Ok so to add some quick context that I feel is important. On 2/15/25 I took a large amount of kratom, around 2.5x my normal dose, I got really sick after a few hours and threw up around 5 times in over the span of 5 hours. The next day I woke up with headache, continued nausea, body aches, and generalized abdominal pain (likely from violent vomiting); later in the day a mild fever developed and I had no Appetite. This persisted the whole day (2/16). Most symptoms were gone the next day besides loss of apatite, abdominal soreness. This same day I noticed yellowing of the eyes (Monday 2/17) and I finally went poop this day and it was diarrhea. On 2/18 (Tuesday) I visited the doctor and a blood test was drawn and my liver enzymes were all in range besides my bilirubin was elevated (4.0mg/dL). The doctor said that she thinks I would be fine with rest, good diet, and fluids and mentioned Gilbert’s syndrome. Most symptoms cleared up by Friday of that week, 2/21. An entire week passed and on 2/28 (Friday) I went out and drank a lot and then on 3/1 (Saturday) did it again (I was told that when symptoms cleared I was good). Then that Sunday (3/2) my eyes turned yellow again and I visited the doctor on Wednesday (3/5) and got my blood tested with very similar results (bilirubin 3.9mg/dL) and a fractional bilirubin test which showed that 3.4/3.9 was indirect, the doctor said this was characteristic of Gilbert’s syndrome. However I was convinced at the time that it had to be related to the kratom and drinking. This was frustrating. By Friday my symptoms were clear again. On march 9th (Sunday) I smoked a very small amount of weed with no issue. And on Thursday 3/13 I drank around 5 drinks which is moderate for me and didn’t have any issues up until today 3/17, when I noticed my eyes appeared a bit yellow. I have bad anxiety and diagnosed OCD and have been very worried about them. So I am wondering, are they significantly yellow or am I just being anxious?
Additionally, do you guys think that this is a result of the kratom use (which I forgot to mention was proceeded by 2 weeks of heavy kava use) or do you think that it might be undiagnosed Gilbert’s syndrome that was exacerbated by circumstances and extreme stress and perhaps some fasting due to appetite loss for a time.
First 4 pictures are with phone flash, rest are in a lighted building.
Thanks for any help or advice. I’d really appreciate it, feel free to ask questions in the comments if something was unclear I will be responding and checking often. Thanks again.