Yeah, I totally agree with you. My gastro wasn't comfortable prescribing any pain medication, but he didn't have a problem referring me to a pain management clinic. Both pain management clinics I've visited so far have prescribed me pain medication. The first one I had to leave because of the insurace reasons, like I said.I think there are some of us that really can benefit from pain medication. IBS can be very severe- I don't care what other "people" say about the issue... for me, pain medication has been a life-saver along with the Elavil. I don't care if other "people" say it doesn't help our kind of pain- it helps me.I'm also a lot younger than you. The reason I say that is because doctors seem to been a little hesitant prescribing pain medication to people my age (not even 25 yet!), and both of them didn't even hesitate to prescribe it- so I would think that's a very good thing for you. Since you are an adult, most will take you more seriously. Also, Lyrica, a nerve pain medication (also used for people with seizures) really helps as well. I take 150mg a day. Elavil, Lyrica, and the occasional Morphine and I'm good to go.