Alternative Names Backache; Low back pain; Lumbar pain; Pain - back; Acute back pain; Back pain - new; Back pain - short-term Treatment To get better quickly, take the right steps when you first get pain. Here are some tips for how to handle pain early on: Stop normal physical activity for the first few days. This helps calm your symptoms and reduce inflammation. Apply heat or ice to the painful area. Try ice for the first 48-72 hours, then use heat. Take over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol). While sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. A common misbelief about back pain is that you need to rest and avoid activity for a long time. In fact, bed rest is NOT recommended . You may want to reduce your activity only for the first couple of days. Then, slowly start your usual activities after that....
In healthy men and women, urine does not contain any blood that can be seen with the eye, called "gross blood," nor does it contain red blood cells that can be discovered with the aid of a microscope. The discovery of either gross or microscopic blood in urine is a sure indication of the need to examine and evaluate the patient to discover the cause of this abnormality. The conditions that can lead to either gross or microscopic blood in the urine are many and varied. In adults, a careful history to describe the details of the bloody urine, a physical examination and laboratory studies are the first step in unearthing the cause. Imaging with x-rays, ultrasound, CAT/MRI scans are the next step and will usually discover the cause. In adult women, infection of the bladder or kidneys, urinary stones, and tumors of the urinary bladder, kidneys are the most common causes. In adult men, enlargement and/or infection of the prostate, bladder infection and...
Narcotics, or opioids (pronounced OH-pee-oydz), provide the main relief for this level of pain. There are both long-acting and short-acting opioid pain medicines:
Long-acting opioids include:
oxycodone (brand names: Roxicodone, OxyIR, OxyContin)
fentanyl (brand name: Duragesic)
morphine (brand names: MS Contin, Oramorph, Avinza, Kadian, Roxanol)
methadone (brand name: Dolophine)
Short-acting opioids include:
morphine (brand name: MSIR)
oxycodone (brand name: Percocet)
hydrocodone (brand names: Vicodin, Vicoprofen, Lortab, Lorcet, Hycodan, Zydone)
hydromorphone (brand name: Dilaudid)
fentanyl—rapid acting (brand name: Actiq)
meperidine (brand name: Demerol)
Dosage is adjusted to suppress your pain around-the-clock. Long-acting medication helps so that most of your day is pain free, and ideally you won't need to get up in the middle of the night to take another dose. Short-acting drugs are used to treat episodes of breakthrough pain.
There are many different opioids to try f...
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