Hello,
Welcome back to icliniq.com.
I have reviewed your case history in detail. You have provided an extensive history mentioning each and every detail. First, I will list the issues I have noticed and then address them one by one.
1) Generalized weakness and morning joint pain or stiffness.
2) Occasionally alcohol consumption initially, then usually a few days a week, and then you have four drinks in almost 6 hours timeframe.
3) You donated blood recently and were worried whether it was related to this or not.
4) Now, the important point is that your health deteriorated initially over a few weeks with fatigue, weakness, yellow color eyes to some extent, and right upper abdominal pain as well.
5) you are on multiple medications and supplements.
6) You have a stressful job and lifestyle.
Now I will give my suggestions, one by one.
1) Before starting this episode, you had some history related to muscle stiffness, so monitor morning stiffness specifically, small joints of hands or large joints like knees or elbows, etc. Duration of stiffness is important too. For this purpose, you should be checked for vitamin D deficiency, rheumatoid factor, and anti-CCP (cyclic citrullinated peptide test) for rheumatoid arthritis.
2) Occasionally, alcohol consumption is fine as per recent guidelines on alcohol liver disease, but daily or binge drinking can be dangerous. So take care of yourself and restrict yourself to occasional alcohol consumption.
3) Well, your symptoms are nothing to do with blood donations as such. They must have checked your hemoglobin before taking your donation, so a single unit of blood in an otherwise healthy person will not cause the symptoms that you are experiencing.
4) Coming to your current issue, this seems to be alcoholic hepatitis secondary to the binge drinking you had the day you traveled. Alcoholic hepatitis is well known clinical entity, and your symptoms can be explained by this, your unwell condition followed by some yellow discoloration of the eyes and right upper abdominal pain. In this situation, you must stop alcohol absolutely and get yourself checked, especially liver function tests and ultrasound of the liver.
The basic step of managing any form of hepatitis is to avoid a trigger and give rest to the liver by not having any hepatotoxic or unusual, or unprescribed drugs. When you do that, it starts getting better because it has the potential to recover on its own in mild to moderate cases. So for this, the only effective medicine you had was NAC (and I am hoping it was N-acetyl cysteine).
5) You are on multiple supplements, which should be avoided if not prescribed by the concerned doctor. One can use supplements for a shorter period of time, like a month or so. These medicines should not be part and parcel of your daily routine. Because at the end of the day, these are medicines, not food, and medicine has some side effects too. So, if you are using supplements on your own, try to cut them down if possible.
6) Avoid stressful situations related to your job or relationship, and try to get some time for yourself too.
Please refrain from taking Paracetamol until you feel fine or get your liver function test done.
I hope I have answered your concerns in detail. Feel free to ask any questions you have.
Take care.