Dilaudid 2mg 5 A Day Neg Urine Screening Why

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I need to know why this is not showing up on my urine test. i have had about five tests and they all come out negative.

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I take 2 mg of Dilaudid almost every evening for chronic pain & 2 mg of Clonazapam at bedtime each night. I had severe diarrhea from magnesium for 3 wks to 4 wks. I was in ER x2 for dehydration, nausea, vomiting & diarrhea. Then stopped the magnesium for 4 days then started it again, the same symptoms returned again but diarrhea seemed worse this time. My Mag, K+,chem profile and kidney labs were all abnormal. BUN, creatnine, & chloride and a few others were very high, doc said I had AKI. When I went to the doc 5 days later for check up and ua after having blood in my a blood in my blood in my urine (large amt of blood, almost pure red to purplish color). Also have pituitary adenoma & Hashi's, Would this have any effect on my low dose of both meds on my urine? To the point that the dr says i am not compliant with the meds and therefore she will not order them anymore. My old PCP had the same results and it is in my chart but the new one won't even listen to what I have to say. The old PCP left and I was given a new one, so she is no help. Can you help me understand why the PCP doesn't understand or compare the test to the old ones? This is very frustrating and I don't know what to do.

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I need to test postive for hydromorphone (urine test) tomorrow morning I haven't taken any in a week & have one 2mg tab left. Should I take it tonight or in the morning? What about crushing a small amount up and mixing it in a small amount of my pee today then just add it to the sample I do at the office. I should be taking three 2mg each day so I'm not sure if they will know I'm not taking that many.

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