Conversation: The conversation between human and AI assistant.
[|Human|] I have been taking codeine contine - 1000 mgs per day and Tylenol 3 for cronic back pain for approx. 10 years now. I have had 4 previous back surgeries which unfortunately did not take care of the many different problems in my back.The codeine is now playing havoc with my bowels and has led to a small partial blockage in the small bowel. Is there an alternative pain reliever that does not cause these problems that the codeine does.
[|AI|]  Yes spirits very difficult to bear four spine surgeries. Sir what you can do is ask your doctor to start gabapentin as it decreases the requirement of painkillers as codeine and for an alternative painkiller is a combination of tramadol and paracetamol its safe and does not disturb the bowels also u may start with physical rehabilitation programs they help decrease requirement of painkillers. Electron therapy as tens or short wave diathermy or inferential therapy also are helpful if u have another question feel free to connect again