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Steroids to stop chronic throat swelling ? (Read 7492 times)
MarciaB
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Steroids to stop chronic throat swelling ?
12/11/12 at 05:17:13
 
Hi All,

I'm seeing my dr tomorrow and plan on asking him about giving me
something to stop my chronic throat swelling. I did a little googling and found the choices too overwhelming. I've never taken steroids.

I noticed that these can actually help quite a few of my other symptoms. That would be nice.

Benadryl works but I can't stay awake on it. The other meds help a little but it keeps coming back. Even with Benadryl, I'd have to take too much to completely erradicate this.

I suspect it's coming from the a/c ducts where I'm renting and I
can't see this being fixed anytime soon.  They're old and made from fiberglass so they have to be torn out and new ones put in. I'm sure the mess would make me sick. Moving is an option but that would take a few months too.

Meanwhile, I'm really tired of this happening everyday for hours on end.

So has anyone had any experience with steroids ?  Chronic throat swelling ?

Maybe I just need to get this under control with steroids so regular meds can work ?

Tia .. Marcia

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CFS,FM,Celiac,Ataxia,Dysautonomia,Paget's,Seizures,PelvicPain,Hyperinsulinemia ...Responding to Wahls diet, supps and MC meds.. kow ...    
 
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PamH
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Re: Steroids to stop chronic throat swelling ?
Reply #1 - 12/11/12 at 13:07:04
 
Marcia,
I was having a problem with our house.  We had mold hiding in the duct work.  It was being thrown everywhere everytime the furnace or air conditioning came on.  It was a mess...I was a mess. I would walk into the house and have to turn around and walk out because my throat would start swelling.  This was an ongoing thing for a couple of months, I lived in a tent for a week, stayed with my mother in law for a week(not sure which was worse) Wink, we lived in a motel for three weeks, then I went to AZ and stayed 3 weeks with my parents. Came home and still had a problem even after we had removed the mold.  I think that the spores were just everywhere and very hard to get rid of.  So my husband fixed up the mini barn for me to stay in until we could figure out what to do next.  So, I stayed out there for a long 16 days.  Finally I couldn't stand it any longer, it was cold and damp, so we bought a huge, $1000 air cleaner and closed off the duct work to our bed room. I had a friend come over and we wiped down everything with bleach water to get rid of the spores.  Got rid of the carpeting and all furniture in our house that was cloth.  I stayed in my room for several months, then when I went on mast cell stablizers I got to where I could stay out of my room longer and longer.  Thankfully.  Now it might be combination of the meds and the spores being cleaned over past year but I can USUALLY go out of my room for most of the day.  On bad days I just linger in my room.  MY ADVICE WOULD BE TO MOVE! Even if it takes a few months!  It will not get better until you or the allergen is removed and sounds like the removal process will be harmful as well.  When you go to look for a new place don't medicate(if you can do that safely) so that you will react if there is something there that will be a problem.  We have considered moving but we would loose at least $20,000 on our home right now, plus we have removed every carpet and all the mold and we don't know what we would end up with.  So for now we are staying put... at least I have my clean room where we are.

Steroids can be helpful but they are not intended to be taken long term.  They can damage the body if taken long term and they do cause weight gain.  But they can be miracle workers for short term. I am sure there are others on the forum that have had more experiece with them than me.  I had to take several rounds  when I had an allergic reaction to Plaquinil.  Plaquinil is a quinine med and should never be taken by someone with a mast cell disorder.  I didn't know that I had a mast cell issue at the time, so I had a severe rash and anaphylaxic reaction that would happen everytime the steroid would run out.  Took a couple of rounds until the plaquinil was out of my system.  Also It must be tapered when you take it because I think it is hard on your heart...not sure but someone that has taken it often will know more than I do!
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Pam
 
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Starflower
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Re: Steroids to stop chronic throat swelling ?
Reply #2 - 12/11/12 at 13:28:53
 
Just a note about plaquenil... this drug is NOT off-limits for people with a mast cell disorder.  

Due to the fact that my case is complicated with autoimmune issues, several doctors... including Dr. Castells... have told me that plaquenil is the next thing I should try if my usual mix of drugs is no longer enough.

Heather

ps - I agree with Pam about steroids, Marcia!  The negative long-term side effects are not worth it.  If Benadryl works for you, why not try a second-generation H1 antihistamine like Zyrtec or Allegra?  They don't cross the blood-brain barrier, so they shouldn't make you sleepy.  It's safe to take much higher than the "normal" doses.  I take 4X that amount on a daily basis... more if I need to pre-medicate or have a flare-up.
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MarciaB
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Re: Steroids to stop chronic throat swelling ?
Reply #3 - 12/12/12 at 00:44:31
 
Thanks. I'm realizing that I really need to move. The closets here smell musty too so it would take too much to make this place safe for me. Bummer. It's so expensive and I'm so freaking tired from cfs that this is going to he a pita.

I'm going to ask for low dose steroids just to get me out of this rut.
I tried taking two tsp of children's benadryl (double my normal dose) last night and I've got a headache from dehydration. I always react to Benadryl this way.

Zyrtec makes me feel drowsy and uncoordinated. I think it can cross the bbb of those with damaged bbb. I've had numerous neuro problems over the years including ataxia for 16 years and seizures still.

From what I've read I may feel better on steroids. I have adrenal fatigue, pain, low bp, low blood sugar, etc.  I hope it doesn't put weight on me.

Tx .. I'll let you know how it goes..

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PamH
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Re: Steroids to stop chronic throat swelling ?
Reply #4 - 12/12/12 at 02:59:47
 
Heather,
Sorry, if I gave some bad information... I read on the list from the Mastocytosis Society Quick Reference Guide that quinine was one of the drugs to avoid. It is my understanding that plaquenil is a quinine drug.

http://www.tmsforacure.org/welcome.php

 I know that you are knowledgable in this area, this is very interesting for me because it was a really big piece in my puzzle.  One of my first ER visits. So is it not considered  a quinine drug or is the list wrong? Are they trying something "new" with you?  Is it just off limits for people with Mastocytosis?  Sometimes I forget that we all have different diagnoses!
Thanks
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Re: Steroids to stop chronic throat swelling ?
Reply #5 - 12/12/12 at 08:03:47
 
I see that "quinine" is on the TMS list.  Although plaquenil is not the same thing as quinine, look at it this way...  For some mast cell patients, aspirin is a beneficial drug.  It reduces flushing by helping to flush prostaglandins out of the body.  For others (me included) aspirin is a no-no.  It's an NSAID and a blood thinner.  Same drug, different reactions... even in mast cell patients, regardless of the exact type of mast cell disorder.

The TMS list says "drugs to use with caution," not "absolutely never use." Smiley  I don't doubt that you had a negative reaction, but Plaquenil is commonly used to treat systemic autoimmune disorders... I've heard of other mast cell patients taking it.

Heather
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We're all in this thing together
Walkin' the line between faith and fear
This life don't last forever
When you cry I taste the salt in your tears
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PamH
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Re: Steroids to stop chronic throat swelling ?
Reply #6 - 12/12/12 at 10:02:52
 
Heather,
Okay thanks!  Thats helps and actually makes sense!
So is plaquenil in the quinine family? ( Like a third cousin?) Because when I was put on it a few years ago, I thought that I read that it was in the quinine family.  When I read that on the Quick Reference Guide I just connected the dots and figured that the plaquenil was the catalyst of my masto. (it helps to underwstand things)
Now I am just trying to wrap my brain around why I had such a horrible reaction.  I have read SOME people that are allergic to SULFA drugs can NOT take it while some can. I am allerigic to sulfa drugs so maybe that is the connection.
Thanks for the info!
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« Last Edit: 12/13/12 at 04:29:44 by PamH »  

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Re: Steroids to stop chronic throat swelling ?
Reply #7 - 12/13/12 at 04:39:39
 
Marcia,
What did the doc do for you?
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Pam
 
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MarciaB
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Re: Steroids to stop chronic throat swelling ?
Reply #8 - 12/13/12 at 05:23:22
 
Hi pam,

Thanks for asking. It went well. He had some interesting ideas.

My tryptase was a low normal, but isn't that expected with all the allergy meds I'm on ?

I was given a 4 day supply of Orapred 15 mg for the throat swelling. I think it helped last night but I was so tired I fell asleep early. My throat swelling is always worse at night. I didn't have any rashes last night tho.  I'm hoping it helps some of my other symptoms too..

He also wants me taking
Zantac or pepcid for gerd to see if that helps. He explained how acid can affect our vocal cords. He understood that I react to vinegar but considers the acid in vinegar might cause vocal cord problems. I explained that I haven't had vinegar in months but the swelling is still there.  And that I suspected the a/c ducts.  He talked me into trying the h2 anyway tho since he says it's not very strong.

I did a couple of breath tests. I failed one slightly so I was given an inhaler and tested again. They say my tests looked better after using the inhaler but I didn't feel any better. With Singulair I actually felt better.

About 30 - 60 minutes after using the inhaler, I got really shakey. Since it had been a few hours since I'd eaten, I ate a tangerine but didn't respond quick enough so I had to take klonopin. I don't know if the inhaler contributed to my "pre seizure activity" but I think it did because the jittery feeling was really intense and would stop and start again for a couple of hours.  That's not my normal pre seizure feeling.

I was given an inhaler to use for extreme sob but I don't plan on ever using one of those again. I have lung scarring so it's not like an inhaler is going to help that.  And it made no difference in my breathing. I still strained to breath.

I'm to try singulair again. He hadn't heard of seizure like reactions to it but then again, they had me use the inhaler without questioning if I had seizure meds on me just in case. So I'm going to wait a bit then restart it very slowly.  I'm not on seizure meds all day so my seizures are prone to being triggered.

He didn't seem to be any more aware of the mast cell treatment protocal than he was the last time I saw him. I get the feeling, he's
into a treatment regime for his patients and sticks to it. He's been in practice for a very long time tho. So, I'll be looking for a mast cell specialist.

So I'm slowly making some progress. Tc .. Marcia
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« Last Edit: 12/13/12 at 13:01:22 by MarciaB »  

CFS,FM,Celiac,Ataxia,Dysautonomia,Paget's,Seizures,PelvicPain,Hyperinsulinemia ...Responding to Wahls diet, supps and MC meds.. kow ...    
 
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MarciaB
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Re: Steroids to stop chronic throat swelling ?
Reply #9 - 12/13/12 at 08:58:50
 
Well, I'm having a totally unexpected reaction to this. For the first time in many many years, I'm urinating without any straining.  It feels like I'm actually emptying my whole bladder at one time too.  Cool
I normally have to sit on the toilet for a few minutes for all of it to drain. And then it felt like some was left.

I noticed this immediately after taking the first pill yesterday.

One of my very first symptoms of me/cfs was bladder spasms. Not pleasant.

I seem to need these.

Kewl !
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Joan
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Re: Steroids to stop chronic throat swelling ?
Reply #10 - 12/13/12 at 16:45:05
 
Is it the OraPred that you think is helping?
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Joan
 
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MarciaB
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Re: Steroids to stop chronic throat swelling ?
Reply #11 - 12/13/12 at 23:07:14
 
Joan wrote on 12/13/12 at 16:45:05:
Is it the OraPred that you think is helping?


The orapred eliminated my urinary symptoms.. Wal-zyr, benadryl, etc are helping my allergy and oi symptoms.. Eliminatng triggers via Diet, etc, esp gluten, eliminated most of my other cfs symptoms.

My body fell apart in 1990 and I  was dx with cfs in 1992. Turns out that my doctors were just too stupid to know what to look for so they decided to destroy my life. And countless others.

Btw, I just read that aspartame has been linked to seizures. Mylan montelukast 5 mg contains aspartame.  Roll Eyes It's only 6 am here so I only read article titles. I'll read up on it later. Steroids are causing insomnia.  I've been sleeping ok since 2006.

Tc and avoid doctors ... marcia
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