Do I Have Liver Damage? I Am On The Last

Posted on Tue, 5 Nov 2019

Question: Do I have liver damage? I am on the last month of accutane. Last Thursday I had about 1200 mg of tylenol and went to drink 5 hours later. I did not have much alcohol aboit 4 drinks in 3 hours. I went to workout Saturday and took a pre-workout with a stimulant. Then Sunday I took about 250 mg of tylenol. Today I have random fstigue and have been urinating frequently for the past two days. I do have loose stool but not quite diarrhea. i have some pain i. my upper right qudrant but It is not consistent. I am also detoxing from opiates so could this be withdrawl too?

Answered by Dr. Ramesh Kumar (4 hours later)

Brief Answer:
Very like acid peptic problem.

Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns,
As per the details given by you the first thing which causes Right upper quadrant pain is gastritis or acid peptic disorder.
Taking high doses of Tylenol followed by alcohol followed by Tylenol may causes gastritis or acid peptic disorder.
Frequent urination may be due to urinary tract infection resulting from infection in urine as a result of dehydration.
Infection any where in body causes fatigue.
As you are detoxifying from opiates the pain in mild loose motion could be a result of withdrawal also.
As of now few suggestions are-
Take over the counter antacid like Omeprazole twice daily.
Go for a urine and stool routine sensitivity test to rule out infection.
Avoid Tylenol or any anti inflammatory.
Drink plenty of water around 3 litres a day.
Take soft diet.
If possible home cooked light food for few days.

follow up with reports .
Thank you.

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Above answer was peer-reviewed by : Dr. Raju A.T