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Old 09-24-2007, 10:54 PM   #1
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Liver Function / Blood Test

I have appointment this week with my PM. It has been about 1.5 years now with him, but I have never had any blood work to see if my liver or rest of the body has had any changes or damage from all the tylenol or meds in general.

Do you guys have blood work done when on pain meds. Is it neccesary?

I think I might request it and see what he thinks.

 
Old 09-24-2007, 11:10 PM   #2
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Re: Liver Function / Blood Test

I have them regularly from my family doctor. My pain doctor never requests them, nor has she ever even brought it up.

I know in the past that I have taken massive amounts of acetaminophen (like 15-18g per day for like a week at a time or so) for a stretch and became worried about it during that time and went to my family doc and requested the LFT. Sometimes they would come back elevated slightly and other times they came back just as normal as could be.
What would always make the levels spike, though, were dietary supplements like Creatine (sp) and Xyience. Before I had my surgery I used to work out a lot, just about every single day but Sunday, and was taking that stuff. When I had my LFTs done they came back and were off the charts. Elevated immensely. My doctor ordered me off that stuff immediately and I retook the tests a month later and everything was alright again.

Now, one thing you should have done if you're worried about the Tylenol intake is to have the Kidneys tested as well, since the Liver, when overloaded from the Tylenol and such, will pass the duty off to the Kidneys and that is what really will take a beating.

But yeah, I always worried about that stuff too. Keep in mind also that the Liver has an amazing ability to heal itself as well, just to maybe ease your mind if you were worried.

 
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Old 09-25-2007, 08:24 AM   #3
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Re: Liver Function / Blood Test

This Topic Interets Me As Well As Ive Nvr Had A Liver/kidney Test

An Wonder Why It Hasnt Been Recomended


Hope Ur Havin A Low Pain Day

 
Old 09-25-2007, 08:30 AM   #4
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Re: Liver Function / Blood Test

this should just be done whenever you are taking any tylenol based meds on a regular basis(or any other meds that are extensively metabolized thru one specific organ).i have mine done twice a year only because i do have a kidney and liver disease but i take nothing ever that contains any tylenol anymore since i found out that i do have this disease.i had it all my life but did not have a clue since all my labs,even now despite the disease overtaking my kidneys and liver,have all been (thankfully) within normal limits.i found out in 1999 when our son went into liver failure and we found out it came from one of us,i was the one who passed the gene onto our son(he had a mutated form of the PKD gene).there are alot of kidney and liver diseases that a person can actually have but have no clue because their lab numbers are great,mine are too,but both kidneys are so huge and covered with cysts that last year they actually shifted out of my back and are now abdominal/thorasic organs.labs still good.just freaks me out.if you are actually taking any tylenol based meds or other things like some of the anti S meds,you should really be getting these checked out at the very least,once a year.lyrica actually affected my kidneys and made them swell,thats when they shifted out of their normal back posistion.so other meds too can have an affect on your liver and kidneys.it all depends on how much and what type of meds you take and where they are actually metabolized.either the kidneys or the liver but anything that is actually metabed thru the liver still has to be filtered thru your kidneys too.its just good basic medical care when you are taking any Rxed meds or even some OTCs on a daily basis.i,personally would very highly recommend it.it cannot hurt to keep track.marcia
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Old 09-25-2007, 09:17 AM   #5
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Re: Liver Function / Blood Test

Primary Care physicians doing "standard" bloodwork for routine physicals will always include what is called "Metabolic" tests--these include any number of specific catagories involving Liver, Pancreas and Kidney functions--If any of the catagory results are "outside" the standard deviation, then further testing may be required. Chances are, if you have had routine bloodwork done, then your liver function was also included--I always get my results, just for my own information and if I need to change anything regarding meds, diet etc. Specialists, especially Pain Management docs, will want other tests to verify compliance, or maybe they can just use urine--not sure about that as I just use my primary doc for pain management and general check-ups, then let him send me to a specialist if needed. That way, all results end up with him--from checking out this board and others, I seem to have it easy compared to others in chronic pain. Take care--Roger

 
Old 09-26-2007, 10:03 AM   #6
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Re: Liver Function / Blood Test

It is important to have these tests done every 6 months if possible but be sure you are getting the right test. My family doctor does a quick test which is fine for some things but not all. There's a more enhanced test (and I wish I knew what was different) that she never tests for and my Rhuemy makes me go back for more tests because they are not complete. And according to him the most important aspect of this test is completely missed by her.

My PM is convinced that as long as I don't drink and never had a history of problems I don't need these tests. I don't agree with him at all. My husbands liver enzimes were way out of whack a few months ago when he had a virus caused by a mosquito (west nile virus) He was on max tyelonal for high fevers for a week, in that short amount of time damage had started. I was horrified. Fortunately he has a wonderful hemotologist/oncologist who is monitoring him very closely and things are returning to normal. It makes you wonder what long term use would of done to him. (oh and again our family doctor didn't even do the right tests to find this information out!)
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Old 09-26-2007, 02:07 PM   #7
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Re: Liver Function / Blood Test

Doctors work for you--If you are not satisfied, then fire them and find another--I firmly believe that it is up to each one of us to find a doctor we trust--Granted that can be difficult--but important none the less--Talk to friends, neighbors, relatives--anybody you trust and get recommendations--then follow up with your own evaluation--It is your health at stake--Doctors make mistakes just like anybody else--there are also quacks out there--You are responsible for your own care--if you don't think something is quite right--it probably isn't. ER doc's are generally youngest, least experienced--not always, but a lot of the time. I learned all this the hard way--Years ago, I thought doctors were always right and did whatever they said--Now, I check everything. JMO--Roger

 
Old 09-27-2007, 07:47 AM   #8
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Re: Liver Function / Blood Test

just wanted to put in a big DITTO on what roger just told you.if this doc cannot even do simple needed requested bloodwork on you when you have some level of concern,what good is he to you.find a new one that actually gives a dam about his patients.you DO deserve better.marcia
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9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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