It sounds like you have an anxiety disorder, so I would suggest you go find a specialist in anxiety disorders. There are many things that can help. Exercise and healthy eating habits help a lot. I take Xanax and that has helped me a lot. I also meditate daily and also quit drinking and smoking. Caffeine should be eliminated from your diet. That is a huge factor for anxiety disorders, but the first thing you need to do is find an anxiety disorder specialist and get a proper diagnosis.

Good luck,
OE

Good thing you mentioned the liver, I know exactly what this is because the same thing happened to me and it has absolutely nothing to do with anxiety. You have low blood sugar. An inflamed liver is one of the first serious signs of it, along with panic attacks and is in fact the first thing my doctor found wrong with me after test after test after test. Everything else you mention ties in with it, the family history, alcoholism, it's really a classic case and you're lucky you posted everything up there the way you did because I'm 100% sure this is what you have. Normally the person is fine all their life and then one day bam they wake up in a state of panic for no reason or it suddenly comes on in the night or during the day but seems to have little if any connection to anything stress related. You need to get a glucose tolerance test to be certain, but the way to do it is thus. Go to your doctor and tell them you seem to feel different depending on what you eat, don't mention hypoglycemia at all. If they suggest the glucose tolerance test, take it, if they don't and say not to worry about it, find another doctor immediately. Trust me on this and don't mess around, if you don't fix this you'll just keep getting worse. Anti-anxiety medication can help, but all it will do is mask the symptoms, not correct the root problem. If you let it go and just take the medicine to eliminate the symptoms, other symptoms will sink in, perhaps delusions, fainting, twitching, blurred vision and so forth. It's a very, very serious condition. If you have any questions PM me, it is treated through diet and a drug called diazoxide. Or just one or the other.

thanks for that it did cross my mind but doc did request a glucose blood test which was normal could this be masking it my brother injects three times a day. i do notice certain foods send me to sleep, e.g. sugary cereals, chocolate etc, i work for a surgeon so may ask his help when i get back to work, thanks again

Find an anxiety doctor. It seems like anxiety runs in your family. I ran down the hypolycemia trail and found that it didn't fix the problem at all, so if the BGT turned out negative, trust the test and find an anxiety disorder specialist.

Later,
OE

A regular glucose test is not enough. Your liver is affected, which has absolutely nothing at all to do with anxiety. Trust me, this is sugar. In some cases no, but the symptoms you describe there are too clear cut. You need to have a glucose tolerance test, which will show how your body reacts to high doses of glucose (100g for the test) over a period of usually five or six hours. Just testing your fasting level or one during the day will show nothing because it can jump up and down with varying intensity. This is not the proper test. Furthermore, be careful of how your doctor reads the results because they frequently do it incorrectly. If you were experiencing just anxiety, then maybe, but you're lucky because of the liver thing, this clearly points to a physical problem that's giving you mental symptoms, that's it. Anxiety will not cause a swollen liver. So what did you mean could this (what?) be masking it? I'm confused on that statement.