Conversation: The conversation between human and AI assistant.
[|Human|] I have AVM (gastric bleeders with low hgb) and anemic. Am having dental surgery and need a pain reliever. I get very nauseous with hydrocodone. Can t take aspirin. Would Tylenol #3 be a good choice or is there something else that I can recommend to the periodontist. Tramadol makes me nauseous too.
[|AI|]  Hello, NSAIDs are commonly avoided in case of gastric bleeding. This is because NSAIDs are believed to increase gastric bleeding however paracetamol in lower doses is not considered causing such problem of gastric bleeding. But to be on a safer side you should consult your physician and get evaluated, and a thorough clinical examination can be done and if he permits you should take paracetamol otherwise not. As far as HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.