My appointment ended up being a traditional allergy
appointment. I started off with the
nurse who took my vitals and gave me a breathing test that is for
asthmatics. I did have to use my inhaler
three times yesterday after not using it for over eighteen months but woke up
fine today. I scored very well at 111%
which is normal for me. Allergists
always comment on how great my lung capacity is for an asthmatic.
Since I had antihistamines recently and had also
take Quercetin, they then checked to see if I would react to a histamine control
skin test. The nurse applied it, turned
to put the spent test away, turned back and said that I was for sure reacting. So, within about 5 seconds it was positive.
The doctor came in and we talked about what had
been going on. I got one of my least
favorite doctor questions after I had already answered it: “Why are you here?”
Really?
We just talked about how I got hives from walking
into a store, which progressed to mouth and tongue issues and then a resurgence
of my asthma yesterday. That this has
happened to me before and I was entering a “Body Freak Out Mode.” That for the past two months things have
gotten crazy. So I essentially say that
I don’t want to get really sick again.
The doctor is not interested in my low histamine
diet experience. She says that food is
never the cause of chronic hives. She
isn't super interested that the last time ended after I stopped sharing laundry
machines because chronic hives isn't caused by laundry detergent.
In fact chronic hives have no known cause…
So, at this point she doesn't want to add any
medications. If I were to worsen, Claritin and Zyrtec are
both ok for nursing. I’d first do Claritin
once a day. Breakthrough hives on that
means Claritin twice a day. Break
through hives on that add a Zantac (it was hard to get a word in else I would
have asked why Zantac would be good for hives, did she mean Zyrtec?). She said that there would be options to layer
the various antihistamines. Xolair was
also mentioned as good for chronic hives.
When I am not nursing and am done having children I
should pursue aspirin desensitization.
I managed to get a word in and asked if she had
heard of Mast Cell Activation Disorders.
She said that she had but you just treat the symptoms. She did admit that it was likely that I had
MCAD.
The doctor also scratched both of my arms and said
that I am slightly dermatographic right now.
Next she asked if I wanted to do any skin testing. I agreed and we decided to do the
environmental ones here because they are different than the ones in Chicago and
also wheat since I mentioned that I had lately had problems with it. Wouldn't it be lovely to chock this up to
traditional allergies?
So, we did that testing and they had to do the
positive control again (ugh). Today was
a negative test day (I had a slight positive on maple and a very positive
histamine control). If my symptoms do
progress she did mention that we would do blood tests of some sort. For right now, I should come back if I get worse.
That is my absolute least favorite doctor line.
My take
aways from this appointment: a severe headache and hives.
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