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New to the Forum, I had positive GI biopsies dx w/ MAsto about 6 mths.ago (Read 4611 times)
mommyx42005
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New to the Forum, I had positive GI biopsies dx w/ MAsto about 6 mths.ago
03/18/11 at 17:14:01
 
This May will be 3 yrs. ago my journey w/ Masto started . I started w/ severe , crippling lower right sided abdominal pain. I have already had an appendecotmy, and we ruled out 1 by 1 any gyn or urology issues. At that point my GI Dr. ordered a colonoscopy, endoscopy and stomach biopsy. 2 weeks after all this I started w/ the hives, swollen eyes, and lipsand anaphalaxis. My BP dropped to like 60/40, and I collapsed. I was in every ER in my County looking for answers? Every day for 10 days.

I heard things like your allergic to Motrin, your allergic to soap, to your clothes detergent??? I was infuriated to say the least. I should probably also mention I am a two time brain tumor survivor, epileptic, and I have Lupus. So I take ALOT of medicine and I know my body better than anyone. I am allergic to just about every medicine, my Dr's have ever tried me on first . Fo example , after brain surgery I had a stroke and had to be on blood thinners. Immed. allergic reaction, all seizure meds on the market ex. for the 2 I have been taking for 16 yrs. At one point my alleric reactions got soo bad I had to see an Infection Control Specialist. I had almost burn like hives on my skin, I am also allergic to almost every anti-biotic there is.

After my CT Dr.'s could not figure me out I was referred to Dr. Hamilos at MGH, in Boston, there we played the lets spend thousands of $$$ on tests game. Only to be ignored for 18 mths. Yes, I said 18 mths. of hell, I had horrible stomach pain . Kept having swellngs. hives. All the Dr. in CT would say is do more blood work?? My serum tryptase even during an attack is a 3?? This is the HUGE piece of the puzzle and why I am finally going to see Dr. Castells at Brigham & Womans... Finally at my demanding and reporting to the hosp. Med Director at MGH, I got my results in Nov 2010.My GI biopsies from 2008 had shown and unbelievable amount of Mast Cells, everywhere stomach, colon, sigmoid, large, small intestine, terminal illeum, stump appendix,  if its GI related it had tons of MAst Cells in it. From there, I had to see a Dr. in CT at Smilow Cancer Hospital ( a division of Yale).He wasnt convinced even w/ positive GI biopsy that I had MAsto he too was hung up on serum tryptase be soo low. I am also doing chemo for my Lupus, I have never done anything medically correct so to speak. I have not been tested for carcinoid syndrome, and starting to think I should be. Ilearned ysterday that I am spilling over large amounts of protein in my urine. I cant eat anything w/oout paying the price dearly w/ crippling stomach pain. I take hydroxazine, Allegra, Rinitadine, and drink 8 vials of Gastrocrom daily. My ins. Co. wants to stop paying for Gastrocrom because it is soo expensive w/out ins. its $5000 a mth....I am 37 and the mother of 4, my husband is recovering from a spinal cord injury, so as  you can imagine, I am not in a position to just sit around ad not try to get answers.

Thanks for any advice ...

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Lisa
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Re: New to the Forum, I had positive GI biopsies dx w/ MAsto about 6 mths.ago
Reply #1 - 03/19/11 at 04:36:57
 
Wow, and I thought I had a hard time of things!!   My hat's off to you, sweety!!!  You're going through the grinder of life the hard way, I'm afraid and I honestly feel bad for you!!


As to your GI biopsies, you are going to get these fights over this with doctors and that's because unless you have either morphologically abnormal mast cells or find an aggregation of mast cells, they can not diagnose mastocytosis.  And even then, you've got to have a certain quantity of these to show masto.   However, that does NOT RULE OUT the disease!!!

I think that your going to see Dr. Castells is THE BEST THING POSSIBLE!!   Just HANG ON!!   Wait until you see her and see what she has to say and do with you.  I would recommend that you get an appointment with Dr. Greenberg as well for he's the gastro expert with masto and I'm certain that he'll fully understand what you have and what is going on with you.   Together, they will help you find the answers you are needing and I believe improve your treatment.

Now, a question to you, have you had your prostaglandins D2 and methyl histamines tested?  Dr. Castells will likely ask for these.  I fully doubt that you have the carcinoid and wouldn't really bother because of all of the mast cells seen with you.  You can go ahead and do the tests though if you want it will at least eliminate any doubts.   You should have two mediators tested for that of chromogranin A and also serotonin.   You would ask for a serum serotoinin test and a 24 hour urine test of 5-HIAA.  You also need to ask for a CGA blood tests - Chromogranin A.  These are the two major diagnostic markers for the carcinoid syndrome and if either of these return elevated they must be questioned.  The only thing is, however, that serotonin can be either way below normal levels in masto patients but also can be found elevated in masto patients.  However, I believe that when it's for a carcinoid patient that the elevation is way high and masto only raises it a tad in comparison.  So, this may be helpful if just for ruling it out and giving peace of mind to your doctors.  


I hope this helps!!

Lisa

ps - welcome to the group!!  I hope we can help you!
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Riverwn
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Re: New to the Forum, I had positive GI biopsies dx w/ MAsto about 6 mths.ago
Reply #2 - 03/19/11 at 07:01:20
 
Hello mommyx and WELCOME to the board!!
Im so sorry youve been through so much.. I know it sucks, but youve been smart and done right , plus you will soon see THE experts on mast cell disorders. Lisas advice is so good! Shes brilliant Smiley   I just wanted to let you know we are on your side here and you arent alone anymore Smiley
Hugs
Ramona
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Joan
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Re: New to the Forum, I had positive GI biopsies dx w/ MAsto about 6 mths.ago
Reply #3 - 03/19/11 at 16:32:56
 
Hi and Welcome to the forum!  Oh my, you've really been through it!  I'm so glad you'll see Dr. Castells and get to the bottom of this.

It sounds as though you have enough health issues going on that it's very difficult to figure out which symptoms are from which problem.  

In the meantime, you might want to go to this "NIH Office of Rare Diseases Research" website:  

http://rarediseases.info.nih.gov/GARD/Condition/10176/Mastocytic_enterocolitis.a...


There you can read about Mastocytic Enterocolitis, which is a condition of too many mast cells in the GI tract.  You can Google other sites that discuss this disease, too.  It's treated with gastrocrom and H1 and H2 blockers.  Doctors also prescribe probiotics such as "Align" to be taken daily.  A low histamine diet is recommended (can be Googled, too).

Although I have SM, I also have been diagnosed with mastocytic enterocolitis, which I believe was triggered by a parasite.  I now take H1 and H2 blockers for the SM and the ME, and Align.  It took approx. 8 weeks after starting the gastrocrom and Align to see results.  I also took l-glutamine (500-1000 mg.) twice/day, which helps with excess colon permeability.

I don't recommend any regimen for other patients, but thought you might want to see if this might fit your symptoms and test results.  We'll be happy to hear how your experience is with Dr. Castells!
Before you see her, though, if you want to post the dosages of your meds, people will look at them to see if you are on a regimen that would be adequate for someone with a mast cell disorder.

Good luck!

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Joan
 
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