Pain & Pain Medication FAQs

I'm in pain. Can you write me some pain medicine or refill my pain medication?

Certain pain medications may be refilled in the middle of the night or on weekends over the phone by the resident on call. But all the stronger pain medications (narcotics, or schedule II or III medications, such as Percodan, oxycodone, oxycontin, percocet, morphine, demerol) can only be filled with a written prescription. So, if you are trying to refill one of these more powerful medications, please do not call the resident on call. If you are having extreme pain, then you must go to the nearest ER to be evaluated and medicated. Otherwise, you can contact the Call Center (404-778-4898) in the regular daytime office hours to request a refill of that medication.

Post-op pain - incisions are most painful for the first 2 days post-op, and then improve steadily as the week goes on. Excessive use of the narcotic medications will cause problems with nausea and constipation. You should try using Tylenol or a non-steroidal anti-inflammatory medication (like Toradol or Motrin, if your kidney function is normal) during the daytime, and reserve the stronger narcotic medication for bedtime. If the pain is not controlled with the narcotic medications, then call the Call Center (404-778-4898) for review by the nurse and refills.

Bladder pain - if you have a foley catheter or ureteral stent, you may have some urinary urgency, frequency, and bladder pain ( bladder spasms). Medications that relax the bladder, called anti-cholinergics, like ditropan or detrol LA will be prescribed as long as you have no problems with GERD (acid reflux) or glaucoma. If the symptoms are getting worse, you might need to have the catheter changed. Contact the Call Center (404-778-4898) to discuss with the nurse.

Flank pain - if you have a history of kidney stones and have new onset of flank pain, you can try to use Flomax from previous episodes of stones to relax the muscle of the ureter, try to hydrate (but not drown yourself), and use Motrin. Do not get too concerned with seeing some blood in the urine, which may occur as the stone moves down the ureter. When to call the resident on call or head to the nearest ER for evaluation and treatment:

  • If the pain is extreme,
  • If you have nausea or vomiting, or
  • If you have a fever (especially if you have diabetes) or shaking chills.
Urology Conditions