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Why are doctors scared of pain medicines after surgery and can tylenol causes liver problems?

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General & Family Physician
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Why are so many doctors, scared of pain meds after surgery? Pain management is important to healing and having a good outcome. Why add in tylenol, it just ups the possiblitiy, of liver problems. i take alot of meds for my HIV/AIDS.
Posted Tue, 1 Oct 2013 in Medicines and Side Effects
Answered by Dr. Luchuo Engelbert Bain 49 minutes later
Brief Answer:
You are right, BUT,,,,

Detailed Answer:
Hi and thanks for the query,

Pain management is of course of utmost importance is you rightly put it. However, prescription of these drugs takes into consideration the clinical status of the patient, the site of surgery, the type of surgical intervention and the duration of the surgery. Cancer surgery, heavy or very invasive and long surgical procedures shall for sure deserve a more intensive pain management.

Vocal cord implant surgery does not require a very intensive pain control. Based on previous drug performance, specific drugs are general adapted to particular surgical scenarios. Tylenol, which is a inflammation during such surgeries and controlling the pain. It has very low risk of causing drug dependence, is not associated with withdrawal symptoms, is easy to manage and is better tolerated and has less short to medium term complications than drugs like opiods and morphines. Morphines ad opiods are more potent in reducing pain, but cause more dependence, have more withdrawal symptoms and dosage more difficult to manage.

It is true that Tylenol can cause liver disease and other ills in the body. However, when taken in regular and reasonable doses, within short and reasonable time frames, it is relatively safe. Monitoring of patients however, irrespective of the type of medication class they take still remains very important, for patients do not always react as described in books and might react differently to different drugs. Do not therefore hesitate to signal to your doctor any abnormal sign or symptom that becomes worrisome.

Thanks and hope this helps. Wishing you good health.

Bain LE, MD
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