Hi Peter ,
My thoughts about triggers is they are things that trigger mast ells either directly or through another biological process .
So mangement should be :-
Identify and reduce triggers
medicate appropriately to a satisfacory level
manage life threatening problems quickly , safely and appropriately .
Triggers easily ( rleatively ) manged are :-
exercise
obvious food reaction
medication reactions
medium to mange :-
working out food / medication reaction patterns - with use of common food trigger guidelines
reducing dietry intake of histamine with low histamine diet
emotional stress
physical stress - procedures - guidelines on pre medication , docs/ dentists and patients working closely together with ideally a mast cell specalist .
Life mangement - cold / heat management and not becoming housebound .
Difficult to mange :-
chronic mast cell activation affecting eating as it can sometimes be the gut , not the foods in those who have been reacting for a period of time .
airbourne triggers .
Infection as a catalyst for increased sensitivity to known triggers
It took me nearly 2 yrs to suss my food and medication triggers aside of obvious in the moment reactions . Also to work out my infection signs . Not as easy as it sounds when you are permenatly hot and have flu like symptoms daily xxxxxxxxxxxxxxxx When swine flu hit my town . I had a chest infection , no rleationship .
I rang my docs and was asked if I ahd flu like symptoms ???? I said yes , but I ahve flu like symptoms every day . My problem is I am coughing up green stuff . No i don't want to visit you ( with your pig flu patients ) i want antibiotics , thanks
When its not an obvious infection . i am randomly cold and want to switch my fan off for 2 mins and put a jumper on !!!!!!!!!!!!!!!! , untill i flush .
So we can stop the bull even thinking about bolting , and stop his potentail damage . Its a mixture of art and science
I hope this helps
Josie