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Mystery symptoms - Please help me get closer to a diagnosis. (Read 13581 times)
jdmc123
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Mystery symptoms - Please help me get closer to a diagnosis.
02/03/15 at 01:39:36
 
Hey everyone,

I have developed what I believe to be allergies to literally all chemicals. I've been experiencing this horrific condition for nearly 5 years and have had enough of just "existing" with this condition. I need to get to the bottom of this. I need your help.  Smiley

My symptoms:

Sound/light sensitivity, popping ears, shortness of breath, hypertension, twitching/spasms, shaking, sinusitis, aching joints (wrists, ankles, knees and shoulders**), - Clicking/popping joints (especially my knees, which pop every time I walk),  Regular raw pain feeling in stomach (When you peel off a scab and there's that shiny bit of sensitive skin underneath). That's what it feels like when i press down on stomach., chronic brain fog and fuzzy vision (translucent out of signal black/white tv fuzz) and getting hypoglycaemic very easily. Literally half a teaspoon of Sugar is enough to set off the wired symptom.

Description:

When I ingest foods and other chemicals, immediately a stress response goes off in my body and sets off what I can only describe as my wired symptom. Its an uncomfortable often painful tingling sensation streaming through my body as if something biochemical has been triggered and released into my blood stream after ingesting the chemical/s. My pupils dilate and it activates my nervous system. It puts me in a state where I feel stressed and on edge, whilst making me feel crappy. It impairs my cognition even more than it already is. The more extreme my wired symptom/stress response is, the more stressed I feel and the more extreme my symptoms get.


**Worth noting that only my knees are painful when the stress response goes off but all the other joints inc knees I experience a lot of pain if I exert to much stress on these joints when doing things, eg massaging someone quite strongly would be too painful after about 20 seconds if the stress response had gone off, or walking up two/three flights of stairs.


What triggers the stress response?

- Exercise (This one is bizarre)
- With no exaggeration, ALL food.
- Stress

I call it the stress response tap. It feel's like it's constantly on to some degree, streaming around my body, so I am pretty intolerant to stress and have a short fuse when threatened.

Worst offenders? (In order)

- Cigarettes
- Marijuana
- Histamine rich food
- Spices (yep...ridiculous right?)
- Caffeine
- Alcohol
- Smoked food
- Hair spray
- Gluten/Yeast
- Exercise

My worst symptom:

Chronic Brain Fog - I have read many, many cases of people experiencing this symptom but nothing to the extent of how extreme and debilitating mine is.

The extent of how chronic and debilitating it is, is something which my friends/family/doctors still cant quite comprehend. It is so chronic I am completely unable to think, access any thoughts or memories. I can't process more than 4-5 words in a sentence, completely unable to process a paragraph, sit back and think about it, it's not a matter of hazy thinking, I am completely unable to think AT ALL. The best analogy I can find is is it's like solitary confinement in the mind, no activity, just dead space.

My quality of life and the boredom I experience is frightening. Completely unable to process anything properly - books, films, music, conversation, again just dead space, no escapism.

What has helped with my "condition"?

Diazepam - reduces my "reaction" to things significantly to a point where I could almost live a manageable/mildly functional life with it. Because there's much less wired symptom it helps my ability to process better and appear more functional in everyday situations, but doesn't improve the BF.

Cold air exposure - If im very symptomatic being outside for 15 minutes or more significantly improves my wired symptom, ability to process information and general symptoms like sinusitis. It's by far my quickest and most effective supplement. I have heard cold air exposure reduces glutamate exitoxicity - so something is triggering it, but I'm not exactly sure what it is...

Elemental diet - Being on this for 8 days reduced my reaction to normal foods (gluten, alcohol, ready meals & dairy based foods) considerably and normalised my stress response and improved BF by about 40%. I felt very calm and zen after and was MUCH better at handling stress because the stress tap wasn't on anymore. Eating "normal" foods for a couple of weeks made me go back to square one again though.

Tests done:

I've had thyroid, lyme, histamine, (awaiting full autoimmune profile) and most standard blood tests a doctor could do for someone who thinks they have something wrong with them. Done brain scan, tested for POTS. Nothing.

My own conclusions: I'm still pretty clueless as to what it is but Mast cell activation disorder does seem to sound likely.

Just something is triggering neuronal excitability...

Background:

I was experiencing feeling a bit odd and cognitively impaired for about 6 months or so until one night I ate a big carby pasta meal, which I believe made me hypoglycemic and then I smoked a little bit of weed (which I have allergies to i've now realised), the combined autoimmune response along with the hypoglycemia triggered inflammation in my hypothalamus, which made the baseline brain fog worse.

I'd greatly appreciate some ideas as to what you think I might have or for you to share any similar stories of people with very similar issues as it's bizarre that across the big WWW I can't seem to find anyone with my exact issues.

Thanks for reading.  Smiley
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Britt
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #1 - 02/03/15 at 14:54:15
 
jdmc123-
We all have our own way of describing the crazy reactions from mast cell disease! I could have written what you wrote! Can completely relate! I am  going through a phase of the excitability, kind of spun out feeling you're talking about. Ugh.

From what you have written, it sounds a lot like what people who habe mast cell disorders describe as symptoms. So I do not think you are off in left field looking into this.

You are on the right track with looking at foods and chemicals. I would suggest trying to get rid of all fragrance products (cleaning, laundry detergent, dryer sheets, hair spray, lotions, room deodorized etc) I know they are HUGE triggers for me and for many other people. Also, start paying attention to personal care items and their ingredients. For me personally, and we're all different, I can't use anything plant based (salicylate sensitivity) including glycerin.

As far as the weed.....I hear you on that! I used to smoke until I realized it spun me into the rabbit hole! Haven't touched the stuff in over 7 years. Same goes for alcohol. I will VERY occasional drink a beer or two.

As far as the diazepam, Dr. Afrin,  who is a leading doctor in mast cell disorders, does use benzodiazapines to treat some people with mast cell disease.

Have you tried taking daily antihistamines yet?



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Spartako
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #2 - 02/03/15 at 15:00:38
 
Sounds like you got issues with your mast cells.
Probably MCAS.
Exercise, stress, smoke, spices, histamine, salicylates, sulfites, strong smells, alcohol, gluten are common triggers for mast cells.
Benzodiazepines like Diazepam block the mast cell reaction for some patients.

You can get the tryptase level in your blood checked. Anything above 4 indicates you got more mast cells or more active mast cells than 90% of the people.

For really strict diets look here:
http://www.failsafediet.com/
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jdmc123
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #3 - 02/04/15 at 01:16:15
 
Thanks for your response's guys. Its much appreciated.

Spartako - I have checked out this diet before, and will look further into asap. I will make sure to get my Tryptase levels checked.

Lefty - I haven't really tried any anti-histamines, what would you recommend? I also knew that about Dr Afrin prescribing the benzo's to some people, I read about it last night and that was the clincher to convince me I have this condition or at least some secondary mast cell issues.

I have a few questions guy's which I'd like to ask if you wouldn't mind.
I want to go into my doctors office in the know of what to do as I imagine he will probably have a very small understanding of what this condition is, so I imagine I will need to direct him in regards to what to do, in regards to what medications to take and what specialist I should see etc. I've tried to design the questions so that they don't need much of a response!


Is tryptase the only test I need done to start with?


What are the steps taken to get a diagnosis?


Have other members had a failed histamine test only to later find out by having there tryptase levels done that they do in fact have mast cell issues?


I have had tests for pretty much everything and everything has come back normal, is this normal for MCAS patients to experience this kind of issue of all tests coming back normal & not finding a diagnosis?


Do you guys know of a good specialist to be referred to in the UK? If not do you know any members on this forum who might know?



Thanks so much.

All the best,
J
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Lisa
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #4 - 02/04/15 at 13:33:01
 
Hi J!

Yes, it sounds like masto in one form or another and yes, you need a really good doctor to figure this one out!

As to Diazepam and why it works for us is because anxiety is seen by the stress system as a warning that the body is being attacked.  These emotions cause the stress system to release potent mediators.  The MC is full of receptors for these mediators and they thus trigger the MC to release.   So, by calming down the emotions, it doesn´t allow the stress system to be triggered and thus no MC degranulation.  

The stress system is primed by our eyes, ears, touch and emotions.  If we tense up our muscles, if we get spooked and our hair raises on our arms, if we hear too loud of noises, or lights flash or too much movement too quickly the body interprets these signals going through the central nervous system as threats and this forces the stress system to respond.   This is NORMAL body function but in masto patients the threshhold to handle these kinds of input is way, way too low and prior to activation they wouldn´t trigger us, but once we´ve activated, then our threshhold lowers and our toleration level with it so we trigger easily when nobody else would trigger!  This is why doctors often think we are merely being "emotional" because the vast majority of people don´t go through all of this!  But amongst masto patients this is typical behavior and it happens all the time with us!


J, Dr. Clive Gratton is the highest authority on masto in the UK.  But I don´t know how high of an authority he may be.  Since Spain is not so extremely far from you I honestly think it would be better to speak with one of the doctors there to see if they´d be interested in your case.  

If you want, I can help you contact Dr. Gratton as well as doctors in Toledo Spain at Dr. Escribano´s masto center.   Just send me a PM and I´ll give you the contact information.  

Hope this helps!


Lisa
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Don´t forget, there is so much more to life than being sick!
 
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Lisa
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #5 - 02/04/15 at 13:46:24
 
- I haven't really tried any anti-histamines, what would you recommend?

YES!!!  Loratadine, Allegra, Ranitidine



Is tryptase the only test I need done to start with?  

No, you can also do methyl-histamines urine 24hrs  and prostaglandins D2 urine 24hours.


What are the steps taken to get a diagnosis?

First find a doctor who KNOWS MC disorders.  Second, GO TO HIM!  lol

A masto expert knows that each patient has to be worked up for other possible disorders first, ruling them out in an orderly fashion.  Then they begin looking at the disease and doing appropriate testing.   There´s no one specific process because each case is a seperate case and the disease affects us all differently.   Some have GI workups with biopsies and appropriate immunohistochemical testing, others end up facing skin biopsies or bone marrow biopsies and others don´t.   Each case is a seperate case and the forms are varied and difficult to diagnose!  This is why you want to invest in going straight to the to the top and this can end up saving you money and a whole lot of grief by getting your answers quickly.  

Have other members had a failed histamine test only to later find out by having there tryptase levels done that they do in fact have mast cell issues?

YES!!!!   Plenty of patients have false negatives merely because the labs goofed up in dealing with the urine or blood!  

I have had tests for pretty much everything and everything has come back normal, is this normal for MCAS patients to experience this kind of issue of all tests coming back normal & not finding a diagnosis?

MCAS is a disease of EXCLUSION!   In other words, you rule EVERYTHING else out prior to feeling sure it´s MCAS.   A positive response is a diagnostic criteria for MCAS.  

Do you guys know of a good specialist to be referred to in the UK? If not do you know any members on this forum who might know?[/b]

Again, Dr. Grattan is the best in the UK.  period!    But again, why not just invest in some train tickets to Toledo Spain and go to the masto reference center there!   It can be loads cheaper in the long haul!!!




I hope this helped!!

Lisa
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jdmc123
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #6 - 02/09/15 at 07:50:54
 
Hi Lisa,

Thankyou SOOO much for taking the time to write such an informative response, it is honestly so much appreciated. Just so you know I will respond in greater detail when my fog isnt so bad.

I am seeing a doctor very soon and I was wondering if you could recommend me two drugs which have been the most recommended amongst the community to help lift the ghastly brain fog?

I obviously want to experiment with the drugs whilst I wait for further testing etc.

Is cromlyn the best mast cell stabiliser to start with?

All the best,
J
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mountain girl
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #7 - 02/12/15 at 05:36:17
 
What are the steps taken to get a diagnosis?
Start a symptom journal. This will come in handy when you start experimenting with different drug therapies as well. It sounds like you have some idea of your triggers which is a great start!


Have other members had a failed histamine test only to later find out by having there tryptase levels done that they do in fact have mast cell issues?

There are hundreds of mediators released by mast cells. Patients present differently!  So some will get a hit on histamine, some chromogranin a, some tryptase, etc.. and for some absolutely NOTHING will come back positive.  It is good to get a baseline tryptase and then if you have a significant flare they will have something to compare. (An increase in tryptase 4% over baseline after a flare is a minor diagnostic criteria for MCAS.) I have standing orders for the 24 hr urines that Lisa mentioned and typtase in case I flare.  


I have had tests for pretty much everything and everything has come back normal, is this normal for MCAS patients to experience this kind of issue of all tests coming back normal & not finding a diagnosis?

Yes, it is so hard. I want to bang my head against the wall some days!!  But as Lisa said MCAS is diagnosed by ruling everything else out. So you are making progress even if it doesn’t feel like it!


I am seeing a doctor very soon and I was wondering if you could recommend me two drugs which have been the most recommended amongst the community to help lift the ghastly brain fog?

Many have said that Cromolyn helped their brain fog.  I started allegra and Cromolyn together so I am not sure which got rid of my brain fog.  But something worked!  


I obviously want to experiment with the drugs whilst I wait for further testing etc.
Be very deliberate and orderly in the way that you add drugs, otherwise you will not know what is helping.  Log everything in you symptom journal. Make only one change at a time and wait until you are sure you know if it is working or not (I have heard at least a month.)  Most start with H1 (Zyrtec/Allegra) and then an H2 if you have gatro symptoms.  


Is cromlyn the best mast cell stabiliser to start with?

Well if you can get someone to write a prescription, then it is a good place to start. Many do well on Ketotifin as well.  And Quercetin!  It is a supplement. Be aware of the fillers in the drugs. You may be reacting to the fillers and think the drug isn’t working.

Read these articles:

A good place to start:
https://www.novapublishers.com/catalog/product_info.php...

Shorter articles on mast cell disease:
http://www.wjgnet.com/2218-6204/pdf/v3/i1/1.pdf
http://www.allergysa.org/.../August2014/ThePresentation.pdf
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mountain girl
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #8 - 02/15/15 at 11:43:19
 
Correction on my previous post....

An increase of 20% in tryptase plus 2ng/ml within 4 hrs of a flare is a minor criterion.
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jdmc123
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Re: Mystery symptoms - Please help me get closer to a diagnosis.
Reply #9 - 04/23/15 at 13:04:59
 
Hey Mountain girl and Lisa,


Thanks so much for your helpful replies, your making it that little bit more easy to understand in this very complex topic, its much appreciated!

So i've had my tryptase levels checked and it came back within normal range...but then again when I had the test I wasn't symptomatic. Should I get the test again and make sure I eat a bad trigger food and purposefully put myself in a flare up before I take the test? I plan to take a histamine test sometime in the next week and do this.

It's without a doubt I have an HPA axis disorder and I react to all chemicals, so it just seems to make so much sense that I have some form of mast cell issues. Mainly because I react in varying severity to different foods and at different doses. If I have a teeny weeny bite of cheese im okish just about, if I eat a large chunk of aged cheese on some pasta....  Shocked thats me feeling irritable and crappy for the next hour or two or tree!

Quote:
There are hundreds of mediators released by mast cells. Patients present differently!  So some will get a hit on histamine, some chromogranin a, some tryptase, etc.. and for some absolutely NOTHING will come back positive.  


So what I understand from this is that even if a histamine, tryptase test come back negative it still doesn't necessarily mean I don't have mast cell issues, right?

Apart from histamine and tryptase tests, are the next ones to take methyl-histamines urine 24hrs and prostaglandins D2 urine 24hours? Are doctors able to easily do these in the UK/Europe?

Quote:
MCAS is a disease of EXCLUSION!   In other words, you rule EVERYTHING else out prior to feeling sure it´s MCAS.   A positive response is a diagnostic criteria for MCAS.  


I'm having difficulty wrapping my head round this one, do you mean its a disease of exclusion within the histamine related disorders? Do you mind expanding a little?

Sorry for asking so many questions I have such awful cognitive symptoms that i need everything spelt out.

Thanks,
J

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