“my gut hurt so bad it is worse”
This is an example of not being taught to use the meds correctly. I would wonder if your MD is a trained pain specialist.
I doubt it. There seems to be a cumulative effect as I take them, and yes I do take preventative meds for the inevitable constipation that occurs when taking opioids, it just doesn't work all that well for me. I was seeing pain docs when I was given gabapentin and was having back pain issues and in fact they eschewed opiods, but had given them to me when I was in acute pain. I always asked for about 3 days worth as the rest would be a waste and I have to dispose of them. I explained why, they went through the proper use, things I could do to attempt to alleviate the side effects, etc. Everyone is different and we don't all fit into a definitive mold for how we react to meds.