Not easy. The first time I quit in Januari 2012 my symptoms improved at first and then got pretty bad after 2 months. I used that as an excuse to relapse. And yes, as long as I drank enough to go through the pain barrier, I was OK until the next morning when the pain came screaming back, worse than before. So I checked myself into rehab in June 2012 and never looked back. (nor am I going to).

It's always difficult to "diagnose" someone on the internet, only you know how much you drank, how easy it was to abstain, etc. Purely from a scientific POV, metabolizing alcohol creates all kinds of aldehydes that are pretty toxic, especially to nerves. While drinking a couple of nights in moderation might not have caused PN, nor made it "worse" clinically, it may well trigger some serious pain, I can totally see that.

Also: in many cases our fat cells are used to "store" toxins out of harms way, but if you are very skinny, you may be much more prone to the toxic effect of alcohol metabolization (not the "may"). But in the end we all are affected by alcohol in the long run.

Also: although our body does heal when we stay abstinent, serious damage can be done if we pick up again after a period of abstinence. It is well known and well documented; our body heals (slowly) but also loses it's tolerance. If I would drink - right now - the same volume as I usually did up until 2 years ago, I would go in a coma and die after a couple of hours. If you know Amy Winehouse; that's exactly how she died.

So no, while I do not think that those couple of glasses have caused any additional damage to your nerves, I do believe it is enough of a shock for your body to get thrown back into pain and discomfort. I did read your other thread, but I'm always careful not to comment if I'm not absolutely sure I can contribute something useful.

In this thread however I would say: remove the variable alcohol from the list of potential triggers, and do so for a longer time - with that I mean: at least a year. Yes, it can make you feel like you give up a lot, but don't forget that for most of us in this thread stopping alcohol intake probably meant we got our life back (warts and all).

I am sorry to read you are feeling so bad - I have been there. Tramadol can work, but the nausea is exactly what I had the first 3 weeks. Then I got used to it, but it did suppress my appetite. If you are anorexic or borderline anorexic, you might want to discuss this with your doc who might consider other pain medication (like amitryptiline that normally tends to make people gain weight, but is hit and miss when it comes to pain relief).

Important: I am not a doctor! All the above is just my experience combined with informed speculation. So please discuss this with your doc. But I can say with some authority that alcohol really should be avoided at all costs right now. It can be done, as in the end, it does very little for us, and can bring the best of us down. Hope this helps a bit?