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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Stage 4 Cirrhosis, Due For Liver Transplant. Any Pain Medication?

I have been diagnosed with Stage 4 Cirrhosis and am awaiting until I can be placed on the liver transplant list ..My current GI Specialist doesn't believe in prescribing any pain medications. I have to go to the hospital every 2-3 weeks for my paracentesis. Please let me know if any Physician in NC prescribes pain management????
Fri, 26 Jul 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

Under these particular circumstances, pain medications must be selected carefully. It s advised to avoid Acetaminophen - paracetamol. A few morphines could be used but under keen supervision and follow up of your primary care physician. A detailed pain management plan has to be discussed between you, your transplant surgeon and follow up primary care physician.

For now, low dose morphines are safe till you meet your transplant surgeon for a detailed pain management plan.

Thanks and kind regards,

Bain LE, MD.
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Diagnosed With Stage 4 Cirrhosis, Due For Liver Transplant. Any Pain Medication?

Hi and thanks for the query, Under these particular circumstances, pain medications must be selected carefully. It s advised to avoid Acetaminophen - paracetamol. A few morphines could be used but under keen supervision and follow up of your primary care physician. A detailed pain management plan has to be discussed between you, your transplant surgeon and follow up primary care physician. For now, low dose morphines are safe till you meet your transplant surgeon for a detailed pain management plan. Thanks and kind regards, Bain LE, MD.