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What Does Severe Upper Abdominal Pain After Taking Tylenol Indicate?

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Posted on Tue, 10 Jan 2017
Question: Took a Tylenol with codeine 300/30 and almost immediately got terrible upper abdomen pain. Also, have soreness/pain in muscles of or around diaphragm - reason I took the Tylenol.
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Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
Stop immediately and take antacids, may need Ultrasound abdomen

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had gone through. Based on the history you have shared, though Tylenol and codeine are safer for stomach compared to other pain killers like non steroidal anti inflammatory drugs but still liver toxicity may occur but with one dose seems less likely. It would still be advised to stop the drug and don't repeat it unless exact cause isn't identified.

The pain can be sequelae of the primary symptoms you were facing around diaphragm as such pains can even be arising below diaphragm inside abdomin and needs evaluation by ultrasound to rule out signs of gall bladder or pancreatic inflammation.

Blood screens like complete blood count, liver function tests and serum amylase may be needed. Meanwhile you can use antacids and antispasmodic like drotaverine. Avoid heavy , greasy and oily meals and take soft diets till the workup is completed.

Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Saddiq Ulabidin (17 hours later)
My gallbladder is out. I live in a XXXXXXX complex, sharing common meals (independent living but meals provided). There is a stomach flu/virus going around. Could it be that?
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Answered by Dr. Saddiq Ulabidin (18 hours later)
Brief Answer:
Stomach infection is less likely

Detailed Answer:
Hi! Thanks for sharing the feedback. I hope even while living in XXXXXXX complex, you must be having prompt access to a medical facility so kindly approach one to get the liver functions and amylase tested. Since gall bladder is removed already still posibilty of pancreatitis can't be ruled out or any infection below diaphragm. Possibility of having stomach virus is rare, as rota virus or others which affect GI tract usually present with severe gastroenteritis or diarrhea. Possibility of having H. pylori infection is present but with the short history it's difficult to comment on that at this moment. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
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Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Does Severe Upper Abdominal Pain After Taking Tylenol Indicate?

Brief Answer: Stop immediately and take antacids, may need Ultrasound abdomen Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. Based on the history you have shared, though Tylenol and codeine are safer for stomach compared to other pain killers like non steroidal anti inflammatory drugs but still liver toxicity may occur but with one dose seems less likely. It would still be advised to stop the drug and don't repeat it unless exact cause isn't identified. The pain can be sequelae of the primary symptoms you were facing around diaphragm as such pains can even be arising below diaphragm inside abdomin and needs evaluation by ultrasound to rule out signs of gall bladder or pancreatic inflammation. Blood screens like complete blood count, liver function tests and serum amylase may be needed. Meanwhile you can use antacids and antispasmodic like drotaverine. Avoid heavy , greasy and oily meals and take soft diets till the workup is completed. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.