Welcome to a place where you will get the help and wise advise of many who have "started" in exactly the same place you are now. They will help you through this. I too became ill in Jan 2010. Before that my life was pretty normal. As of 4 weeks ago, I had lost 40 pounds and was to the point they were thinking hospital and feeding system....nothing I ate stayed "with me" and everything I ate gave me some kind of reaction (tachycardia, elevated BP, severe dizziness, shortness of breath).
I found this website in June of 2011. After telling my story, the angels (who are quite assertive when they need to be)
"walked" me though the necessary steps I needed to take to help myself keep my symptoms as controlled as possible. I am NO expert nor am I at a point where I can give advise, but I think you are on the right track working with Dr. Castells and having a local doc who will oversee your care.
I do want to mention a couple of things I have learned... I also have dysautonomia. I was diagnosed in Dec. 2010. When I first presented my case to my mast cell specialist (I see Dr. Afrin in SC) I remember him telling me that, "Dysautonomia is a diagnosis often given to mast cell patients, but it never can account for the "full"" range of symptoms patients ascribe to." I am not saying you do not have dys. just questioning "why" you have dys. My dysautonomia could not explain why I couldn't eat or why I had terrible bone pain after I ate. I have to admit that since I have gone on H2 blockers, and cromolyn, I don't have near the problems with my dysautonomia symptoms. I will reiterate what Joan said (and you probably already know this), it is critical to stay hydrated! I drink over 100 oz. of water a day! And when I don't, I pay dearly for it. I also wear compression hose when I know I am going to be on my feet for over 15 minutes. My pulse can get as high as 220 when I am shopping or even baking all day!
I find the fact that you have trouble sleeping is something that a few of us experience on this site. I wander around the house all hours of the night. I am also not on an H1 blocker because we can't find one that I don't get "hyper" from. My pulse goes up, my BP goes up, I get severely dizzy and I get agitated! We even did a controlled IV Benedryl making sure that NO fillers or dyes were in the medication and I still had the same response. If you have any dairy or soy intolerance, be sure to check the fillers in the zyrtec (it has lactose monohydrate in it) as this may also be adding to your conflicting symptoms. Many patients react to the dyes in meds or the corn based fillers. Be sure to check on these as well. There are ways to solve this problem (pharmacies that make meds from "scratch") , but just wanted to "check with you" to see if you have noticed specific things that trigger your episodes (if you are able to figure that out!!! It can seem like one big guessing game!)
When I started on the cromolyn a month ago, I got severe headaches and got very dizzy. Obviously if your doc has told you NOT to continue this medication, then you should not take it. I posted about my inability to eat and take the med. Joan and Deb were there to help. They both suggested that I eat very small amounts of food....maybe only a tablespoon an hour ( I even ate baby food because it was easier for my system to digest and thus kept those mast cells from getting to crazy!) When I started the cromolyn, I did the same thing. It seemed to agitate the mast cell reactions a lot at first! I poured the vial into 16 oz. of water and took a "sip" every hour. I has taken me 4 weeks to get up to ONE vial!! But my weight loss has stopped, the headaches have gone away and (an added bonus) the horrible bone pain is completely gone! I think I may join an Olympic team when I get to 2 vials!!
I am not making light of any of your symptoms.....I just hope I can encourage you to keep pushing for answers and find what works best for YOU.
It is a lot of work to try to keep journals of what you eat, what meds you take and when, what you can and can't do on any given day....BUT if I thought I could even feel this good a month ago, I would not have believed it. Like you, I thought I was going to die. (From what I remember reading...and don't quote me on this.... the life span of a person with mast cell disease is a longer life span....most likely because we learn to take care of ourselves!!) YEA!!
Sorry this is so long.....I just hope it makes sense...the "brain fog thing" has NOT gone away yet. Maybe it really is OLD AGE like everyone is telling me!
Take care...please keep us posted on how you are doing.
Oh...did anyone mention going on a low histamine diet?? I also am on a low tyramine diet as well. It really helps!!
Hugs to you, Lynda
p.s. (I have to admit I am a bit jealous. I am STILL waiting to be a grandma!! You will have to give me some advise on how to make THAT happen!)lol