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New here.... my story. Does this sound like mcas? (Read 4582 times)
azmusiclover
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New here.... my story. Does this sound like mcas?
08/14/12 at 15:35:55
 
Hi everyone! I am so glad that I found this board.

I think I have been having issues with mast cells since I was young. I was the one who always got sick, always fainted, low blood pressure etc. I got mono in college, and when I was planning my wedding my whole system took a big dive. I couldn't eat anything. I started having horrible diarrhea and passing out even more. We went to Mayo Clinic in Rochester and they diagnosed me with POTS. There were a lot of other symptoms they couldn't really explain- the petichae on my legs, my blue hands and feet, how I feel when I had a hot shower. I managed to get better, get married, and then moved away from my family. I got pregnant and things got a lot better.

No symptoms for years. But lots of surgeries for endometriosis. Then, a lot of emotional issues, my kids were all premature, horrible pregnancies, I lost 4 pregnancies. No one ever knew why. My boys were both diagnosed with autism. My marriage fell apart. Slowly, I started feeling bad again but I was still functioning. Then I got pregnant with my daughter.... she was very early and has had a lot of medical issues. The daily care, even with help has been a huge toll on my system.

Heavy meals made me throw up. I have no energy. My gall bladder quit working. I met someone new when my daughter was born, who took on me, and my kids. He married someone last year he thought was healthy, because I was. 6 weeks after we married I had to have my gall bladder removed and I started having issues with foods. Then the allergic reactions started. Bouts of diarrhea, severe shaking, food intolerances. It got better. Then we went on a cruise in February. Toward the end of the trip I got sick. I had bad diarrhea for a month. Then the POTS flared. I was hospitalized with changes on my EKG, I had horrible GI pain, they thought IBS again. I have blood pooling, I have flushing, heat intolerance, cold intolerance, lots of food intolerances, GI pain, bloating, swelling, diarrhea, Mitral Valve, joint hypermobility, PFO, chronic sinus and ear infections... you name it.

The only medicine that made me feel ok- hydroxyzine. My husband insisted that I go to the Mayo Clinic here in Arizona. We started with the cardiologist, and then I saw Dr. Goodman for the POTS and autonomic issues. Right away, after seeing the hydroxyzine helps me so much, he said, do you flush? I said yes. We talked a lot about the various medications I have bad anaphylaxis reactions to- Levaquin, Zithromax, Doxycycline, and my other bad allergies, strawberries, hops, marijuana (I tried it medicinally when our law passed, long story....) He has done some of the bloodwork and I am going to be seeing a new allergist who is coming down from Mayo Rochester to have them look at mast cell issues. I see this doc on the 27th.

I have had elevated ANA and some GI IgA stuff come back elevated in the past. My doctor had no idea why. I feel like when I read the stories here that I am reading variations of my own life. I have joked with people that my body is attacking itself and that I am allergic to life. I didn't realize how true that may actually be. My kids need me to be healthy. I am way better than I was in Mar-June of this year. But, I have been following a very strict diet and am scared about adding new stuff in. We went to Vegas a couple of weeks ago and I had a massive reaction,  to who knows what, didn't realize that I should actually USE the epi pen and ended up in the ER not being able to breathe, with facial and leg swelling but my throat was not swollen. They were confused but treated it as anaphylaxsis and sure enough, I improved. I wish I had told them to run a tryptase level but I was not in my "right" mind.

Does this sound like a mast cell issue to you all?

I will definitely update when I see the allergist and I am going to keep reading the stories and gleaning lots of information.

I currently take Pepcid and Hydroxyzine daily. Zofran when I need.
I am so glad that I found this group. I'm overwhelmed but excited that maybe we are getting somewhere!

Thanks all! Becca
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FarmerJane
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Re: New here.... my story. Does this sound like mcas?
Reply #1 - 08/14/12 at 17:11:56
 
Becca, you've come to the right place. I will leave off my interpretation and let the more seasoned members tackle this. These great people will support you and understand you. We're all in this together.
FJ
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Re: New here.... my story. Does this sound like mcas?
Reply #2 - 08/14/12 at 17:20:10
 
Sure sounds like you share similar issues with us. So sorry to hear about all of your suffering.

Glad you're seeing an allergist. I struggled in Rochester as my tryptase wasn't elevated and they wouldn't discuss treatment options without a BMB which didn't seem right to me. Just a word of caution if you hit roadblocks. I'd get to Boston if you can. But hopefully you have enough already on the go that they'll take you seriously.

My worst POTS flares have been during reactions. Sounds like you're working on triggers that's a huge help. I did an elimination diet to help. Hopefully getting on the right meds will help you.

Keep us posted.
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PamH
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Re: New here.... my story. Does this sound like mcas?
Reply #3 - 08/14/12 at 17:20:50
 
Hi Becca,
This all sounds familure, I think you are in the right spot.  Being allergic to life is about right!  On the right meds though it gets easier. You should check out the medicine section of the forum to get an idea of what we all take one here.  Hydroxyzine was my medicine of choice for emergencies and I would take it at night before bed.  A few weeks ago I had an allegic reaction to it.  That shows you how crazy this disease is. Anyway there might be a antihisamine you could add to your list like zantac, I'm not a doctor so I'm not sure if you could take it with the pepsid or if it is better. However most of us are on a double dose of the zantac, I also take zyrtec and if needed a clairiten.  I was started on mast cell stablizers and they have made my life so much better! Gastcrom is the name brand, but cromolyn is the generic brand.  It takes serveral months to get the full effect.
Hope you get the answers you need.  Also you might want to look into salicylates, they are in lots of foods and products we use daily.  They were causing me anaphilaxis on a daily basis.  
You mentioned being on a diet.  Are you on a low histamine diet?  If not I would try it for awhile and see if it helps you.  Eating left overs is a no no unless you freeze things right away.  When things sit in the fridge they grow hisamines.
Keep reading, that is the best advice I can give you!
Good luck,
Pam
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azmusiclover
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Re: New here.... my story. Does this sound like mcas?
Reply #4 - 08/14/12 at 17:49:33
 
Thank you for the welcome all. I basically couldn't eat anything for about a month without severe pain and GI symptoms so I cut back to water, chicken soup, broth, bullion cubes, saltines and pretzels. Slowly I have added in refried beans, some cheese, pizza surprisingly, plain chicken and pork, occasional turkey. Avocado. Sweet Potatoes. I no longer drink any wine, soda, or hard alcohol. I cut out all red meat. I can still eat pasta, but no more tomato sauce. I've lost 25 pounds and did not have it to spare. I am working with a naturopath as well, and doing acupuncture and massage to help with my fibro pain, anxiety and manage my life stress. It's helping and I am ahead of where I was two months ago which is way better than two months before that. I keep reminding myself that this is a marathon, not a sprint.

I miss eating. I miss boundless energy and working. I miss drinking with my husband and playing poker all night! But, I am not going to let any of this stop me, it's all about just figuring out how to live with this. Whatever it is going on.

I'm not going to give up on this if Mayo doesn't go anywhere. I have no problem seeking out other opinions/doctors if I'm not getting better!
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Lisa
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Re: New here.... my story. Does this sound like mcas?
Reply #5 - 08/15/12 at 12:26:54
 
Hi Becca!  I hope you feel welcome here, I'm glad you found us!!

Yes, you sure do sound like masto to me.  Yet, what form is impossible to say without a full doctor's workup.  You've definitely got some autoimmune issues going on there with those markers, but before they can be labled as part of your masto you need to have that fully worked up too.  

So, the first thing you are needing is a doctor who knows both mastocytosis and MCAS.   That's because before a doctor can say you have MCAS he must first investigate and rule out Systemic mastocytosis.  Then, if you are showing any markers for MC activation, this will give you the diagnosis of MCAS this is because MCAS is a diagnosis of exclusion, or in other words, they've ruled everything else out and this is what is left over.   Yep, it's a "left over" disease! Grin  

And YES, Becca, you've got to have a good sense of humor with this illness, it's what helps to keep you sane! Cheesy   That's because if your masto is very active, you can take quite a beating.   However, the good news is that it can be calmed down and brought back under control AND, and here's the good part, even though you can have some very severe reactions those reactions don't mean that you are sicker than another patient.  Masto is a disease of contradictions and breaking the rules and although for most illnesses the sicker you are the worse off you are, this is just not so with a MC disorder.   The degree of your taking beatings has nothing to do with how severe your disease is and some of us have forms which are so very mild that we'll die of old age if anything!  And yet there are those who have the very dangerous form (thankfully very rare) who never even knew they were sick, so mild or non-existant were their symptoms, and yet they had the aggressive form and the disease was only found on autopsy.  

So, be at peace, although you've been very sick, if you can find a doctor who knows how to diagnose this and if you work with us and try to learn as much as you can, we can help you find some stability and improvement and your doctor, as he works with your medications will be able to help you turn your masto around.

You are also needing a really good gastro who knows how to look for mast cells and eosinophilia in the GI tract, which is a common finding amongst masto patients.  By doing a full search, in finding the cells, this will provide not only understanding but also treatment.  This is because a MC disorder creates an inflammatory response within the GI tract and this is what helps to make you so reactive to foods.  I am finding that if the food is too hot or too cold this can create reacting in the esophagus and stomach, for MC react to heat and cold.  And even the process of the food going down into the stomach, if you have eosinophilia in your esophagus can be part of the problem.  So you are needing to find a gastro who understands all of this and can do a real search for these things.

Refried beans -especially pre-cooked are high in histamines and can overload your system, cheese, tomatoes (pizza is both) are also high in histamines and will make you react.  


Now as to the naturopath, Iīm not against alternative medicine and if this helps you with your stress this is great for stress and anxiety are strong MC degranulators.   However, these doctors, as much as they will convince you they are helping you and they may indeed be doing so, can not replace doctors who understand mast cell disorders.   You must have a full investigation with doctors who are knowledgeable about this.  Your prior doctors were probably totally clueless which is why youīve not been able to find any relief nor answers, but if you can tell us where you are, perhaps someone here knows of a good doctor near you.  Then, after that doctor gets you on the right track, the naturopath can help you improve - but without understanding a mast cell disorder, this professional can not give you the healing you are looking for.  We are talking about a genetic defect, a clonal disorder and it requires the support and intervention of doctors who understand this complex disease.  

As to excercise, go very very slowly please.  Excercise can trigger you and breaking into a sweat isnīt good for in order to sweat you need mast cells and thatīs where the triggering comes in.  I found myself in the hospital with a 4 hour crises after playing a 20 minute game of Brazilian Dodgeball with the kids in my school in the early days of my illness!! It was horrible and I got no relief at the hospital because they couldnīt identify it as anaphyalxis and then the next morning I was back in the hospital cause Iīd had a biphasic reaction and again, another 3 hours of horrible reacting without intervention until the reaction worked itself out.  Excersize can be done, but itīs best and safer to hold off for some months until you can get doctors who know how to medicate you and help you regain some stabilty.  Itīs not worth the risk!


Look Becca, we all miss doing loads of stuff, and yet for many of us, we find that once we can regain some stability we can return to much of that we used to enjoy doing.   However, this is one disease which you can not defy.  Being strong with it and trying to make it behave, fighting against it is like banking your head against a wall made of granite!  Your head will be the first to give!!   Masto will win out!  Weīve all tried it, to be tough, to try to show it whos boss, to not give into it, etc.  You have to understand, this is not a disease which responds well to "tough love"!  Instead, itīs more like a spoiled brat who insists on getting itīs way and if it doesnīt will have the biggest Tissy Fit you ever saw until you finally give in. Angry  It will win every time!!   They ONLY way you can make masto calm down and behave itself is by WORKING WITH IT and being VERY, VERY NICE to it!!   What does that mean?  It means that you can indeed drink with your husband and play poker all night, however, since mast cells react to alcohol, you will have to drink non-alcoholic drinks (I'm not even sure if this will work) or just stick with the cokes!  It also means that you need to have a really good sleep the afternoon prior to the poker party and then get to bed and sleep all day after it's over!   MC degranulate with lack of sleep and it's one of our biggest triggers!  Trying to make your life work on only 6 hours of sleep a night can put you into the hospital after a week!!!  Seriously!!!   I can't handle more than 5 days straight of only 6 hours of sleep a night and by the time the 5th day comes I'm so on the edge of losing it it's not funny!  I MUST take naps in the afternoons or I will find myself getting sick at night!!   You must be very KIND to your body, listening to it and stop insisting on pushing through it all.  If your stomach is with nausea and you've got diarrhea you body is already telling you it's right on the edge!!  That diarrhea is a sign of the MCs leaking and if you keep it up, you'll push yourself over the edge!   So, be KIND and LISTEN to your body.  It's the key to getting back your old activities.   But for now, no allnighters!  They're murder! - literally!

Please feel free to ask a thousand questions!  I'm one who asks millions so don't think you'll be asking too many.  We'll do what we can to help you understand what is triggering you and how to avoid it and with that, we can help you break the cycle of reacting.   And with the autoimmune form, since this is a yet unstudied form, we patients are basically on our own to try to figure some of this out and that's because we are allergic to our own serum which means that the more you react to triggers, your own system will cause you to have rebound reacting since you are triggering your own self.  

So, try to work with us, telling us of your events and perhaps we can give you some insights and understanding which will give you that AHA!  moment! Smiley

Lisa
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Donīt forget, there is so much more to life than being sick!
 
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azmusiclover
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Re: New here.... my story. Does this sound like mcas?
Reply #6 - 08/15/12 at 17:53:01
 
Thank you Lisa! I do feel welcome here. I find humor to be the best way to deal with all the stuff I have to.

I am absolutely going to find the "right" person to deal with whatever is going on. I feel lucky that I have Mayo here but if this guy doesn't know what to do, I have NO problem flying anywhere to get help. We've taken my daughter to Boston to be seen for a complex health issue when she was 16 months old, so going where you need to go is what I do, for my kiddos and myself. I had a GREAT appointment today with my PCP too and they are very open to helping me out in any way, so I feel very lucky that I have good support.

I am definitely definitely definitely taking things easy right now. After my cruise, I was so sick, I think I stayed in bed for about 2 months. Getting the pepcid started and then adding the hydroxyzine on more often totally helped get me back "functional" and now I am able to do a little more around the house. It's totally baby steps. NO all nighters, I promise. Even when we went to Vegas, I made sure that I got at least 7 hours of sleep every night.

As to my diet, I'm watching carefully how I react to things. I am totally cutting out leftovers now and I am looking at the low histamine diet and trying to find some recipes to try since I've scaled it back for 4 months now. My primary was really concerned about my weight today. I am now bordering on "underweight"

Naturopath- I am not looking for her to heal me. It's all about managing my anxiety and stress and just filling out the pieces that western medicine doesn't always address. I have very realistic expectations of my physicians. Healing is an active process. You've gotta put work into it, the doctor isn't going to "fix" this. After dealing with 16 specialists with my daughter, I completely get you have to be your own advocate and do what works for you. Massage, acupuncture, ear seeds, getting life "in balance" are HUGE for me. And, she is holding off on any supplements or oils etc until we have a solid plan in place and my system is more calm.

I probably won't be drinking and playing poker again all night. But, I played in a tournament on Sunday, and I won a tournament a couple weeks ago. I have figured out how to put my legs up and not let the blood pool, I rest beforehand and I rest after. My family knows if I am laying down, I need to.

I'm slowly getting "better" and adjusting to the way things are right now. I am giving myself a "wellness journey" and have devoted this time in my life to focusing on myself and getting healthy. Whatever healthy looks like for me, because I know it's gonna be different.

Thank you thank you for your support and encouragement! I am just going to do what I know to do, which is to PUSH like I always PUSH for everyone around me.
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Julie T
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Re: New here.... my story. Does this sound like mcas?
Reply #7 - 08/15/12 at 17:54:32
 
Hi Becca,  We are in AZ and see a naturopath too.  My daughter has mast cell issues.  Our naturopath is working with Dr. Castells.  We see Dr. castells in October for the first time.  She will work with your doctor locally.  What I love about our naturopath is she will read information and is open to working with the expert.  

Which immunologist are you seeing?  I know Dr. Lewis sees some of Dr. Goodman's patients.  My daughter has POTS and we have been going to DC to see Dr. Abdallah.  I know many patients love Dr. Goodman.  

wish you the best!

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azmusiclover
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Re: New here.... my story. Does this sound like mcas?
Reply #8 - 08/15/12 at 18:00:37
 
Hi Julie,

I love Dr. Goodman. They are bringing another immunologist down from Rochester, Dr. Rank. I am not sure if he is coming out full time or going to be down just for the winter time, when it picks up out there. I will let you all know what I think of him!

That's good to know about your naturopath and Dr. Castells. My naturopath is great, fresh, and totally open!  

Thanks for saying "hi"  I hope things are going well with your daughter.
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