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Living with TMEP..... (Read 5385 times)
VivianS
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Living with TMEP.....
11/27/11 at 12:45:57
 
I was recently diagnosed with TMEP after being treated for "hives" from several doctors.  The local dermatolgist said there was no need for further testing (systemic) at this time as I am suffering from skin flare "only".  Well, "only" is a tough thing to live with as it is daily and all over my body...love that sunburned horrible looking neck and hands.  I no longer wear short sleeve shirts and will soon have to wear only slacks to work as the rash on my legs begins each day by 1:00 p.m.

I'm wondering....I take Allegra 180 each morning, Zrtec 10 in the afternoon and Atarax 25 mg at night.  Is there something more I can do to figure out a way to slow these burning rashes??  I live in Durango, Colorado and do not know of a TMEP specialist in this area.  Can someone provide a referral in the SW?

Thanks to all the  caring, sharing, and information providing people on this site.  It's a comfort to not feel so alone as it's hard sometimes to fight off the depression and "the new way of being".

Hugs to all
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kimtg68
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Re: Living with TMEP.....
Reply #1 - 11/27/11 at 13:35:49
 
Welcome Vivian! I'm so glad you found this forum. I don't know where I would be had I not found these wonderful people.
I'm sorry you are going through such a difficult time. I understand! I'm sorry I can't offer much for help but I'm sure someone will have some suggestions for you. I just wanted to welcome you and let you know you are not alone.
Kim
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Joan
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Re: Living with TMEP.....
Reply #2 - 11/27/11 at 16:56:01
 
Hi Vivian and welcome to the forum!

Sounds like you're having a rough time with the TMEP.  I don't know what is near Durango, but you might want to check with National Jewish Health in Denver.  You can call Dr. Richard Weber's office and find out if they can treat you there, if going to Denver is a possibility.  Or, his office might be able to refer you to someone in your area.  If not, you might try calling CU Medical Center, Anschutz Campus, in Aurora, CO.  The dermatology department there might be able to help with either an appointment or a referral.  

That said, could something at work or something you're eating for lunch be triggering the rash?  It seems odd that it occurs at the same time each day.  You can try adding an H2 antihistamine to your meds and see if that helps at all.  You can ask your doctor for a Rx or buy over the counter.  (My insurance pays if I have a Rx.)  I like Zantac/ranitidine and the dosage is usually 150 mg. twice/day.  Or, there's Pepcid (famotidine) and the dosage is 20 mg. twice/day.  I alternate each of those for masto symptoms, but only have a little bit of the rash.  It's probably a longshot that it will work, but it might be worth a try.

I've read that there are laser treatments that can be done to get rid of the TMEP "rash."  This article talks about laser treatment at the very end:

http://dermatology.cdlib.org/103/NYU/case_presentations/102103n1.html

Hope something helps!  Let us know how you're doing and if you find a good doctor.

Joan
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VivianS
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Re: Living with TMEP.....
Reply #3 - 11/28/11 at 06:15:06
 
Kim and Joan -
Thank you both for your thoughts.

I'm starting the Low Histamine diet today - scouting around to find some recipes.  I'm a bit confused about leftover meat - some say stay away and others say freeze first??  Sadly, everything in my darn fridge now is a DO NOT EAT food - Happy Thanksgiving huh??  Smiley

It certainly is wonderful, this site.  I was so down last night when I finally logged in and introduced myself and after sharing and reading I felt so much better - I need to stop being angry and make every  Lips Sealed effort to take charge!!  Hence my diet change today - not sure what I'll be having for lunch.

Any suggestions on recipe sites or cookbooks??  I do see The Red Wine Headache Cookbook is all about low histamine, I'm gonna try to order up a copy.   Not sure what my triggers are and feel a bit lost at how to go about eliminating.  I've been so flared up lately that it feels I want to eliminate everything - except my loving family, of course!

Hope your day is going well and you're feelin' good.

Thanks again and I look forward to building the friendships!
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DeborahW, Founder
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Re: Living with TMEP.....
Reply #4 - 11/28/11 at 14:45:51
 
Welcome to the forum! I wanted to let you know that I used to have burning under the skin sensations all the time. It felt like I was on fire. Dr. Akin added Singulair to my meds to combat this, and it worked like magic! It definitely got rid of the burning and itching feelinds I had. I no longer have that sensation and I was able to eventually discontinue taking the singulair. I only took 10 mg once a day when I did take it.
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Joan
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Re: Living with TMEP.....
Reply #5 - 11/28/11 at 17:28:11
 
  To clarify about histamine in leftover meat and meat-containing dishes, freezing stops histamine from forming, but chilling doesn't.  The recommendation is to freeze meat-containing dishes within 2 hours of cooking.  They can be portioned before freezing, and then you can take the leftovers to work for lunch or thaw another time for a meal.  If you do take it to work, be sure to put it into the freezer or let it thaw inside the refrigerator.  By lunchtime a quick zap in the microwave should give you a safe meal.

 In case you haven't seen it, this website has a chart of foods which are safe on a low histamine diet:

[url]www.urticaria.thunderworksinc.com/pages/lowhistamine.htm/[url]

  Over time, you will find substitutions in your usual recipes for the things you can't eat, although some foods will have to be permanently eliminated.  If you have any specific questions about a particular dish, feel free to post it (or PM me) and people will give you suggestions.  Some of us have been dealing with this problem for many years and have figured out ways to both eat well and be safe.

  A daily food and symptom diary can help you figure out your triggers.  For some people, other substances, such as salicylates or tryptophan can cause problems.  A food diary can tell you whether or not something besides or other than histamine are triggers.

  Your positive attitude is exactly what you need to help yourself feel better!
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Sunny
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Re: Living with TMEP.....
Reply #6 - 11/29/11 at 03:18:27
 
I also have TMEP but only on my chest.  Before I started taking Singular, the flushing, burning sensation was constant during the night.  Also it would get aggrevated if I had a hot shower or bath.  Now I rarely have any problems.  You will find a lot of good ideas on this forum.
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VivianS
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Re: Living with TMEP.....
Reply #7 - 11/29/11 at 05:20:44
 
Thanks for the suggestions....I will be off to get Singulair - is it OTC?  And Joan - the food suggestions....you've made my day!  

I wonder.....can we freeze the histamine out of Pinot Noir??  Smiley

Good day to everyone!!
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DeborahW, Founder
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Re: Living with TMEP.....
Reply #8 - 11/29/11 at 05:22:10
 
No, Singulair is prescription only.....
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missybean
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Re: Living with TMEP.....
Reply #9 - 11/29/11 at 06:07:43
 
Hello Vivian, I also have TMEP. What meds helped me most are zantac(H2 blocker) which helped with the flushing that was followed by heat hives. I started on 150mg twice daily but now take 300mg twice daily, Ketotifen has helped me a lot too. Ketotifen is a mast cell stabilizer and antihistamine in one. It is only available in US by prescription and has to be compounded. Or you can get it in pill form from Europe or Canada. Cromolyn soduim is another mast cell stabilzer that helps a lot of us, also is compounded. But mostly the low histamine diet helps and I noticed a big difference with that as well as not eating left overs. Do you know you triggers? For me heat is huge, stress gluten,dairy,soy,eggs,grapes,oranges, all booze and wine and I can keep writing for a while but these are my big ones.
I don't know of any TMEP specialists. Did you have a skin biospy yet? When you say burning rash do you when it burns all over? Or does it feel like it is getting hot and then you feel like someone is poking you with needles in different spots and the itching is constanly moving from spot to spot? My TMEP doesn't itch unless I get over exposure to the sun or I get super hot. But I get cholinergic urticaria daily sometimes real bad and other times very slightly.
Melissa
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