Low Histamine Diet For MCAS and Gastro Related Issues

Food

 

I am so so sorry, It has been months and months since I wrote in this blog but I thought what better way to start back into it than writing about something that has helped me almost miraculously in the last year.

The Low Histamine Diet. 

Last March (2017) I went to London to go to an appointment with the renowned Prof Qasim Aziz for serious gut related problems and weight loss stemming from my EDS. You can read all about that trip Here and you can read Prof. Aziz’s medical report and related advice from my visit Here.

My symptoms included serious weightloss (3.5stone) in a short period of time and strong constant bedridding nausea and vomiting that I was getting multiple times a day as well as excruciating gut pain which my doctors thought was stemming from the gallbladder and were considering operating on it before I traveled over and started Aziz’s amazing advice!

His recommendations then were as follows:

  1. Slowly reduce Opioids as they are slowing gut function. Stop, Reduce and increase some medications as explained during the appointment.
  2. For small intestinal bacterial overgrowth I have suggested a prescribed antibiotic twice a day for 2 weeks following which she should take a probiotic.

  3. I would suggest that she sees a senior pain management specialist locally to consider splanchnic nerve blocks but it may also be helpful for her to have a spinal MRI of the thoraco-lumbar spine to make sure that there is no nerve root pressure.

  4. I have given her detailed dietary advice and have generally suggested a diet low in sugar and grains but high in white meat, vegetables and healthy fat such as olive oil. Overall I have also suggested that she should reduce the histamine content of the foods that she eats and have suggested some resources that she can look at. I have also suggested Calorific drinks, vitamins and minerals such as vitamin C, B complex, omega 3 and chelated magnesium.

As soon as I got home I started the diet and calorie drinks straight away, I sorted the antibiotic and supplements a few weeks later but within 3 days of starting the diet I noticed huge improvements already so I was very hopeful!

It has now been just over a year on this diet and though I was only supposed to try it for 6 months I found that every time I reintroduced foods back into my diet that symptoms would start back up again so I have just stayed on it! It suits me and I don’t find it very hard.

So… Has it helped?

The answer is a resounding YES!

All my worst symptoms have actually gone, no exaggeration, My nausea and vomiting is now completely controlled, the severe pain I was getting in my gut that my doctors thought was all the gallbladders fault, is GONE! Actually gone, no more gut pain that had landed me in hospital multiple times, gone! It is just bliss!
My weight has maintained over the last 5 months at 52kg with is fantastic, no more constant weight loss!

As for my other symptoms? Yes they have improved no end too, though I still get dizzy I am nowhere near as bad as I was at my worst! I am so so happy it has worked for me, I can not recommend this diet enough. Though I will always advise that if you are starting any new diet or supplements etc. be sure to run it by your doctor first to be sure it will suit you!

So… How does the diet work?

It works by reducing inflammatory allergens that can make your digestive system swell and get raw as well as not function properly.

Find the diet plan that I follow Here.
How you follow it is as follows:
Anything that is a 0, you can eat as much of as you like!
Limit anything that is a 1,
and outright avoid anything that is a 2 or 3!

That is it! That is as complicated as it gets!!

The diet is restrictive enough that there are few grains, no sugar, no alcohol, no chocolate (Except some white), no tomatoes, no raspberries, no strawberries, no red meat except beef, nothing that will ferment in your gut to name but a tiny few.

However how successful it has been for me means that this restrictiveness is so worth all of it! I don’t find the diet hard at all and I find I am still getting plenty of calories daily.

It really has been life changing for me. It was designed specifically for people with MCAD so those of you who have MCAD or who think you may have it like me (Aziz thinks I may have it) or if you have Dysautonomia or EDS then this diet is for you!

As always get advice from your doctor before you start anything new, everyone is different and what may suit me may not work for you but if you have any questions about this diet, I will be delighted to answer them based on my own experiences from the last year on it.

That is all for now, chat again soon folks 🙂

Doing a dry run test for London!

So yesterday and today I have been doing a dry run for London, meaning I have to try and stay up for at least 11 hours straight, without bad symptoms kicking in, to be able for my flights and trip to London on May 13th. Sounds easy right?… yeah! I am having trouble and I still have 3 hours to go today!! I usually last about 4 to 5 hours up before bad symptoms and desperate fatigue get in the way and I need to rest in bed again so I need to be able to do this to go on the trip.

The itinerary starts for the trip on May the 13th at getting up at 5am to check in on time and fly out for the 7:30am flight to London, then I have to make it to London and to the specialists appointment at 12:30pm and wont be at the hotel until at least 4pm, so that is 11 hours from getting up at 5am! Then and only then will I be able to rest for the first time on the trip. To anybody else this would be simple but not for me.

I got up at 9 yesterday and made it to 8pm last night, then watched The Expanse and then passed out cold in bed for a couple of hours, I really needed the sleep and symptoms had kicked in pretty bad throughout the day. I simply do not have the stamina and health like I did the first time I went to London so I decided to do another dry run of it today. I got out of bed at 10am this morning and I have to make it to 9pm tonight and I have to say I am finding it tough!

I have the tickets bought for the trip and I really don’t want to have to change or cancel them so I have to be safely able to do this without bad sickness and symptoms getting in the way.

If I do this successfully, Ill let you know, but, I am finding it hard and may have to change the itinerary around a little to be better able to compensate my physical needs, but hopefully that wont need to happen.

Here’s to the next 3 hours, let’s do this!!! (I hope!!)

Lette xxx – (Fainting Goat!)

Great News! An Interview With Dr. Mustafa Ahmed, I Need Your Questions!

If you remember a few posts ago, I had mentioned I was looking for people to contribute to the blog by submitting some articles or anything they would like to share. That offer still stands to all of you but I am delighted to announce that on Friday, I was approached and offered an interview with Dr. Mustafa Ahmed, the interventional cardiologist who created The POTS Center.

Mustafa Ahmed MD, is a Cardiologist and Scientist, internationally recognized in areas including valvular and surgical heart disease and POTS. He was born in Nottingham, England, he went to medical school at the Victoria University of Manchester. After graduation he took postgraduate positions at the prestigious Manchester Royal Infirmary, Manchester, then the Queens Medical center, Nottingham. Dr Ahmed then moved to UAB where he was the first ever person selected for the highly competitive Physician Scientist Training Program with specialization in cardiology and interventional cardiology. – myheart.net

We discussed the possibilities of how best to approach this and I thought, why not open the questions up to all of you lot, the community reading this? Then everyone can contribute and have their questions answered by Dr. Ahmed.

If you have a POTS related question that you would like answered please get it to me before Monday the 23rd of March. Feel free to either email me on irishpotsies@gmail.com or leave a comment here or on the other social networks. Facebook, the private Facebook Support Group & Twitter

I am really looking forward to passing all our questions to Dr Ahmed and I thank him for this opportunity to raise more awareness 🙂

Get your questions into me, cant wait to see what you come up with!

Lette 🙂

Heading back to London

Or at least that’s the plan!

I have my email sent for a new appointment to see Professor Qasim Aziz over in the Hypermobility Unit at the Hospital of St. Johns and St. Elizabeth. He is a Neuro Gastroenterologist who works alongside Prof Grahame, whom I have already seen. I’v been told by both Gastros I have seen on the 23rd of this month that going back to London is recommended as the best next course of action, to see specialists knowledgeable in conditions related to EDS.

So I have opened the fund again as this is the only way it is possible for me to get treatment abroad at the moment.

Even if you could share this link ( gofund.me/LetteEDS ), I would greatly appreciate any help and support, thank you and as always I will keep you updated with posts on how everything is going.

Thank you all once again.

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Got To London & Met Prof. Rodney Grahame

We were off to see the wizard, the wonderful wizard of… The Hospital of St. Johns and St. Elizabeth, in St. Johns Wood in London, Professor Rodney Grahame. Specialist Rheumatologist.

On a rainy Monday morning, August 25th, we rose early to catch our flight into Heathrow from Shannon, leaving Ireland at roughly 08:45am and Landing in England at about 10am.

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I had never been to England before so I was looking forward to the trip. After Landing, we caught the express train into the city where we could drop our things into the hotel, grab some food and gently meander around the locality. Though that didn’t last long, I was wrecked!

Considering I got no sleep the night before and had to be up at 5am to check into the airport I had to come back to the hotel for a while and take a nap before we were to meet with some friends for dinner that evening, the day had already caught up with me but the nap did me well and I went out and about where our friends showed us around some of the city (In the milling rain!) and took us out to dinner.

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It was the following day we were to meet the wizard and after a long and busy first day, we slept hard that night!

So, Up on the Tuesday, we strolled down to St. Pancras and Kings Cross Station where we grabbed a bite to eat and went for a walk afterwards to kill some time before the appointment. The time came and we took a Taxi to the hospital.

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Accessibility in London sucks… like really badly sucks, the Taxis and most busses are equipped to take individuals in wheelchairs but the city itself, the pavements are damaged and rough, few ramps, dangerous roads, unreliable traffic lights and most shops, cafes and places in general were stepped without lifts or alternatives for wheelies. The majority of the underground Tube stations were not accessible and Also, I hate to say it, but most people on the streets don’t care if you are in a chair or not, they will walk straight through you, in most cases. For such a big city it (Accessibility wise) was a bit of a disappointment.

IMG_1756I wasn’t sure of what to expect when I got to the hospital, but I wasn’t expecting what greeted us. A modern, beautiful building, all level access for chairs, open and bright and it even had a concierge beside reception, A CONCIERGE!! Seriously, inside the door ready to help! 😀 I was highly amused by that!!

ANYWAY!! Up to the 2nd floor we went where I checked in and was told wait in the waiting room. Before ten minutes passed, a door opened at the far end of the waiting room, and there stood a tiny, slightly frail looking man wearing a classy suit and a smile, It was the wizard, He called me in!

Prof. Rodney Graham welcomed Keith and I into his office where he did everything to make sure we were comfortable, even asking if the air conditioning was ok!!

I have to say he made an immediate impact as being a gentleman. I was only supposed to be booked in with him for an hour, he saw me for at least 1 hour 45 minutes.

He started by listening to my full medical, family and symptom history, taking notes as I spoke, stopping me briefly as I went to ask questions and clarify some things. He then went on to ask me a list of questions relating to family, symptoms, hospital visits, all my broken bones and injuries, asked about my pots and Gastro intestinal issues, everything! Then a physical exam where he measured my arm length, measured the curvature of my spine, did the Beighton Scale on me (The Beighton score is a simple system to quantify joint laxity and hypermobility) Checked each of my joints separately for hypermobility. Checked the elasticity of my skin, the blue in the whites of my eyes, checked my flat feet, the inside of my mouth for a high pallet and overcrowding, asking about anesthetic resistance which I have had at the dentist many times before. He asked me about cuts, bruises, bleeding, checked my blood pressure, height…

He went out of his way for a full hour and a half to rule out EDS of any type, then sat me down in front of him again, looked at me and said:
“You came here knowing what you had, you do know what you have, don’t you?”

I replied:
“I think so, but I need to hear it from you, Professor!”

He fully confirmed a diagnosis of EDS type 3 Hypermobility type, with gastro issues. Explaining to me in full how this is not a benign condition and that it needs treatment. He said he would write to each of my doctors and to me with a confirmed diagnosis, a full treatment plan and a recommendation for me to be referred to both a gastroenterologist and to  Harolds Cross in Dublin for intensive physiotherapy and rehabilitation to get me back on my feet.

He said we would wait and see how the Irish doctors and the HSE reacts to his letters and if nothing happens fast enough in the next few months he will recommend for me to come back over to his team for me to see Prof. Aziz (Neuro Gastroenterologist) and Prof. Mathias (Autonomic and Neurovascular specialist) for faster, although private treatment.

I also asked about the seizures and if Dysautonomia could cause them. He said he was not a neurologist but that people with EDS and Pots have had Non Epileptic seizures before, but he did not know if the seizures were caused by dysautonomia or something else, but that it has happened. He also agreed that it was most likely the medication that they were giving me to ‘treat’ the seizures, in fact, made it worse, giving that now I have stopped being prescribed these meds, I have had no more seizures.

I was delighted, It was so worth the money to fly over and meet him, even for the confirmed diagnosis itself. I haven’t received the letters as of yet but as soon as I do, I can presume my doctors will have gotten them too… I am very curious as to how they will react to what he has to say. Prof. Grahame is considered one of the worlds best Autonomic specialists, I would hope they listen to what he has to recommend for me and that treatment can finally get a proper run for its money! I would really love a chance at Harolds Cross for Rehabilitation. Anything to help me back on my feet again 🙂

IMG_1758We had one more day in London before flying home, we booked an extra day not knowing if Prof. Grahame would send me for some diagnostic tests or not but we had the day to ourselves.

A dear Irish friend of ours, now living in Stoke On Trent came down to London to meet up, it was the first time seeing her since Christmas and it was brilliant to catch up. We decided to go to the Natural History Museum to see the Dinosaurs and because it is free in! It was amazing! After a short wait in the queue to get in, the museum itself was fantastic. Not entirely accessible though, just be aware if you go there, not all areas can be accessed by wheelchairs but overall it is still definitely worth going to see and ended up being one of the highlights of the trip overall 🙂 Unfortunately we arrived on one of the last days that kids were off school, so the place was packed and the queue for the dinosaur area stretched the entire way across the museum, it would have taken well over an hour to get in and we decided not to wait, either way there was plenty for us to see, check out the photos I snapped on the phone! 🙂

IMG_1804After being about three hours at the National History Museum, we decided to head to Covent Garden where I picked up some pressies for the family and we caught a bite to eat, walked around for a bit and took in the sights and sounds before getting our friend back to Euston Station for her train back to Stoke on Trent, we said our goodbyes and Keith and I headed back to the hotel room, started to pack and prepare for the flight home the next day, then fell into bed.

The following morning we grabbed some breakfast and headed out to Heathrow, before long we were back on the plane home and it was all over. If I am to head back over which may very well be a possibility very soon, I will only stay for 1 or 2 nights as opposed to 3. London is expensive and you easily notice the extra day on your pocket just with eating and getting taxis alone But we didn’t know what to expect from our first trip and it was well worth going over to meet the man. I couldn’t have done it without the Medical Fund, and hopefully now treatment will get underway properly without any more doubts from the HSE.

My next appointment is on the 15th so I am interested to see how that goes and of course ill fill you in, so that is all for now, will leave you with some other shots from walking around London! Toodle pips! 🙂 🙂 🙂

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