Mast Cell Activation Syndrome or Histamine Intolerance

Posted by pjrockz88 @pjrockz88, Aug 1, 2024

I will try to keep this short, but does anyone know of a doctor specializing in MCAS or histamine intolerance in the Chicago or northwest Indiana area who accepts insurance? I’m suffering through another sleepless night with painful hives on the soles of my feet and ankles (although they appear everywhere and move around). My whole body is so swollen I’m stuffing myself into clothes. And now I have developed gastrointestinal issues, too. Electrophysiologist says autoimmune issue could be causing tachycardia, He referred me to a local allergist yesterday, but they can’t see me until April 2025! I can’t suffer that long. I hope to order my own blood panel tomorrow as a start, so I won’t take allergy drugs or steroids right now. Also, please bear with me as far as my online responses. I’m holding down 4 jobs to stay afloat, but I do read posts. Thanks in advance!

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Profile picture for pjrockz88 @pjrockz88

Thanks for commenting. I have Graves’ which is now inactive. So I get thyroid panels done frequently. I have tried giving up gluten and dairy. I have also tried water fasting. Nothing including a prescription diuretic calms the edema and releases the fluid. Doctors tell me they don’t think it’s lupus even though I have developed what looks like the signature rash. Doctors have also ruled out histamine intolerance, although the hives mimic that. I really need to find a doctor who won’t give up and settle for whatever seems like the most convenient answer. I’m hoping to reduce the number of medications I take and get healthy again. Thanks for your support.

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May I ask how long you gave up eating gluten and dairy? Try it for at least 6-7 months so your body can really adjust. I also have a histamine intolerance and the group of foods called Nightshades are the culprit for me.

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I would suggest you see General internal med at a larger facility and let them coordinate your care and referrals to specialists based on your symptoms and test results. That is usually the easiest most organized way to work through a tough diagnosis. Not family med but internal medicine.

Chicago has plenty of larger good facilities. Northwestern, U of I, Rush etc.. Stick with one of those. Get a referral for Internal med from your current provider if you need one and get an appt made.

This may not be mast cell at all. Without medical history Id be hesitant to suggest anything else.

If the reaction gets worse or interferes with your breathing , go to the ER.

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Profile picture for md11 @md11

Xolair relieved my severe hives and also helped with fatigue. Good luck.

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@md11 I started on Xolair 525 mg injectables every two weeks and it has helped. But it makes me so tired. Not sure my new insurance is going to cover Xolair starting January 1 🤦‍♀️. I can’t get a straight answer from them.🤦‍♀️🤦‍♀️

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Profile picture for fessenbeck65 @fessenbeck65

@md11 I started on Xolair 525 mg injectables every two weeks and it has helped. But it makes me so tired. Not sure my new insurance is going to cover Xolair starting January 1 🤦‍♀️. I can’t get a straight answer from them.🤦‍♀️🤦‍♀️

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@fessenbeck65
I have been taking 300mg every 4 weeks. I started taking Low Dose Naltrexone, titering up to 6 mg daily. It dramatically helped with the fatigue. Unfortunately no insurance that I know of will cover it since it must be compounded. It costs around $100 for a 90 day supply. Good luck. Stay strong.

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Profile picture for md11 @md11

@fessenbeck65
I have been taking 300mg every 4 weeks. I started taking Low Dose Naltrexone, titering up to 6 mg daily. It dramatically helped with the fatigue. Unfortunately no insurance that I know of will cover it since it must be compounded. It costs around $100 for a 90 day supply. Good luck. Stay strong.

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@md11 thank you so much for letting me know what they’re doing to help with your fatigue. I think it might help my fatigue if I do the Xolair 525 mg injectables every three weeks, instead of every 2 weeks, But not sure. I hope you continue to make improvements 🙏
I will look into Naltrexone.
Thanks again

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Profile picture for emo @emo

Hi again- It was easier than I thought to got back in my messages and find the referrals my PCP sent me. This is a direct copy/paste from what she gave me:

Dr. Vivian Chou
HOME | Illinois Allergy & Asthma Specialists | Chicago Allergist (ilallergyasthma.com)
Affiliated with Advocate
Takes insurance
Locations in Chicago and Evanston

BILIMORIA, DR. YASMEEN
Glen Allergy and Asthma
2550 Compass Rd.
Unit K
Glenview, IL 60026
847.832.6000
847.832.1900 fax
https://www.northshore.org/apps/findadoctor/physicians/yasmeen-bilimoria
I’m told that Dr. Bilmoria is “the person” in the Chicago area for MCAS. My PCP and a physician on the Long COVID team (both at Northwestern Medicine downtown campus) typically refer to her for MCAS.

Dr. Chou, she doesn’t have direct experience with, but she told me she has a patient (she treats a lot of patients with various chronic pain conditions that cross over with things like MCAS) who’s MCAS significantly improved under her care.

Hope that helps.

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@emo
Does anyone know someone in Pittsburgh area who is familiar with MCAS. I can travel. I need someone who is really good---many serious problems. Thank you.

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Profile picture for ggr @ggr

My daughter has an allergist in the Alexandria, VA area who treats mast cell activation.

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@ggr I live in Clarksville, Maryland and desperate to find an allergist who helps w MCAS. Can you share the physician’s name? Thanks for any guidance you can provide.

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Kaufman Allergy Asthma and Immunology Center, 1945 Old Gallows Rd STE 205, Vienna, VA. 22182. 703 403-5413. She shows Mast Cell under list of conditions with a note "see referral guidelines". The doctor's name is Karen Kaufman. Good luck!

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Could you tell me what the syptoms are? In the 50s when I was a child, I was taken to the allergist for migrane headaches. Long story short, I was told that I had a histamine intolerance. Dr. gave me a series of shots of histamine that graduly got stonger. I was wondering.......

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