I have panic attacks as wel so this pain along with what I was doing last week just has me worried. I've seen where people take 20 pills with Tylenol in them a day and don't have liver toxcity. I still have had no other symptoms except for this pain in my lower stomach below my belly button on the right side. It's been 80 hours now since I last took Tylenol
I'm on two different kinds of statins which can cause liver damage. My doctor does a liver function blood draw about every 4 months to check my liver and it's always fine. It might put your mind to rest if you can also ask your doctor about your concerns and see if he can get your insurance to approve a liver function test.
There are four phases of an acetaminophen overdose that last over several days.
The first phase occurs within the first 12 - 24 hours. The patient will suffer from one or more of the following: nausea, vomiting, sweating, loss of appetite, diarrhea, and irritability. Not all patients display early symptoms of overdose. During this phase if a patient seeks treatment they will be given charcoal that will bind to the acetaminophen in the stomach. Then doctors will pump the stomach, aiming to remove all of the acetaminophen. Likewise they might give the patient N-acetylcysteine, or NAC, which is an antidote for acetaminophen overdose and can be taken orally.
The following 12 - 24 hours is called the latent phase. The patient will feel fine and all symptoms will completely disappear. Some patients may experience less frequent urination. Although it seems the body is doing fine, it is during this phase that the liver damage begins.
The third phase can begin between 48 and 72 hours after acetaminophen consumption. The first sign that the liver is damaged is typically a pain in the upper-right abdominal area or tenderness near the liver. The liver will be swollen. Following this, liver failure can occur. Signs of liver failure are jaundice (yellow eyes and skin), dark urine, confusion, hypoglycemia (low blood sugar), bleeding, nausea, and vomiting. During this stage liver blood test abnormalities will show up on blood tests. It is common for this type of injury to see extremely high levels of AST and ALT on liver blood tests. At this point the prognosis of lasting effects of the liver injury will be fairly accurate based on the exam and blood tests. Many patients who reach the third stage need a liver transplant in order to live. For some patients once the liver has been severely damaged, they also experience kidney failure and heart problems. Death may occur due to brain swelling, infections or, most commonly, multiple organ failure.
The fourth phase is 5-14 days after consumption of acetaminophen. This stage can last up to 21 days and patients either recover completely or die from liver failure. A full internal recovery can take up to 3 months.
If you experience any of these signs or side effects, you should contact a doctor immediately.
http://www.tylenolliverdamages.com/signs-and-symptoms-of-acetaminophen-related-liver-damage.php
Overdoing acetaminophen
http://www.health.harvard.edu/fhg/updates/overdoing-acetaminophen.shtml