I will only say this from my experience only I am not any sort of
medical person but I notice when my distention becomes very bad I have
pressing against my diaphram in which causes me to not breath easily and
I have to whisper at times. Also because I have severe adhesions with
pain in muliple areas and the Duragesic patches are just not enough for
pain. My primary Dr just started me on Lidoderm which is a Lidcaine
patch, non narcotic for surface pain, you can cut off the patch and
apply or use whole and can layer up to 3 on one spot. This does not
take away totaly but I thought worth mentioning as it does help somewhat
and does not interfere with the duragesic patch. The Relafin I take for
distention seems to work on the smooth muscle of the small intestine so
helps about 50% which is more than I have had in past, hope this aids
someone Sincerely Shawna F