<human>: 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 doesnt 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????
<bot>: 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.