT scan. Only after collecting this information would it be possible to know the cause of your symptoms. Therefore, I strongly encourage you to see a primary care doctor
to discuss your symptoms.
There are many potential causes of your pain. Given your chronic narcotic use, it is possible that the pain is due to constipation. Narcotics classically lead to constipation, and it is routine practice to recommend regular laxative use in patients who require them. A primary care doctor to help evaluate for constipation. If this is the cause, it may also be reasonable to discuss alternative pain management options. Studies have shown that narcotics are poor drugs for chronic. They cause tolerance in all patients and require dose escalation in all patients who use them regularly. Other potential causes of your abdominal pain include peptic ulcer
disease, inflammatory bowel disease
, irritable bowel syndrome, appendicitis, and diverticulitis. I encourage you to discuss these possibilities with a primary care doctor.