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Hi all.. searching for opinions (and support) (Read 6502 times)
Enko
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Hi all.. searching for opinions (and support)
09/24/11 at 14:50:53
 
Hello all!

Please forgive me, because I'll try to condense everything that has been happening. I'm just very tired from trying to explain how I feel, so it seems to me that it would be too long and stressful for me to write a loooong topic, so I'll try to keep it short.

I'm from a small country in Europe. My problems started a long time ago, while I was still in high school (I've finished faculty last year). Back then I was training martial arts, and started noticing that I'm short of breath for quite often. I decided to ignore it, but getting up from the floor during the fights was more and more hard. OK, I know that I have anemia problems for years so I thought that that's the reason, and was on treatment with iron supplement for many times, but things didn't get better, although my iron and hemoglobin were balanced. After for few times I didn't manage to get up and was gasping for air while my heart was racing I've decided to quit. I guessed that I was overdoing it. Still I was left with gym class in school. I wasn't able to get rid of that exhaustion problems and was barely lifting my feet. Anemia, I thought. My brain started refusing cooperation for many times. Anemia, I thought again.

After I've finished high school and get rid of that gym, things were a bit better, but I still had anemia problems. One summer I was on a outside and after standing for half an hour started feeling very dizzy, tingling up my neck, head and lips, and starting to feel numb, like that my legs will not hold me any longer. I've got huge nausea, started breathing more and more shallow and was feeling very slow as I will just shutdown. My vision started to go dark and I've barely managed to drag myself to the shades. I couldn't react on outside stimulans in any way but I still could hear. There was a doctor near by and he measured my BP - it was 90/60. I needed about 15 mins to start seeing again but I was feeling beaten for the rest of the day. My GP said that it's just anemia and that I didn't hydrate properly. Same thing happened few years later, but in worse shape. This time I was in same paralyzed condition for more than half an hour, and my entire body was in pain for the rest of the day and I was entirely exhausted. I was thinking that it's anemia again. Since then I avoid sun and heat in any way I can, because things are now even more worse - if I stand even for few mins in the sun, I get that tingles again and start to feel nauseous and that I'll faint. Two years after that almost-fainting things started I've went to faculty. I had huge troubles with exhaustion (no matter how much I would try not to, I would literally fell asleep on classes, even once on and exam!). On my second year I started having low grade fever and pain on the right side of chest. GP ordered X-ray and basic blood work, but everything was fine (my lymphocytes were just a bit elevated). After few months fever went away but kept coming back, same as the pain. I've decided to ignore it - it's probably just the stress. On my third year I had my appendix removed because chronic inflammation. After that I had an outburst of problems - often headaches that would last for days, again chest pain (always on the same spot!), enlarged lymph nodes and neck (I'm feeling like that it's under constant pressure), tachycardia on just a bit bigger physical strain (I would even start to choke), constant fatigue and huge degradation of mental abilities. My GP would just shrug and say that it's just stress. Then 1.5 years ago my iron jumped over the top value (ref. val. is 8-30, mine was 31.5) and he only commented that it's better to have more than less. All of that was making me sad, but I didn't have any choice but to accept the stress reason. Then, because I had often headaches, my ophthalmologist sent me to neurologist. I've told her about my almost-fainting episodes and everything else so she ordered a standard batch of test. All came back fine (blood work, EEG, thyroid) so she said that I'm "just like that, a bit more sensitive". I wasn't happy with that answer so I asked what else we could do. She then ordered testing of autonomic nervous system. Then they said that I need to do holter EKG and heart ultrasound first. Cardiologist checked my results and said that I have mitral valve prolapse and overreacting sympathetic system. No therapy needed. Lab didn't do the ANS testing because the heart issues. Neuro was a bit reluctant but decided to start me on minimal dose of Seroxat to try to bounce the system back in balance. My GP was sick then and the replacement GP didn't want to give me the med and sent me to psychiatrist. I've refused to go. Just before my doc went to leave, he did refer me to dermatologist because of itching. Dermo made a scratch test on my hand and said that I have urticaria factitia, and foliculitis on my back. I've got Letizen (Zyrtec in US) 10 mg/day dose and some lotion for my back. 3 months later I've returned for a follow-up and she said that my dermographism is gone now (it was +++ before) and that I should get off the med soon. I'm kinda not happy with that. The med did help me with headaches and itching and I don't turn so red now (although I still do after taking a shower or being on sun). Still I do get more itching in the evening hours. My neck is still swollen and I still have that fever swings. Plus there's a new symptom - burning pain in my muscles and knee, that would last for weeks.. Dermo ordered also ANA test and antithyroid antibodies, so I'm waiting for that testing too.

I've asked for second neuro opinion and the new neuro ordered brain MRI. The results returned practically perfect. She started me on 25 mg of Zoloft last week. The first day I had a feeling like that I'm going to start choking - my neck felt really tight from the inside, and huge from the outside and started to go numb. I didn't want to go to ER, because, well, I wasn't choking! And I was afraid that they'll laugh at me and just sent me home. I've tried to take one more Letizen but it didn't help. Things were getting gradually better during next few days, and from other side effects I had a bit of nausea. I've asked my neuro could this be mastocytosis. She didn't know, but ordered serum tryptase and histamin in serum and 24h urine test. You know what's the worst part? No hospital here (and I mean not a single one) or private clinics do the histamine in serum and urine test! I've found only one hospital that does tryptase test so I'll go for it next week.

All of this is killing me! Doctors are ignoring me and sending me off with "that is normal", "oh it's just stress", "that is a psychical problem" or imply that it's depression related, and people around me tell me or that I look fine or that I'm lazy, spoiled and looking for attention. They don't understand how everything is stressful for me and how sick and tired I feel. I'm 28 and I feel sooo awful! Sad

Sorry, in the end it wasn't so short, but it could be longer, right? I'm sorry.. I'm just scared and fed up with everything.. I'm loosing hope that I'll found up what's wrong. In your opinion, could this be some sort of mast cell disorder? I was thinking about writing an email to dr. Akin or dr. Castells and ask for opinion, but I'm afraid that I would sound like a nut right now.. Sad



EDIT:

I've forgotten to say this before: when it itches, it sometimes look like something similar to a mosquito byte, but it isn't quite. Or it's similar to a pimple.

If I try to get rid of the pimples on my face, that little wounds won't heal or I get scars. That started cca 3 years ago.

Also, my iron level is dropping again. It's 10 now and hemoglobin is under level again.
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« Last Edit: 09/25/11 at 04:06:34 by Enko »  

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Joan
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Re: Hi all.. searching for opinions (and support)
Reply #1 - 09/24/11 at 17:53:47
 
Hello Enko,

  Welcome to the forum!  So sorry you've been having this problem.  Diagnosing is a problem in the U.S., too.  

  If I were you, I'd wait until all the test results are in before contacting another doctor.  If you post where you live, there might be a mast cell disorder expert closer to you than Dr. Akin or Castells, and someone might be able to post this for you.  There are excellent doctors in several countries in Europe.  Once you have all your results, you can either go to see a mast cell specialist if you are suspicious for it, or your doctor can contact an expert to learn how to proceed to treat you.

  Everyone on this forum cares and will be glad to answer any questions you have.  You are not taking very much medicine compared with other mast cell patients.  Your symptoms are not clear cut either, but maybe will be more so after the testing.

  There is another disorder in which the body retains iron.  I can't remember the name, but maybe you already know about it.  They should re-check your iron after a while to make sure this isn't a problem.  Also, I was unsure whether they were testing to rule out carcinoid syndrome and pheochromocytoma, both of which can cause symptoms similar to mast cell disorders.

  Hope you get some answers soon!
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Enko
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Re: Hi all.. searching for opinions (and support)
Reply #2 - 09/25/11 at 01:40:20
 
Joan,

thank you for replying!

I've forgotten to write - I had my blood work done again a month ago, and my iron is going low again (it's at 10) and hemoglobin is under bottom value. I'll probably end up on iron supplement again, after my iron was over 30 for one and a half year without any treatment or diet change. Weird  Huh

My ANA is scheduled in a month and a half.. I've been waiting for various tests for over a year.. it's exhausting Sad
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Re: Hi all.. searching for opinions (and support)
Reply #3 - 09/25/11 at 02:45:54
 
Hi Enko, Welcome to our home!!

Tell me, Enko, what part of Europe are you?  From your use of the word Faculty, that is similiar to the Portuguese word for college - Faculdade - so I recognized that you were talking about going to university.  So I'm figure that you are in a country that either speaks a romance language or German.  

Enko, I've been in contact with a couple of wonderful doctors in Europe and I know one of the moderators on the German masto website.  If you could tell me where you are, perhaps I can put you in contact with someone.  Then, if you write to them, perhaps they can help you find more appropriate doctor support.  Europe is big on mastocytosis research and there are several centers there.  It could be that you have masto, but there's a lot of work that still needs to be done on you to verify that.  

So, let me know where you are and perhaps I've got a means to help you.

Lisa
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Re: Hi all.. searching for opinions (and support)
Reply #4 - 09/25/11 at 03:11:41
 
Dear Lisa,

thank you for your care! Smiley

I'm from Croatia, small country near Italy. At the moment I'm forced to use doctors what I have at hand in the state, because I'm broke (and unemployed and my surroundings are not standing good on financial grounds either) and my passport expired in April. So no travels for me, only consultations over mail. I'm ranting again Sad
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Re: Hi all.. searching for opinions (and support)
Reply #5 - 09/25/11 at 04:17:45
 
Nope you are NOT ranting!!  But if you wanted to rant, the FIRE AWAY Enko!!   We ALL find ourselves in corners which it seems that there is now way out of.  I understand how you feel, for I too have been in some tight spots!!   But don't lose faith, Enko, for in finding us, you may indeed find some help.  

Enko, I recently spoke with a doctor in Italy.  I don't know if he's a mastocytosis doctor nor what exactly his specialty is.  I've also spoken with Dr. Gerhard Molderings who is a masto researcher in Germany.  These doctors may know of doctors in Croatia.  

I'm going to write to these doctors to see if they know of someone, so give me a few days to see if I can get an answer back and then I'll write to you again.

Don't lose hope, sweety.  You're NOT alone!!   We masto patients do what we can to help others out because we know how rare our disease is, and so we try to do what we can to help one another find answers.


So, I'll be getting back to you.  I'll send you a PM so that you'll know when I've gotten an answer.

Hugs!

Lisa
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Re: Hi all.. searching for opinions (and support)
Reply #6 - 09/25/11 at 06:00:38
 
Thank you very much Lisa! Cheesy <3
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Re: Hi all.. searching for opinions (and support)
Reply #7 - 09/27/11 at 23:59:50
 
YAHOOOOO!!  

ENKO, IīVE GOTTEN A POSITIVE REPLY!!!    

Iīve written to a few of the European experts asking if they knew of any doctors in Croatia.  I wasnīt getting any kind of positive replies, however.  So I decided to write to Dr. Luis Escribano of Spain.  Heīs one of the masto authorities and he knows a great many doctors.   I donīt know if he knows anyone, Enko, however, heīs asked for you to write to him and to speak with him and he will see what he can do to help you!!

Dr. Escribano is one of the loveliest doctors out there!!   He will see what he can do to help you!!!   If he knows of any doctors in Croatia, he will help you.  Or he may know who amongst the other masto authorities out there may know of someone in Croatia.  This is why I wrote to him for he has CONTACTS!!


So, Iīm going to give you Dr. Escribanoīs contact information so that you can write to him personally!!!    

If you need help, Iīm also going to give to you my email so that I can help you more easily.

YAHOOO!!  DR. ESCRIBANO ROCKS!!!!!!!!!!!!


Lisa
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Enko
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Reply #8 - 09/28/11 at 00:50:47
 
LISA THANK YOU, THANK YOU, THANK YOU!!! Cheesy

I SOOOO AGREE! Cheesy
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Re: Hi all.. searching for opinions (and support)
Reply #9 - 09/29/11 at 00:09:56
 
Hey Enko, Dr. Escribano wrote back to me saying heīs waiting for you!!!!   What a lovely doctor!!!   I wish more were like him!!!

Lisa
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Enko
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Reply #10 - 09/29/11 at 08:31:41
 
That is sooo kind of him! I've just sent a mail to him! Poor him, he'll have a lot of reading to do..

Thank you Lisa once again, you've done a great thing!

*hugs*
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Re: Hi all.. searching for opinions (and support)
Reply #11 - 09/29/11 at 10:41:04
 
Enko, you are more than welcome, the pleasure is ALL mine!!   But I've really done nothing much.  It's Dr. Escribano who has!!  I wrote to a couple other doctors, one who has not replied at all, and the other who replied but told me he didin't know of anyone.   These were doctors who live in Europe.  It didn't even ocurr to me to ask Dr. Castells or Dr. Akin, which they too might know someone, but that's not important.  What's important is that Dr. Escribano did answer me and in a way which really surprised me!!   I expected either a yes or no and leave it at that!  I never expected for him to ask you to write to him, so that was a tremendous reply - just like he is!!

I've had the pleasure to speak with Dr. Escribano several times over the past few years and each time I am more and more impressed as to how he is!!  Just a lovely, lovely man!!!

I hope he can help you in some form, Enka.  Perhaps he's willing to work with your doctors.   But regardless of how he helps you, you can be assured that he fully understands how difficult your situation is.  He has a heart for patients and he knows that those of us who live in countries where there is no research in MCs going on end up finding ourselves in desperate situations.  I mean, think about it.  If the patients who are in the US find themselves going around in circles for years and years and still can't seem to find doctors who know what they are looking at, imagine how hard it is for us who live in countries where the majority of the medical community has never even heard of the disease!!!!!!  HE KNOWS!

Let us know how things go, Enka!  I'm curious to see how he's going to help you!!

Hugs!

Lisa
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Reply #12 - 09/29/11 at 10:49:04
 
I'm on needles now.. Oh God.. I sure hope he's patient and lovely as you say, or he go nuts with that letter of mine  Grin
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Re: Hi all.. searching for opinions (and support)
Reply #13 - 09/29/11 at 13:02:38
 
TRUST ME Enko, if he managed to keep his sanity with MY emails Embarrassed, yours will be a piece of cake!!!    Cool
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Reply #14 - 09/29/11 at 21:06:03
 
Great man, I'd say Cheesy

First he was waiting for me, now I'm waiting for him and can't wait  Roll Eyes
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