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Problems about liver damage due to over dose of acetaminophine drug - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Is it possible to not have symptoms of liver damage for years after an acetaminophine overdose, then symptoms appear?
Doctor :   Hi
Doctor :   let me read ur query
Doctor :   ok, for damage by acetaminophen to occur, a near lethal dose has to be taken
User :   I took 50 tylenol PM. It was a suicide attempt 4 years ago.
Doctor :   ok
Doctor :   What are the symptoms that u had at that time ?
Doctor :   Toxicity is associated with a single acute APAP ingestion of 150 mg/kg or approximately 7-10 g in adults.
User :   I vomitted about an hour after taking them. The rescue squad didnt arrive until about 2 hours after ingesting them. I don't remember about 4 days of it, but I was told some kind of medicine was used intraveniously to counteract the tylenol. I was in a coma for 3 days. I was very sick for about 2 months afterwards, vomitting, etc.
User :   I had slowed breathing, irregular heartbeat...I was dying to put it bluntly.
Doctor :   tylenol PM is a 650 mg dose and you had taken about 32.5 gm of that at that point of time
Doctor :   so to say you did have acute hepatic encephalopathy due to apap toxicity
Doctor :   th liver has a high ability to recover after such a acute damage
User :   So, I would know by now if I was having liver complications?
Doctor :   to check if u have any persistting damage, u need a liver function tests and a lier ultrasound
User :   I know there is liver and kidney scarring. I had protein uria while pregnant and the ultrasound did confirm the scarring.
Doctor :   yes, if any complications had occured u would have persisting symptoms like nausea, reduced appetite, vomitging, fatigue, jaundice, etc
Doctor :   ok
Doctor :   So are u having any symptoms as of now ?
Doctor :   the liver can recover over time and symptoms do reduce over time
User :   Slight jaundice, fatigue, upset stomach, chronic body pain.
User :   but that is within the last 48 hours
Doctor :   so these are current symptoms , ok
User :   yes.
Doctor :   these are indicative of slight hepatic issues and will over time reduce,
Doctor :   supportive measures and medications will reduce the symptoms further
User :   Ok thank you.
Doctor :   but you should make sure that u get vaccinated for hepatitis B, A and others so that the liver does not get affected by them
Doctor :   in case they occur, then the chances of deterioration increase further
User :   I believe I am up to date on those vaccines.
Doctor :   in case, the liver is affected, more, then liver transplant can be done which will help u most, and will have good results as well
Doctor :   the prognosis will also improve by transplant
User :   Can the scarring be a reason for these symptoms?
Doctor :   the scarring does not cause the symptoms , but the residual effects post hepatic damage and the repair process can cause this effect
Doctor :   Have u understood my advice ?
User :   Okay. I'm only 19. Will this get worse?
Doctor :   no, it will improve further and u will get better
Doctor :   but u have to avoid all hepato toxic drugs including alcohol, tylenol ,etc
User :   Okay. Do you think when I am older there will be any consequences of the over dose? Say 60's +?
Doctor :   no not much, if u let the liver heal over time and avoiding further liver damage
User :   Ok thank you.
Doctor :   you are welcome
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