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Type IV-allergy and infusions

sunshine44

Que sera sera
Messages
1,164
@sunshine44 , you asked for my other foods: I‘m mainly eating rice, cucumber, green salad and cream cheese from sheep‘s milk. It’s pretty bad that I‘m getting nearly no protein and fat. @Gingergrrl gave me some time ago the hint to maybe try lamb as a low-allergen meat but it didn’t work out for me. :cry: Even my super-allergic dog is tolerating lamb :nervous:
yes, I hear you. I will be excited for the day I can eat salad! or any raw veggies but my digestion has been so compromised. Thinking of you. I hope you and I can eat easier and soon.
 

Gingergrrl

Senior Member
Messages
16,171
Thanks! I have thought a lot about parental nutrition before and it makes me worry so much that in a case I will have no tolerable foods left I can‘t back up on intravenous nutrition because I could clearly never be tolerating it.

When I was not able to eat anything back in 2015, I was able to drink water with dextrose powder and salt added to it. I'm not sure if this would work for you but wanted to mention it just in case.

I think Benadryl wouldn‘t help in a case of type IV-allergy because it’s only blocking the histamine1-receptors on the mast cells and not doing something on the t-lymphocytes.

I am realizing from this thread that I don't know anything about type IV allergies or t-lymphocytes vs. the endless experimentation for mast cell reactions that I tried in 2015. I wish I had a useful idea on this for you!

I‘m taking low-dose Ativan to calm the daily mast cell stuff and it’s helping me a bit.

That is great and I'm glad you have something that is helping. I forgot, have you ever tried Atarax?

@Gingergrrl gave me some time ago the hint to maybe try lamb as a low-allergen meat but it didn’t work out for me. :cry:

That is a bummer that the lamb did not work. When I was only able to eat two foods, it was lamb and rice. The third food that also worked well for me back then was sweet potatoes.

that makes sense.... I have low to no IgE, but constant histamine reactions....

I no longer have histamine reactions but I still have elevated IgE (and at this point, I am assuming that I always will)?

Are doctors starting to recognize MCAS at all? CFS specialists, do, but immunologists didn't last time I saw one, but that was a while ago

My MCAS specialist is an allergist/ immunologist who works with both pulmonary patients and mast cell patients. He is retiring soon which is a bummer for me and the rest of his patients b/c most doctors have no clue about this.
 

sunshine44

Que sera sera
Messages
1,164
When I was not able to eat anything back in 2015, I was able to drink water with dextrose powder and salt added to it. I'm not sure if this would work for you but wanted to mention it just in case.



I am realizing from this thread that I don't know anything about type IV allergies or t-lymphocytes vs. the endless experimentation for mast cell reactions that I tried in 2015. I wish I had a useful idea on this for you!



That is great and I'm glad you have something that is helping. I forgot, have you ever tried Atarax?



That is a bummer that the lamb did not work. When I was only able to eat two foods, it was lamb and rice. The third food that also worked well for me back then was sweet potatoes.



I no longer have histamine reactions but I still have elevated IgE (and at this point, I am assuming that I always will)?



My MCAS specialist is an allergist/ immunologist who works with both pulmonary patients and mast cell patients. He is retiring soon which is a bummer for me and the rest of his patients b/c most doctors have no clue about this.
wow, very helpful thread guys. This has always been one of my fears as well with needing nutrition from a tube but not being able to tolerate it....sigh.... may I ask how long you did the water, sugar and salt for? That is intense.
 

Gingergrrl

Senior Member
Messages
16,171
wow, very helpful thread guys. This has always been one of my fears as well with needing nutrition from a tube but not being able to tolerate it....sigh.... may I ask how long you did the water, sugar and salt for? That is intense.

@sunshine44 If anything that I have written is useful for you, it literally makes my day and is one of the reasons that I keep writing about MCAS. Is MCAS one of your primary diagnoses? Do you have an EpiPen?

My first anaphylaxis episode was in early 2015 to a yellow food dye in a candy (Tartrazine) which was absolutely out of the blue and was terrifying. We did not identify the trigger until much later in the day. I am happy to share as much of the story w/you as is helpful but I went from being allergic to yellow dye, to red dye (in a medication) to all FD&C food dyes, to certain foods, to all food. Luckily I was never allergic to water (which actually happens to some people) but thank God, did not happen to me.

There are many parts of that time period that are literally a blur to me and I am not sure that I will ever get the full memories back b/c I was so malnourished. I believe I was drinking the water with dextrose powder and salt for several weeks and I was hospitalized for a week in May 2015. My main doctor tried everything he could think of and consulted with Dr. Afrin (#1 MCAS specialist probably in the world) who told him that I needed IV Benadryl 30 min prior to eating.

I was able to try this in the hospital and then we switched to IM Benadryl injections when I went home. I ultimately developed a toxicity reaction to the Benadryl and had to stop it so I couldn't eat food again (and drank the dextrose/salt water again) until I finally got an appt with my MCAS specialist in July 2015 (and he is still my doctor today). He immediately put me on Ketotifen and Atarax which were life changing. I was taking 7-8 meds & supplements at that time in order to eat 4-5 foods (lamb, rice, sweet potatoes) and then was able to add butter, cooked apple without skin, blueberries, plain oatmeal, and maybe a few others?

I started following the SIGHI diet (very low histamine) and my MCAS doctor stopped the meds that were making me worse like Gastrocrom. I found very helpful supplements like Quercetin, NeuroProtek, Daosin plus OTC meds like Zyrtec and Pepsid. I literally tried everything but what put my MCAS into remission was IVIG. I still cannot explain the mechanism but the IVIG put it into remission in 2016 and it has never returned. My MCAS doctor thinks that the IVIG somehow "re-set" my immune system away from the insane allergic reactions. I still avoid the foods that I was allergic to life-long in addition to all FD&C food dyes, and all contrast dyes.
 
Last edited:

Malea

Senior Member
Messages
260
Little update: Spoke to my doctor and she agreed with all of you ;)
Reaction will start, too, when substance is given intravenously. Makes sense, even I had that little hope it could be different.