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Forced Sleep Episodes and Severe Leg Cramping (Read 4792 times)
brethor
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Forced Sleep Episodes and Severe Leg Cramping
02/04/13 at 03:23:08
 
Hi All  Smiley

So this is kinda two separate symptoms that may or may not be related. I am wondering if anyone here has experienced what I call forced sleep episodes......they come on very fast with no warning... its like having a switch flicked or like being shot with a tranquilizer dart.....one minute I am fine and then all of the sudden I literally am fighting to keep my eyes open....I have this overwhelming urge to sleep but its not a good feeling....my heart beat gets very strange and my head gets really foggy and I feel very anxious.....like how you feel in the beginnings of sedation.....most of the time if I get up and move around I can stop it but sometimes its like I pass out but only for a few minutes and then I jolt upright. I have been having these episodes since 2007 and have had everything checked....was diagnosed with dysautonomia/POTS and recently MCAS....these episodes have recently gotten worse since I titrated down my florinef (but I experienced them before any of my meds) has anyone ever experienced anything like this? is it a mast cell reaction possibly? Also every day I have been suffering from severe leg aches so bad they make me cry.....it doesnt feel like muscle pain (my electrolytes are regularly tested and I get lots of potassium, calcium and magnesium)more like vascular and bone pain (similar to how your legs can ache in the heat of summer)....I am at a loss of what could be causing these symptoms and would appreciate any insight anyone can offer. My specialists are at a loss..... the only other thing that has come up recently is I have a slightly enlarged liver from the florinef.....

Bren
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ruth
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #1 - 02/04/13 at 04:25:48
 
Bren have you seen this thread about prolonged syncope under Symptoms?

http://mastcelldisorders.wallack.us/yabb/YaBB.pl?num=1331511400

You might find some relevant info there, it is quite a lengthy discussion.

Ruth
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brethor
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #2 - 02/04/13 at 05:18:00
 
Thanks Ruth Smiley

I read it and some of the symptomology is definately similar....interesting about the PGD-2.....I think there may be a relation there as I have always responded well to NSAID and aspirin but have horrible reactions to opiates.....I may try taking aspirin the next spell and see if it helps

Bren
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Joan
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #3 - 02/04/13 at 05:19:44
 
Before I was on an adequate dose of antihistamines, I used to get what I called a terrible, deep aching all over.  As soon as I increased my antihistamines, the pain went away.  A few other people have had the same thing happen.

What daily meds do you take and how much of each, if you don't mind posting them?  It sounds as though at least some of this might be connected to reducing the Florinef, in which case, you might need to increase antihistamines and/or try some other ones.  Have you tried any other anti-inflammatory meds or supplements?
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brethor
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #4 - 02/04/13 at 05:26:40
 
Hi Joan Smiley

My current meds are; 150mg ranitadine 2x daily, 20mg claritin daily (tried all other ones and terrible reactions), 400mg gastrocrom daily, benadryl as needed, .05mg lorazepam 2x daily, .05mg florinef 3x weekly and I try to adhere to a low histamine diet....most supplements I do not react well to like everyone else. I suffer from many types of urticaria (hot/cold, exercise induced etc) the florinef has always helped with alot of my symptoms and I could never understand why it was helping with things it had no business helping Wink I suspect the anti-inflammatory part of it was treating some underlying issues. I have tried upping my other meds but it just seems to be heading me into a total tailspin Sad but if I up the florinef again I risk getting full blown Cushings....so I am in a real bind Sad
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MarciaB
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #5 - 02/04/13 at 08:40:09
 
Hi Bren,

If you're acute sleepy episodes are a  blood glucose problem, a gtt + insulin might show it.  I got really sleepy, and nauseas at one point, during the test but I can't remember now exactly when it happened. I recovered by taking a nap. My glucose numbers aren't that off, but my insulin gets way too high.

Another option could be that it's a reaction to something you're eating. I get a sleepy reaction from eating wheat. Have you tried the elimination diet ?

tc ... 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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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #6 - 02/04/13 at 09:33:40
 
bren:
I get only the tiredness issue like you. It's bizarre full awake then can't keep my eyes open, but only on weekends, never during the work week. What I've been trying is to hit the caffine as caffine doesn't affect my skin pain at all. Usually happens around 1pm or 4pm.
So i've been drinking a strong cup of coffee about an hour before these times & seems to work if I've got a good nights sleep. If I have a bad night it doesn't matter.& I'm Nasids intolerate so can't try aspirin. Also I don't eat alot so tried small meal around that time didn't help at all.
MikeV
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Joan
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #7 - 02/04/13 at 10:46:18
 
Hi Bren,

  Some people take more meds than you're taking, e.g., 300 mg. ranitidine x 2 /day.  Claritin is a lot milder than some other H1s, but it sounds as though you've tried different ones.  Have you tried having any of the others compounded without additives.  It could be the additives that bother you.

  Can you take any NSAIDS?  Tylenol?  You mentioned Benadryl, but have you tried hydroxyzine (Atarax)?  

  Inflammation can be at the root of a variety of symptoms, and prostaglandins can be a problem for some people.  There are some supplements that are anti-inflammatory, but you would of course want to ask your doctor about those.  Nancy Gould recommended turmeric capsules to me, and I've been happy to have a lot less inflammation overall since I started them.  

  Dr. Theoharides developed supplements that are mast cell stabilizers and have an anti-inflammatory effect, too.  The website is www.algonot.com and the supplement he recommends for mast cell patients is called NeuroProtek.  It's not cheap, but some people find they can take a lower than recommended dose once they're stable.  The ingredient list is on the website so you can look that over if you're interested.

  All of your symptoms can be caused by mast cell problems.  Sometimes we just have to keep tweaking and adding and deleting medicines until we get the right combination.  I hope you have a good doctor who is working with you on this!
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #8 - 02/23/13 at 11:21:15
 
Hi!

I see you were taking Claritin and were having trouble with some of the other antihistamines?  You sound a lot like me!  I am drug lightweight. I had some similar problems once, so I thought I would share what worked for me.

When I was taking Claritin, I had a little side effect that I would get these episodes where I seemed to kind of have a little bit of apnea right before I went to sleep.  

I actually went in for sleep testing, and it turned out that I was not transitioning normally from waking to sleeping.  My body would go into "sleep mode" while I was still awake.  My respiratory rate would slow down, I'd skip a breath, jerk a little.  It was kind of creepy.

So, I actually tried different brands of the generic for Claritin, and I found that when I used the Loratidine from Sam's Club, this problem went away.  Not sure if it was truly related, that would be hard to say for sure, but it worked for me. Everyone's body reacts different to medications, even different brands of medications.  You sort of have to watch what works best for you.

Also, I was getting some restless leg syndrome, kicking a bit, and cramps in my legs at night.  In my sleep workup they noted a little bit of anemia.  Low iron can contribute to the exaggeration of such symptoms.  

I started to eat a little more red meat and took my vitamins, and that went away too.  Now, I only rarely get this kind of thing.

Sometimes the symptoms are due to masto, some things are drug reactions,  perhaps other medical conditions that you are having,etc.  It takes some time to tweak out what is the culprit, and that varies by individual.  
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Re: Forced Sleep Episodes and Severe Leg Cramping
Reply #9 - 11/13/13 at 02:00:44
 
I have an off the wall idea on this (if you have not solved it yet).  In people with Chronic Fatigue Syndrome, they often have a reaction of "I have to lay down NOW"   It doesn't matter where they are, or what they are doing.   It could be in a store, or on the sidewalk.

Anyway, the mystery of this may have to do with a PFO (Patent Ovale Foramen), a hole in your heart.   Lots of people have these, but without symptoms.   If the PFO is opening up on you, it can shunt unoxygenated blood back out into circulation, and straight to your brain.   This can make you suddenly very tired.

If you have major headaches, it can be indication of this problem.   One way to test for it, without getting invasive, is to get a hold of a finger cuff/pulse oxymeter.   Check your O2 saturation for normal (96-99 %, I believe), then check it during a "sleepy episode".   If the O2 saturation drops way down, like 85%, it could indicate a PFO.    And that could make you sleepy all of a sudden.

The thing about PFO's is: we all (100%) have them... before we are born, because we aren't having to oxygenate our own blood.   Our mommies do that for us.   But, when we are born, the hole is supposed to close up, and sometimes it doesn't.  (It's a flap actually)  And sometimes it can reopen for various reasons.

It's probably not your case.   But I think the idea is so neat, and a rough test so simple, I thought I'd share.

Todd in Tenn.

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