Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a chronic pain patent and I take perc 10.325 every 6 hrs. Last nite I was in the ER with severe stomach pain and had been suffering all day. My pain med was not helping at all. The ER done some tests which one was a narcotic drug test, which I didn t care cause I knew I took my meds, but the test came back negative for narcotics...I knew this wasn t possible. The ER nurse said my enzymes are elevated...can that be the reason why my medicine doesn t seem to work or show up in a drug test? Can the elevated enzymes be pushing the narcotic thru my system to fast?
[|AI|]  Hi! Good morning. I am Chat Doctor answering your query. You have not mentioned your age, and if the cause of the pain was diagnosed in your case or not. Consuming pain relievers without arriving at a particular diagnosis is not going to cure your problem. If I were your doctor, I would have gone for a detailed clinical examination of your abdomen followed by routine investigations like a complete blood count, blood sugar, kidney function tests, liver function tests, serum lipid profile, serum amylase and lipase, cardiac enzyme tests during the acute pain attacks, an ultrasound abdomen with an x-ray chest, and if need be a CT scan. I would plan further management on the result of my clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.