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Medical Forum / Diseases and Disorders / Hepatitis / February 2008

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headaches

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topcat - 15 Feb 2008 17:42 GMT
I've had almost daily headaches for 3 months and I was taking about
800mg Ibuprufen 2xs a day until last week when the dr. told me to
stop.  He is going to do a liver biopsy on the 27th.  I could'nt stand
the headache so I called him and he said take Tylenol.  Everything
I've read and was told by my regular doctor was, Don't take Tylenol.
Anybody here care to comment.  I won't start treatment until after
they get the results of the biopsy.
TopCat
greyhackles - 15 Feb 2008 17:54 GMT
>I've had almost daily headaches for 3 months and I was taking about
>800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 4 lines]
>they get the results of the biopsy.
>TopCat

Ibuprophen, like aspirin, will inhibit blood clotting, and is definitely
contraindicated for someone about to have his liver stabbed ;-)

While I've never been wild about Tylenol, in this case moderate use of same is
inherently safer for you. Indeed, for those of us who went through the
anti-viral combo therapy, you'll find moderate use of Tylenol is recommended
(and was efficacious for me) for getting through the flu-like symptoms on the
day and day after you do your Peg-Interferon shots.

The maximum daily limit for Tylenol is 4 grams per day, but it has been shown
chronic use at that level can risk liver health. The apparent current
consensus for chronic Tylenol usage is to stay under 2 grams per day *from all
sources* (ie: most common cold remedies contain hefty amounts of Tylenol)...

Cheers

/greyhackles
topcat - 15 Feb 2008 17:54 GMT
> I've had almost daily headaches for 3 months and I was taking about
> 800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 4 lines]
> they get the results of the biopsy.
> TopCat

My Regular Dr. just called and said: Don't take Tylenol, he prescribed
something called TRAMADOL?
Anybody know what that is?
TopCat
greyhackles - 15 Feb 2008 18:11 GMT
>> I've had almost daily headaches for 3 months and I was taking about
>> 800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 9 lines]
>Anybody know what that is?
>TopCat

Nearly everything you need to know about Tramadol:
http://en.wikipedia.org/wiki/Tramadol

Did your "regular doctor" give you a prescription?

I would definitely bounce this off the doctor performing the biopsy before
using it, particularly because of its effect on blood clotting. In fact, on
the face of it, I think your "regular doctor" is giving you questionable
advise (<= I'm being kind here)...

/greyhackles
topcat - 15 Feb 2008 18:31 GMT
> >> I've had almost daily headaches for 3 months and I was taking about
> >> 800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 20 lines]
>
> /greyhackles

Thanks GH.   I put a call in to the dr. who's going to do the biopsy
about the Tramadol.  In the meantime, I couldn't stand the wait for a
call back so I took 2 tylenol.      Frankly, I can't wait to start
tx., side effects or not, cuz I've had lower back pain (hard to tell
if it's in the muscle or from the lower GI tract)  and then theres the
headaches and dizziness for almost 3 months and it seems to be getting
worse. later, TC
Cactus Jammies - 15 Feb 2008 19:48 GMT
I was told to take Tylenol for shot days, max 2 tablets per day, for no more
than three days in a row.

cactus jammies
On Feb 15, 11:11 am, greyhackles <greyhack...@NOSPAMyahoo.com> wrote:
> >> I've had almost daily headaches for 3 months and I was taking about
> >> 800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 22 lines]
>
> /greyhackles

Thanks GH.   I put a call in to the dr. who's going to do the biopsy
about the Tramadol.  In the meantime, I couldn't stand the wait for a
call back so I took 2 tylenol.      Frankly, I can't wait to start
tx., side effects or not, cuz I've had lower back pain (hard to tell
if it's in the muscle or from the lower GI tract)  and then theres the
headaches and dizziness for almost 3 months and it seems to be getting
worse. later, TC
topcat - 15 Feb 2008 20:20 GMT
On Feb 15, 12:48 pm, "Cactus Jammies"
<cactusjamm...@retinal.circus.orb> wrote:
> I was told to take Tylenol for shot days, max 2 tablets per day, for no more
> than three days in a row.
[quoted text clipped - 37 lines]
>
> - Show quoted text -

I just got off the phone with the HCV doctor and he said that my
headaches, back ache and dizziness are NOT related to hep-c, and since
I haven't started treatment, he doesn't know what it is, and wants to
send me back to my reg. Dr.  But every time I talk to him, he says he
doesn't know what it is???  what the F...  If they don't know, I'm in
deep s...  Anybody else get these symptoms before they started
treatment?
TC
Normin - 15 Feb 2008 22:11 GMT
On Feb 15, 12:48 pm, "Cactus Jammies"
<cactusjamm...@retinal.circus.orb> wrote:
> I was told to take Tylenol for shot days, max 2 tablets per
> day, for no more
[quoted text clipped - 58 lines]
>
> - Show quoted text -

I just got off the phone with the HCV doctor and he said that my
headaches, back ache and dizziness are NOT related to hep-c, and
since
I haven't started treatment, he doesn't know what it is, and
wants to
send me back to my reg. Dr.  But every time I talk to him, he
says he
doesn't know what it is???  what the F...  If they don't know,
I'm in
deep s...  Anybody else get these symptoms before they started
treatment?
TC

The HepC can/will make you tired and sap any strength and energy
you should have.  Add some stress, some worry, the tension of
feeling crappy and not knowing why..... it would be amazing if
you DIDN'T have headaches, backaches, and dizziness, no?

try upping your water intake a bit, (or a lot if you're not
drinking much), that 'should' help the dizziness....and try some
relaxation stuff... smoke something, pop a xanax, maybe even just
a tylenol pm to help you get a good night sleep?

Doctors try hard, but they just can't diagnose everything.  I
recently saw my regular doc and asked him why I'm still tired so
much...  he basically told me to work on losing some weight
(which I desperately need to do!).... and when I thought about
it, lugging around this (xx) amount of extra weight IS very
tiring, plus hard on my back.  So, hopefully as I lose a bit, and
get more active I'll feel better yet.

anyway /turn off mother-mode :)

hope you feel better soon
Sara
Waterspider - 16 Feb 2008 02:31 GMT
On Feb 15, 12:48 pm, "Cactus Jammies"
<cactusjamm...@retinal.circus.orb> wrote:
> I was told to take Tylenol for shot days, max 2 tablets per day, for no
> more
[quoted text clipped - 43 lines]
>
> - Show quoted text -

I just got off the phone with the HCV doctor and he said that my
headaches, back ache and dizziness are NOT related to hep-c, and since
I haven't started treatment, he doesn't know what it is, and wants to
send me back to my reg. Dr.  But every time I talk to him, he says he
doesn't know what it is???  what the F...  If they don't know, I'm in
deep s...  Anybody else get these symptoms before they started
treatment?
TC

I am simply stunned that your doc would say that your headaches and
dizziness are not related to hep c; these are known symptoms of the disease.
If your gastro is at all up on hepatitis c, he should know this. Maybe
someone here could get a link to a reputable site describing these symptoms,
so you could let him have a look.

Yes, I had frequent and significant headaches and dizziness (among other
crap) from hep c, but not backache (I got that from gall stones, another
story). Several years after successful treatment, I rarely get headaches and
the dizziness is altoghether gone. I suspect the occasional headache is
normal.
Russian - 17 Feb 2008 07:41 GMT
> I just got off the phone with the HCV doctor and he said that my
> headaches, back ache and dizziness are NOT related to hep-c, and since
[quoted text clipped - 3 lines]
> deep s...  Anybody else get these symptoms before they started
> treatment?

I had just finally gotten around to going to a chronic pain clinic for
my mygraine headaches before starting treatment.  I had been getting
them on average one day every two weeks but sometimes went three weeks
without one and sometimes had the same one for 3 days in a row non-stop.

This had been going on for about 5 or 6 years.

My preferred treatment was first try 3 advil, and then an hour later try
a small amount of percoset (I can't take it at once because it makes me
really nauseated if I do) repeating over a couple of hours.

After about 6 months on treatment (peg & riba), the headaches started to
drop off in frequency.  I get them once every six weeks now and Advil or
 a small amount of Vicodin puts a stop to them.

I don't know what made the difference.  It could have been finally being
forced to get more sleep (because of the tx).

Or it could have been due to my liver being in better shape.

Although I relapsed in hep-c viral load and alt levels, I still have
more energy than I've had in several years, and I still have way fewer
headaches.
Russian - 17 Feb 2008 07:44 GMT
Or maybe it was learning during treatment to drink more water, that
helped with the headaches.

I have a case of water at the office and I put two bottles on my desk
every morning.  If that doesn't sound like much... without that system
I'd drink almost none during the day.

>> I just got off the phone with the HCV doctor and he said that my
>> headaches, back ache and dizziness are NOT related to hep-c, and since
[quoted text clipped - 27 lines]
> more energy than I've had in several years, and I still have way fewer
> headaches.
Terry - 17 Feb 2008 16:35 GMT
>I had just finally gotten around to going to a chronic pain clinic for
>my mygraine headaches before starting treatment.  I had been getting
>them on average one day every two weeks but sometimes went three weeks
>without one and sometimes had the same one for 3 days in a row non-stop.

I had migraines from high school until around 35.  I would have to go
for shots sometimes because they were so bad.

They just went away one day.

I didn't put it together until later.  I used to smoke Marlboro
cigarettes.  When I switched to lights they went away.  The way I put
it together was that I bought a pack of regular Marlboro and it caused
a headache.
Terry - 16 Feb 2008 02:27 GMT
>> >> I've had almost daily headaches for 3 months and I was taking about
>> >> 800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 28 lines]
>headaches and dizziness for almost 3 months and it seems to be getting
>worse. later, TC

That sounds like it could be high blood pressure.
I take the prescription drug Altace and it works great.
Thip - 16 Feb 2008 02:42 GMT
> That sounds like it could be high blood pressure.
> I take the prescription drug Altace and it works great.

Good suggestion.  TC, can you borrow a BP monitor and check it every few
hours for a few days?  If it's spiking that could be causing some of your
problems.
Cactus Jammies - 16 Feb 2008 03:04 GMT
>>> >My Regular Dr. just called and said: Don't take Tylenol, he prescribed
>>> >something called TRAMADOL?
>>> >Anybody know what that is?
>>> >TopCat
... I've had lower back pain (hard to tell
>>if it's in the muscle or from the lower GI tract)  and then theres the
>>headaches and dizziness for almost 3 months and it seems to be getting
[quoted text clipped - 4 lines]
> I take the prescription drug Altace and it works great.
> ..........................

I take Altace Adalat (generics) and Hydrachlorothorazide (water pill) for my
HBP, have been for years.  Down to a pretty normal 130/80 but it was 160/105
before I started with those drugs.
One difference between Tylenol and that Tramadol stuff is that the first is
cheap and there is no Rx charge by the prescribing doctor as would be the
case with the other, or am I just being cynical?

good luck and cheers

cactus jammies
greyhackles - 16 Feb 2008 03:31 GMT
>>> >> I've had almost daily headaches for 3 months and I was taking about
>>> >> 800mg Ibuprufen 2xs a day until last week when the dr. told me to
[quoted text clipped - 31 lines]
>That sounds like it could be high blood pressure.
>I take the prescription drug Altace and it works great.

The headaches and dizziness could be caused by hypertension, but I'm not sure
the backache fits (could be wrong, I've been blessed with fabulous BPs through
my life). And one would think with all the visits to his primary care
physician, someone would have noted high blood pressure.

Otoh, all of those symptoms could be caused by a whacked-out thyroid -
something that wouldn't normally be discovered by the typical PC visit.

So I'd go for a TSH check. It's cheap and quick...

Cheers

/greyhackles
topcat - 16 Feb 2008 19:15 GMT
> >>> >> I've had almost daily headaches for 3 months and I was taking about

Well, After one day on Tramadol I would say, stay away from that if
possible.  It certainly took away the headache and was definitely
feeling; stoned.  but I feel hungover today, and had the weirdest
dreams,   no thanks.  going back to tylenol until told otherwise.
TC
Normin - 15 Feb 2008 18:39 GMT
>>> I've had almost daily headaches for 3 months and I was taking
>>> about
[quoted text clipped - 31 lines]
>
> /greyhackle

oh, there is something about taking Tramadol with certain
antidepressants... definitely need to be aware of drug
interactions if you will be taking it.

Sara
 
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