Hello Thank you for sharing these details—this is a serious situation and needs careful attention.
Key points: - Ingesting 12g paracetamol (acetaminophen) is a significant overdose, even if it was 80 hours ago. - Elevated SGPT, SGOT, and bilirubin suggest the liver is affected. - Symptoms like pain, nausea, and fatigue are concerning for ongoing liver injury.
What this means:
Paracetamol overdose can cause delayed but serious liver damage. The risk remains high even after 3–4 days, especially with abnormal liver tests and symptoms.
What to do now:
- Immediate hospital admission is needed. He should be under the care of a doctor, preferably in a hospital with facilities for liver monitoring and management.
- Further tests: The doctor will likely repeat liver function tests, check INR/PT (blood clotting), kidney function, and monitor for signs of liver failure.
- Treatment: Even though the best window for antidote (N-acetylcysteine) is within 24 hours, it can still be helpful up to 4–5 days after overdose, especially if there is ongoing liver injury. Only a doctor can decide and administer this.
- Do not wait at home. This is not something that will get better on its own, and complications can develop quickly.
Summary:
This is a medical emergency. Please take him to the nearest hospital or emergency department right away, even if he seems stable. Early and ongoing medical care can make a big difference in recovery.
Thank you
Hello dear It is a medical emergency requiring immediate hospitalization Since the time period that lapsed is 80 hrs so anti dote N acetyl cysteine may be still effective There will be requirement of gastric lavage Get following tests done for toxicity level Sgot Sgot Inr Pt Aptt Regards
Urgent hospitalization is required.
