I have several ongoing, undiagnosed problems currently, the main one of which is abdominal pain for which I am on tramadol, buscapan and paracetamol. The group of pain killers that includes gabapentin won't work for this type of pain according to the docs and I am already on it for my back pain anyway. I can't have NSAIDs because I was on them for too long so I'm left only with opiates until someone figures out what's wrong and hopefully can treat me. I am currently changing doctors and am going to ask my new doctors to refer me to the pain team however a doc in a&ewho told me to go to the pain team said they would put me on fentanyl. my question is, as far as I am aware that is one of the strongest, synthetic opiates that's given to people with opiate resistance. shouldn't the next step up from tramadol be oral morphine? or some thing other than fentanyl?