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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Nausea, Backache, Diarrhoea, No Apetite, Knee Pain. Problem With Liver?

I have been experiencing a lot of nausea the last few months and now I have a dull ache on the right side of my mid back, can t tell if it is internal or muscle related. I have been alternating between full blown diarhea and chalky grey stools for the last week, I have virtually no appetite . I m 29 and was a moderately heavy drinker up until about 2 years ago when my daughter was born. I don t tolerate NSAIDS well so I take quite a lot of acetaminophen to deal with chronic knee pain and almost constant upper back, neck pain and headaches. The knee pain is from a fairly recent injury but I have had the upper back pains since I was in junior high. I attribute this to a very bad fall (almost 20 feet, i landed on my shoulders) i don t feel like the injury was ever properly diagnosed, I recieved no treatment other than an xray . I take about 3 grams a day(16 waking hours) about 20 days per month. I never use to take acetaminophen when I was a drinker. Do you think I need to be concerned about my liver health? I don t really want to see my Dr. if I don t need to. I think he believes I m a hypochondriac or a drug seeker because I talk to him about my back problems most visits. I think he believes I am to young to have chronic back pain and doesn t take me seriously, he prescribes me naproxen almost every visit even though I tell him every time that it makes me sick!
Mon, 4 Nov 2013
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Gastroenterologist 's  Response
Hi

I have read carefully all your concerns and I am sorry for experiencing such sad situation.
with regards to your diarrheaI recommend you to use
-plenty of fluids
-tasectan with a glass of water
- hydramin
If it still persists please you should do coproculture , fece analysis like candida, ova and parasites, abdominal ultrasound and blood work.

with regards to your pack pain, I belive it may be real,
so you can do:
- massaging
-you can use some times opiod analgesics like tramadol,
-avoid stress as it possibile

with regards to your liver and acetaminophen use , it is toxic for the liver .
you take 3 grams a day for 20 days per month, it a high and toxic dose for liver, so you should do balance biochemistry.
So I recommend you to stop use of acetaminophen ore decrease the dosage

all the best

Dr.Klerida

p.s. if you have further concern, do not hesitate to contact me




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Having Nausea, Backache, Diarrhoea, No Apetite, Knee Pain. Problem With Liver?

Hi I have read carefully all your concerns and I am sorry for experiencing such sad situation. with regards to your diarrheaI recommend you to use -plenty of fluids -tasectan with a glass of water - hydramin If it still persists please you should do coproculture , fece analysis like candida, ova and parasites, abdominal ultrasound and blood work. with regards to your pack pain, I belive it may be real, so you can do: - massaging -you can use some times opiod analgesics like tramadol, -avoid stress as it possibile with regards to your liver and acetaminophen use , it is toxic for the liver . you take 3 grams a day for 20 days per month, it a high and toxic dose for liver, so you should do balance biochemistry. So I recommend you to stop use of acetaminophen ore decrease the dosage all the best Dr.Klerida p.s. if you have further concern, do not hesitate to contact me