Nasids can upset the gi tract, they can even cause ulcers. The new ones that are prescription are better on the gut for sure.
A person might not notice either how upsetting to the gi tract that can be at first.
As Heather mentioned Celebrex, might really be worth looking into. This can sometimes be more gut upset then some realize and long term could be problelmatic.
As a male I do also understand I don't have to live wth menstrual cramps. LOL Well I do with my girlfreind. LOL
However, as a gi irritant it is well known.
I think Robyns post is certainly accurate on this and should be carefully consdiered, in keeping the gut balanced.
On narcotics themselves, they are not prescribe because long term use can lead to narcotic bowel syndrome, where the cell receptors in the gut can have an even lower tolerence to pain then is already happening in IBS. I know some people like this and they are miserable.
"Narcotic. Narcotic analgesic drugs are usually not prescribed for continuous treatment because of possible development of physical dependency or addiction and unwanted side effects, such as drowsiness and interference with clear thinking. Furthermore, continuous narcotic use can actually increase pain sensitivity and also alter gut motility, leading to severe constipation. This is called the "narcotic bowel syndrome" (Annals of Internal Medicine, 1984;101:331–334). Keeping these cautions in mind, narcotic analgesic drugs are occasionally used to relieve intermittent attacks of more severe pain.
"
http://www.grandtimes.com/Treatment_of_Irritable.html
"It is important to realize that narcotics are not indicated -- and can even be harmful and need to be avoided -- in treating chronic abdominal pain. Over long periods of time, narcotics may produce more pain causing a condition called "Narcotic Bowel Syndrome."
http://www.med.unc.edu/wrkunits/2depts/medicine/fgidc/cfap.htm
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My website on IBS is www.ibshealth.com
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