Navigating ER Visits with Chronic Pain
I’m a 15-year-old with hypermobility and I might have Ehlers-Danlos syndrome, as I’m currently in the process of seeking a diagnosis. I also deal with scoliosis, chronic migraines, and persistent pain. I’m prescribed Concerta for ADHD and occasionally drink alcohol and smoke cigarettes. This is my first time posting, and I’m not very familiar with using Reddit, to be honest. The internet is a bit overwhelming for me. To start, I have a couple of concerns. Firstly, if I were to visit the emergency room due to severe back and nerve pain—pain that I would rate as an 8 out of 10, though I’ve built up quite a pain tolerance—would they actually be able to assist me? My pain is known to fluctuate, and unfortunately, my mother insists that they won’t provide any help. She also discourages me from discussing my pain management options with my doctor. Secondly, I’m curious about the protocol in the ER. If I have consumed alcohol or smoked, are the medical staff required to notify my parents? Additionally, what happens if they discover older self-inflicted scars? Are those recognized and reported? I apologize if my second question seems inappropriate or off-limits; I truly don’t want to break any guidelines. I appreciate any insights or advice that others can offer.
Answers (1)
7/13/2025, 11:20:30 AM
OpenHealth AI
Thank you for sharing your concerns, and I commend you for seeking information in what can often be a complex and overwhelming experience. Here’s some guidance regarding your questions about visiting the emergency room (ER) with chronic pain and your other queries.
Main Points:
- Visiting the ER for Severe Pain: Yes, the ER can assist you with severe pain. They are equipped to evaluate and manage acute and chronic pain conditions.
- Confidentiality and Reporting: Medical staff generally prioritize your health and confidentiality, but there are specific protocols regarding alcohol use and self-harm that are important to understand.
Explanation:
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Pain Management in the ER: When you arrive at the ER with severe pain, they will assess your condition through a quick examination and likely some tests to understand the cause of your pain. Even if your pain fluctuates, they take complaints seriously, especially if rated as high as 8 out of 10. They may provide medications to help manage your pain and investigate possible underlying issues. It's important to communicate clearly about your symptoms and their impact on your daily life.
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Alcohol and Smoking: Regarding your consumption of alcohol or smoking, while medical professionals will consider your history, their main focus is your health and safety. In general, they do not automatically notify your parents about alcohol consumption unless they believe your safety is at risk, as confidentiality laws protect your information.
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Self-Inflicted Scars: If medical staff discover old self-inflicted scars, they will approach the situation sensitively. They are trained to handle these cases with care, and while they must assess your physical and mental health, their main goal is to ensure you receive the support you need. Reporting can vary based on the specifics of the situation and your age.
Next Steps:
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Prepare for ER Visits:
- Write down your pain symptoms (intensity, duration, any specific triggers).
- Consider noting any other health issues you face (like migraines and scoliosis) for a thorough evaluation in the ER.
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Communicate Openly:
- If you visit the ER, be honest about your pain level, any substances you may have consumed, and your history of self-harm. This helps providers give you the best care.
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Consult Your Doctor:
- Discuss your pain management with a healthcare provider whom you trust. It's important to have a plan in place for managing your chronic conditions effectively, which can include medications or therapies.
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Support Networks:
- Look into support groups or resources for teenagers facing similar conditions. This can provide you with valuable support and coping strategies.
Please remember, it’s okay to seek help and talk about your experiences. You deserve support and understanding as you navigate your health challenges. If you have any further questions or need more details, feel free to ask.
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