Would you know if you was dying of acute liver failure?

[worryinglike]

I'm sending myself barmy. I have post natal depression, well anxiety and ocd, which I've always had but every pregnancy I've had seems to trigger it off really bad.
I've convinced myself I'm going to die of liver failure. I take cocodamol everyday and have done for the last 6 years. The last 3 years codeine has been added to my prescription.
The other day I accidentally took x4 extra tablets than I should have. I made myself sick once I realised which was within the hour. This was Saturday. Total 6g.
I've been shitting myself ever since, I've not stopped googling and researching, I didn't realise how dangerous paracetamol is.
Please don't tell me to go to hospital, I won't do that. It was 5 days ago now, NAC won't do anything at this point. All that would happen is a referral to social services which I really don't fucking need, my kids are loved, looked after, fed and happy.
I have no symptoms of liver failure. But I am convinced. I keep checking to see if my eyes have turned yellow.
Would I know if I had acute toxic hepatitis ?
I'm telling myself even though it was not a lethal limit because I take it everyday anyway then there would've been enough in my system.
I feel like an absolute mad woman. I can't stop worrying.

Last week I was convinced my baby was going to die. I fucking hate saying those words, it makes me feel sick. But I'm trying to get across how bad I am atm.
Inside I know it's my irrational brain doing this but I can't shut that fucking voice off. I feel almost delusional I'm so convinced !!

I have posted here for support so please please be kind I can't cope with the nastiness some posters bring

Sorry if that sounded dismissive, just my personal experience post partum with my youngest m, I thought my antidepressants weren't working, made a plan with my GP, started stepping it down and 48 hours into the reduced dose it hit me really badly and I realised they were actually working, I was just doing a lot worse than I realised. I hope you can get some help soon.

I haven't got much to add but just wanted to send support and a huge hug. I've had OCD all my life and had times where the anxiety has been so bad that I haven't been able to sleep/eat/stand. Post baby is definitely a heightened OCD time due to lack of sleep/hormonal changes so your concerns are completely understandable.

I echo the above that in the unlikely event there was any tiny damage to your liver then it will heal quickly as the liver repairs at high speed, there is no serious damage or the consequences would have been immediate. Let that worry go.

Cocodamol and sertraline are not a problem combination. It is ibuprofen that shouldn't be mixed with sertraline. The sertraline will be helping you and is a proven aid for OCD. I wouldn't try stopping it.

Well done for reaching out for help, so many people struggle alone and there is support both here and eventually with the mental health team you've contacted. This WILL get easier, if you can tell yourself that the intrusive thoughts are just because you are low at the moment and try not to give them any credence. When I get intrusive thoughts, I mentally quickly assess my health and if I'm tired, stressed, particularly anxious etc I then dismiss them as I know my mind exaggerates danger during these times. Easier said than done, I know.

Hi everyone and thank you for the kind words.
I know I'm not well, last night I read an article of a toddler who has a type of childhood dementia and one of the flags for it is prominent eyebrows, well my baby has a good set of eyebrows on her so of course, now I think she has it !!
wtf is wrong with my head ?!?!
I can't go on like this I'm sending myself insane, and my poor dh having to listen to it.

I want to come off the sertraline and try citalopram instead. I'm also now worried about serotonin syndrome, I've read about this before but hadn't even thought about it with how much codeine I have to take now to even feel an effect and the high dose of antidepressants.
I have a high dependence on the codeine and I have done for a long while, but the thought of coming off it really scares me. I think I need to get back down to the prescribed dosage of 8 in 24 hours before I do anything else as atm I'm way over that.

I've got so much shit going on, I really really am struggling

You poor thing OP. That scale of anxiety is awful, I've been there. One thing I found quite helpful for intrusive thoughts was thoughts are just that, thoughts, it doesn't mean they're real. If you keep thinking that you're going to win the lotto, it doesn't mean you will...

Ok sympathy as this sounds really tough.

Would it help to treat these as two separate issues? The codeine dependency needs to be addressed and your GP should be able to help with that. A good practice nurse may be able to support you (and have more time and err skill at listening to your concerns, obviously gps are generally excellent at that but you had a bad experience recently) I assume it was originally prescribed for pain but you have been taking it PRN and it's having less and less effect? It may be a referral to a pain clinic is necessary if the pain is still an issue. Codeine isn't the greatest drug to be taking for long term pain

For the anxiety and compulsive thinking you have done the right thing and have a referral to be seen by a specialist team in two weeks. Changing med might well be sensible, a talking therapy other than CBT especially for OCD wd be sensible but won't be quick.

You are dealing with this really really well. It's just a really difficult condition to have.

I've spoken to my gp, a lovely woman who knows my history and actually listens to me rather than being dismissive and putting me in a box.
She has switched me straight over to citalopram, she has prescribed some diazepam while I'm waiting for the perinatal team to assess me.
I think I am autistic so I would like to be assessed for this, does anyone know if this is something perinatal could arrange ?

I'm still a little worried about the liver thing, I am having right sided stabbing pains, the other day about 30 mins after my breakfast I got these pains that steadily got worse and worse then tailed off, they were really painful, would liver pain do that after food does anyone know?

Honestly, try to put the liver thoughts out of your mind. 4 extra tablets are not going to cause liver damage. It’s good you’ve sought help 😊

I did one of those at home liver tests using FORTH just had my results back today.
What is globulin ? That has come back low

I'm still a little worried about the liver thing, I am having right sided stabbing pains, the other day about 30 mins after my breakfast I got these pains that steadily got worse and worse then tailed off, they were really painful, would liver pain do that after food does anyone know?

You would be dead by now or acute kidney failure. Chronic kidney failure is more likely in long term use or overuse of certain medication. It’s worth getting it checked out properly, and not an over the counter test, to put your mind at rest.

Codeine can cause constipation and constipation can show as one sided pain and is often more obvious after food and/or drink.

I think for your overall mental health and well-being you should go and have a chat with a professional. You won’t be judged.

I am waiting for my appointment with perinatal mental health, I have also been switched to citalipram. I've felt okay the last few days but now I've had this low globulin come back I'm worrying about that now, it's never ending. It does say my liver is healthy it's just that one low result, it does say it can be caused by malnutrition. I don't eat much anymore to be honest , when I do though it is healthy foods like cheese and nuts to snack on, Humous etc, each morning I eat granola with greek yogurt, maybe I'm not eating enough

A couple of things, you need to see can you get in front of the "good GP". For reassurance. CBT is something that needs people a little further along to be successful, so I wouldn't rule it out but consider it when you have your medication sorted.

We are a family of Liver people and there are significant symptoms. The pain in your side likely to be trapped wind, muscle discomfort, bowel etc.

Unfortunately it sounds like you have a lot of health issues at the same time. I reckon hormones has a lot to answer for, but hopefully this means a lot will settle with time.

So in the meantime you need some help to firstly share everything in your head. Not some, not one issue that you think is more acceptable, everything. Then your mental load of juggling everything can hopefully reduce and the health professionals have all the information necessary to come up with a plan.

And there will be a number of plans well worn by women before you. I hope you get the support you need and remember asking for help is a positive thing because it is you recognising your need for your children. I do hope you are in good health very soon.

Honestly OP, please stop worrying about your liver! I don’t trust these home test kits .. if all you had to do was a prick test and hey presto get full liver screen, then why do actual blood tests have to be taken with a needle, blood from a vein, put in special bottles, with the correct solution in the vial, correct storage needed etc to get a result? Please think about that process. Its like the places that do allergy testing from a strand of hair - it’s ridiculous!

Please just focus on your day to day life staying healthy in your physical self, you know you’re getting treatment for your mental/emotional self, you can self refer to talking therapies, maybe that’s an option until your appointment comes through?

Anxiety can cause stomach ache .

Its most likely to be that. Its still serious and unpleasant, but you know what it is, have medication and the right referral. You don't need blood tests.

Anxiety can cause an incredible range of serious physical symptoms. It needs to be treated and taken seriously. I'm really glad the good GP took you seriously.

Its possible you are not eating enough, because again anxiety often impacts appetite. But thats not for us to say. Do raise it with the MH team when you see them. Also if you are just starting citalopram that may affect appetite.

eating little and often as you are is very sensible. Whilst you wait for your MH appt don't focus on eating anything specific, just eat what you can manage and feel like eating.

Globulin is a protein. That's not significantly low, it's just on the edge. Try upping protein levels in your diet OP but it really isn't anything to worry about.
I'm glad your GP is helping, you sound very much like you are struggling.

Oh and you'd definitely know about ALF!

Oh bless you, I know this thread is a month old, but I could've written your posts myself 2 years ago...
I also accidentally took too much cocodamol, and was on codeine for endometriosis pains, and have been paranoid about liver failure ever since my daughter was born 3 years ago. The anxiety really peaked when I returned to work after mat-leave.. I lost 2 stone, wasn't eating due to the sheer panic and anxiety I was living with everyday. I have had the exact same rib pain too... I had scans and all sorts, always normal results.

I am much better these days. I asked to go on mirtazapine, and it really helped my sleep and eating. My anxiety has improved somewhat since.

Hope you are taking care OP. x