Hi, Billy. You've done well so far to manage the pain with non-narcotics, but there almost always comes a point where that isn't enough. I'm taqking a guess that the patch you are on is fentanyl [please correct if that is wrong]. That drug, while tolerated by many people, does weird things to some. My husband could not tolerate it-he had out of body experiences, halucinations, etc.. He did have success with hydrocodone and Dilaudid for pain control during and after rad. The suction machine helped him alot also, as did continual salt and baking soda mouth rinses, and drinking lots of water. Constipation is another major issue and it is pretty much a trial and error thing. It depends alot on how much and WHAT you are able to eat first of all. Are you getting any solid food? Are you getting any fiber?. If not, you may need to try things like prune juice or a medium strenght laxative [with lots of water] to see if you can control it that way. If not, then something stronger [but you may need to wait until the final dose of chemo is over so as not to strain your system too much. AThe last rad treatments and the weeks afterward are likely to be tough, so take good care of yourself. Best wishes, Amy in the Ozarks