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New here and looking for help (Read 17802 times)
livewithhope
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New here and looking for help
01/07/14 at 09:44:39
 
I'm new here and wanted to share my story.  I am a 46 year old female.  In March of 2013 I thought I was getting a uti, was tested and no infection was present.  Over the next several days my symptoms got so bad I went to the ER and was given a ct scan.  It showed a uterine fibroid.  Within a few weeks I had a hysterectomy.  The doctors thought my symptoms were due to the fibroid and there was some concern of whether my ovary was involved.  So, while they were in there we decided that I might as well have my uterus removed.  The pathologists found mast cells in the fibroid.  I was sent to an oncologist who did a bone marrow biopsy which was normal.  He said he was gong to be cautious with me and have me return in 6 months.  During those 6 months I developed heart burn and a burning sensation in my stomach.  I have also continued to have issues with my bladder that seem to be related to what I eat and I have noticed an increase in my heart rate with some foods.  I have done some researching and put myself on a low histamine diet.  I went back to the oncologist in December for my 6 month appointment and told him of my symptoms and he told me that the mast cells were invading my organs.  He gave me a prescription for gerd and said to come back in a year.  

It has been a scary 10 months for me.  I haven't been very happy with my doctors at all.  I didn't even know that the bmb was to test me for mast cell leukemia and systemic mastocytosis.  So, this is where I am at.  I did a ton of research on the internet which just scared me and confused me.  I live everyday afraid and I don't know what to think.  








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Spartako
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Re: New here and looking for help
Reply #1 - 01/07/14 at 16:31:27
 
What are your test results?

According to Dr. Larry Afrin, MD, a professor at the University of South Carolina who is one of the world’s experts on MCAS, testing should consist of the following:

   1.Complete blood cell count with manual differential, comprehensive metabolic panel, and a serum magnesium level (these are usually part of a doctor’s evaluation for a patient presenting with any type of chronic illness). Coagulation studies and serum immunoglobulin levels may need to be done depending on presenting symptoms.
   2.Blood tests consisting of serum tryptase and plasma histamine levels. If the tryptase is greater than 20 ng/mL, then a patient must be evaluated for systemic mastocytosis. In MCAS the tryptase, although often elevated, is almost always less than 20 mg/dL.
   3.Plasma prostaglandin D2 (PGD2) and heparin levels.
   4.Chilled 24 hour urine sample for PGD2 and methylhistamine.
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livewithhope
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Re: New here and looking for help
Reply #2 - 01/08/14 at 10:07:02
 
Thank you for the suggestions.  I did go to another oncologist for a second opinion.  He asked me a lot of questions about my health.  Felt my glands and scratched my skin.  Said I didn't have SM.  Said he wasn't sure what was wrong with my bladder or what was causing the heartburn.  He didn't even feel that I needed to be seen any more.  I
asked the second oncologist about trypase tests and he said they aren't reliable.  In my research, I have done some reading on Interstitial Cystitis.  Apparently mast cells are involved with that.  Wondering how many on here have bladder issues.
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Re: New here and looking for help
Reply #3 - 01/08/14 at 10:58:47
 
HI,

This summer (before I was diagnosed w/ MCAS) I had an "itchy/twitchy" bladder just at the end of voiding. No burning, pain, blood, or "odor" that would be consistent w/ a UTI.
Urine dips were negative...but the pain started to radiate to my kidneys, first on one side then around my back then to the other side. Serious tenderness w/ tapping on them even lightly never mind the thump they like to give them.
I ended up at the ED- and after culture they determined I had a UTI and I took levaquin for 3 days (bad choice for MCAS as it turns out..) - guess what? Next month same symptoms. Again, no UTI. and again, no uti. Sigh. Since starting Allegra and gastrochrom this has not been a problem. The naturopath I was seeing at the time said, "I hope you aren't getting a cystitis." - though again this was all pre-diagnosis.   I had many a doctor/health care provider stumped.
Like you and so many others here I had to do my own research and find a doc who actually knew what this was- to get diagnosed. I suppose some would say "if you search long enough you'll find someone to tell you what you want to hear" (yes, someone said this to me....) but when the pieces fit- what are you left with.
I was commenting to my husband that in school they taught us, "when you hear hoof beats think horses, not zebras". Well, guess what? We are zebras. Sometimes the docs really need to think zebras when all else has failed... not just "it's all in your head" or "see you next year".

I hope you are able to find someone who you can relate to and trust and who can guide you wisely.

Kelley
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Re: New here and looking for help
Reply #4 - 01/08/14 at 11:48:00
 
It is hard and I don't have much support from family so I just keep everything to myself.  I guess my big fear is that this is cancer.  I try to stay off the internet as that doesn't help.
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Re: New here and looking for help
Reply #5 - 01/08/14 at 15:00:05
 
I had almost 10 tryptase tests at 2 different labors and all where in little range. So I think they are quite accurate but do not give a clear answer what the problem is. It can either mean you have too much mast cells somewhere or they just released some tryptase. So the test should be repeated some times.
People with MCAS often do not have hightend tryptase! The other tests noted are more significant.
In my case tryptase level was never under 11 but after provocation with food at about 15. Which clearly shows that there was some ill behaviour of mast cells. But it also means that I got too many mast cells because normally tryptase should be 3-4.
I was C-Kit D816V negative and had no signs of SM in bone marrow. So I must have one of the other mutations associated with MCAS which are even less researched...
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Re: New here and looking for help
Reply #6 - 01/09/14 at 10:58:17
 
How many of you have issues with heartburn and stomach acid issues?
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DeborahW, Founder
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Re: New here and looking for help
Reply #7 - 01/09/14 at 15:32:24
 
Hi. I'm just dropping in for a quick welcome and to give you a bit of advice. (I'm really sick right now with a respiratory virus, so don't want to be on the computer long.)

Try Zantac twice a day and see if that helps. Zantac 150 mg or 300 mg twice a day is very standard for our mast cell docs to put us on for GI troubles. It really helps many of us! Also, other standard mast cell antihistamines are Allegra (180 mg) and Zyrtec (10 mg). For example I take Zantac and Allegra in the morning and Zantac and Zyrtec in the late afternoon. These meds really keep my mast cells under control!

Deborah
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Re: New here and looking for help
Reply #8 - 01/09/14 at 15:42:09
 
Forgot to mention that you shouldn't worry about Cancer. Mast cell disease is NOT Cancer. It is an annoying and sometimes debilitating disease, but that is it. Your oncologists are convinced that you don't have Cancer, so breathe a sigh of relief and focus on being your own investigator to figuring out if you have a mast cell disorder. If you tell us where you live (country and state), then we can make recommendations of the real mast cell specialists who can help you.
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Re: New here and looking for help
Reply #9 - 01/10/14 at 13:24:30
 
Thank you for all of your responses.  I am from Wisconsin so if any one knows of any doctors, please let me know.
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Re: New here and looking for help
Reply #10 - 01/10/14 at 14:36:19
 
Most of us end up having to travel to one of the few actual mast cell specialists in the country. I always recommend going to see Dr. Cem Akin or Dr. Marianna Castells at Brigham and Young Hospital in Boston. They both started the Center for Mast Cell Disorders, and they are the 2 leading researchers/specialists in the field. I am a patient of Dr. Akin, and he totally improved my life with diagnosing me and putting me on the right meds to stabilize me and allow to enjoy day to day life with my kiddos. (I don't live anywhere near Boston either, but it's worth the trip to get a good gameplan of what to do.)
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Re: New here and looking for help
Reply #11 - 01/29/14 at 11:22:34
 
I have a new doctor who is reviewing all of my medical records and will be looking at the slides from my surgery and bm biopsy.  He also wants me to have the tryptase test.  After they review everything they will let me know what the next step is.
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Re: New here and looking for help
Reply #12 - 01/29/14 at 19:53:20
 
Mast cell disorders are often diagnosed after everything worse is ruled out.  That is why you were tested for cancers and other disorders/diseases.  Some symptoms can be the same, and the testing rules in or out other possibilities.

It's not unusual to have mast cells in organs and in the GI tract, including the stomach and even the esophagus.  They appear in places where there is inflammation.  In many patients anti-inflammatory medicines are helpful in addition to the H1 and H2 antihistamines that Deb described.  Some people do well on aspirin or ibuprofen or naproxen.  Atarax (hydroxyzine) can be helpful for bladder problems, such as cystitis (which isn't necessarily an infection.  It can be solely inflammation.)

Certain foods can aggravate cystitis, which you've probably figured out already.  But also, high histamine foods and other triggers can cause indigestion, reflux, and hyper-acidity.  Everyone seems to have at least slightly different triggers, and figuring out what those are will be key to recovery.  If you keep a food and symptom diary, you might be able to figure out what's irritating your systems.

Good luck, and keep us posted on how you're doing.  Most of all, try to lower your stress level.  That seems to be a universal trigger for mast cell symptoms.
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Re: New here and looking for help
Reply #13 - 02/01/14 at 07:12:48
 
Thank you for the info.  I went to the lab and had blood drawn for the tryptase.  I guess I will know those results this next week.

I do try to follow a low histamine diet which has helped a lot.  I think I'm sensitive to preservatives also.  Usually heart burn starts in the morning after I've been up for about 1/2 hour whether I eat or not.  I started taking a 180 mg Allegra along with the omeprazole in the morning and then I take benadryl before bed.
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Re: New here and looking for help
Reply #14 - 02/07/14 at 10:05:21
 
My tryptase level was 11 which the doctor considered normal.  He reviewed all my records and said the amount of mast cells in the fibroid really wasn't that many.  He said it's not impossible but he said nothing at this point would lead him to believe that I have SM.  Thought I should have a GI scope and biopsy to see if there are any mast cells there.  Again, he doesn't think there will be but he said I should have it looked at to see what is causing my daily heartburn.
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