I am so sorry you are so misrabel. I would go to a different ER,and see what they can do for you there. I have been given Ultram,which for me only help's when the pain is very mild. I know exactly how you feel,I alway's go to the same ER,because that is where I have had my hospitalization,and all my test's and my Lap,and I figure this is the best place to go. I have actually been sent home from there,with the adivce to take Advil,and drink a lot of water. I think you need to go to another ER,and keep going til you get the relief you need and deserve. If you ever want to chat,plz feel free to email me directly. Laura