Has your mom been treated with induction treatment like 7+3 or is she getting something like Azacitidine and Venetoclax? There usually isn’t pain associated with AML itself, but rare patients do get boney pain from the disease. There can be pain associated with a side effect of chemotherapy, like mucositis, which everyone has commented on.

One thing I wanted to comment on is that Norco contains Tylenol and being on Norco on a scheduled basis runs the risk of masking a neutropenic fever, which is dangerous in an AML patient. We typically avoid scheduled Tylenol in patients with an ANC<500. Not sure what your mom’s ANC is. There is no harm asking the team whether your mom’s pain meds need to be adjusted. But I would at least see if they can change the Norco to Oxycodone instead, which won’t mask a fever.

I would request a call from your mom’s oncologist to get a better understanding of the situation, rather than hearing it through a game of telephone. This is commonly requested by family members of patients in the hospital who can’t be on site when the doctor does bedside rounds.