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Suggest Treatment For Abdominal Pain, Nausea And Swelling

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Posted on Thu, 3 Nov 2016
Question: Hello. I'm concerned my liver may be inflamed I am experiencing right side abdominal pain, nausea, thirst, and I feel swollen. I was severely constipated, but used a laxative and my bowels have moved. However, the other symptoms are still there, including tenderness in my stomach area and just to the right side. I am currently taking tramadol for fibromyalgia. Could the tramadol be damaging my liver?
doctor
Answered by Dr. Tayyab Malik (4 hours later)
Brief Answer:
Further evaluation advised

Detailed Answer:
hi.
thanks for posting query at HCM.

i understood your concern and advise you to have some blood tests that may give a better picture. Your clinical presentation points towards liver inflammation but one may not confirm without having some blood results. Followings tests are advised:

1. Liver function test
2. blood routine test ( CBC)
3. ultrasound abdomen ( if possible)
4. viral serology for hepB&C if not done in the past 6 months and/or if not vaccinated against HepB.

you may post the results here.
meanwhile, avoid fat-rich food , red meat, junk food and beverages.
yes, tramadol may injure liver. however, not always. blood test results will confirm.

discuss with treating physician: switching from tramadol to another drug but be sure that you do NOT stop tramadol immediately. tramadol dosage is tapered down and then stopped.

hope to answer your concern.
regards
Dr Tayyab Malik
Note: For further follow up on digestive issues share your reports here and Click here.

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

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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Suggest Treatment For Abdominal Pain, Nausea And Swelling

Brief Answer: Further evaluation advised Detailed Answer: hi. thanks for posting query at HCM. i understood your concern and advise you to have some blood tests that may give a better picture. Your clinical presentation points towards liver inflammation but one may not confirm without having some blood results. Followings tests are advised: 1. Liver function test 2. blood routine test ( CBC) 3. ultrasound abdomen ( if possible) 4. viral serology for hepB&C if not done in the past 6 months and/or if not vaccinated against HepB. you may post the results here. meanwhile, avoid fat-rich food , red meat, junk food and beverages. yes, tramadol may injure liver. however, not always. blood test results will confirm. discuss with treating physician: switching from tramadol to another drug but be sure that you do NOT stop tramadol immediately. tramadol dosage is tapered down and then stopped. hope to answer your concern. regards Dr Tayyab Malik