Mesenteric Panniculitis or Sclerosing Mesenteritis

Posted by BillyMac65 @billymac65, Dec 6, 2012

I thought I would start a discussion for patients with Mesenteric Panniculitis. From what I know, this auto-immune disorder has three stages to it, each with differing names (Mesenteric Panniculitis, Schlerosing Mesenteritis, Retractile Mesenteritis). Typically, this appears to be in older individuals with some other under-lying problem (Lymphoma, tumor, diverticulitis).

I have an atypical presentation because I do not have an underlying cause. The doctors seem to be hoping for Lymphoma to appear so they can treat it and have the auto-immune go away. I am interested in hearing from others with this. I had this diagnosed in 2011, so I am interested in hearing more about what this is like to live with. I want to hear from others who also have an atypical presentation. Did is come back? Also interested in hearing from those with Lymphoma. How was the treatment? Did it address the auto-immune?

Pretty much, I am interested in hearing from anyone who has had this, so i can better understand it, and not feel so alone with this!!

Bill

Interested in more discussions like this? Go to the Digestive Health Support Group.

@ellenos

The CT scan results showed nothing but MP. I have a gluten intolerance - my primary care did a genetic test and it showed positive for the celiac gene but blood test showed non-celiac. She was curious so had me do eat gluten for a few months and then have me do a biopsy of my colon. My colon was fine but it really killed my stomach - I had an ulcer. I was in a lot of pain eating gluten, in my opinion a lot of people are intolerant and don't know it. Doctors seem to think if you don't have celiac then you don't have an issue.

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I didn't realise this! I have been tested as well (years ago) and was told that I don't have a gluten problem...

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@kimh

I hadn't heard about a place for follow up questions here...

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@kimh, you can always follow-up with your doctors if you ever have questions after leaving an appointment.

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@kimh

I didn't realise this! I have been tested as well (years ago) and was told that I don't have a gluten problem...

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Yes - I started having stomach cramps for months and they could find nothing. Doctors gave up so I gave up gluten and cramps went away. I think the prevalence of so many GF products shows how many people must find giving up gluten helpful.

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@colleenyoung

@kimh, you can always follow-up with your doctors if you ever have questions after leaving an appointment.

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Well, to be honest, I have been very lucky with my team of doctors. We are always in contact with one another, so most of my questions (or ideas from this group) are addressed in a timely way, thankfully. In fact, the doctors communicate with one another, so that each knows all of my problems. Also, any tests that I have done are cc'd to the team, which is helpful in keeping everyone in the loop.

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@ellenos

Yes - I started having stomach cramps for months and they could find nothing. Doctors gave up so I gave up gluten and cramps went away. I think the prevalence of so many GF products shows how many people must find giving up gluten helpful.

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It's worth a shot!

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@pcfromfm

Morning @marcelk! Welcome to our group-I’m from Alberta Canada. Your story is not dissimilar from so many of ours. I’ve had this disease for years now. Have you found foods that you cannot manage? -a diet that helps? You said some magic words -“stay positive”- for sure so important! -and stick with finding who helps and what works. Eliminate as much stress that you can and rest -so so much more. You are on a hood path-listen to your body and know there are others out here!

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Hello PC, thank you for your reply. It is so good to hear from people with similar complaints as I have, and it is also very good to know that I am not alone.
About your food-question: I have always had problems with my intestines. Sometime they act normal, and sometimes they "mess up". And in most cases it is hard to tell if it is a result of something I ate. So also for my MP it is hard to tell if there is certain food that causes problems.
But I have found out some things that seem to work for me, but not in the way that they cure things: don't eat to many in one time (little portions is better) and food with a lot of fat doesn't improve the situation. I'm also trying to lesser my use of sugar.
But I don't quit eating all the things I like, because dealing with MP is hard enough, so there is no need to make your life more uneasy.
But I try to eat less of the "bad" things and more of the healthy things. Although I've always done that in my life.

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@kimh

Hi Marcel,
I was diagnosed at 49 and am 56 now. I did go into remission for two years, but by August 2017, MP reared it's ugly head again and it has been a huge struggle to try to reach remission again. The first outbreak was solved with 3 months of Prednisone (40 mg) and then a taper down for another three months. But the side effects were many for me and I ended up suffering from esophageal spasms (feel like a heart attack), so the doctors took me off. This time around, I have not been so lucky, and like you, am also on Azathioprine (4 pills daily) and Tamoxifen (20 mg.) daily as well. This site has been very helpful for me and it really helps to talk to people that 'get it'. I hope the tamoxifen proves to be successful for you! Also, for me, stress and cold, wet climate (I'm from Canada) play large roles in how I am feeling. I hope this was helpful for you....

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Hello Kim, Thank you for your reply.
I have had two courses of prednisolon (20mg for two weeks) and that gave a lot of side effects, but it helped to reduce the pain and complaints I had at that time. But the "mass", visible on echo's and CT-scan, were not reduced in any way. And the problems were increasing again very soon afterwards.
I have had the same "heavy" Prednisolon course you had, from September last year, and it did maybe something, but it gave very heavy side effect, so over all it might have done more damage that that it did good.
But I'm using Tamoxifen (10mg, once a day) now for almost three weeks and my complaints are much less now: I have less pain and more energy. But I still have to watch my energy-levels, and stress and other things that take a lot of energy are not doing any good to my situation.

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@marcellk

Hello PC, thank you for your reply. It is so good to hear from people with similar complaints as I have, and it is also very good to know that I am not alone.
About your food-question: I have always had problems with my intestines. Sometime they act normal, and sometimes they "mess up". And in most cases it is hard to tell if it is a result of something I ate. So also for my MP it is hard to tell if there is certain food that causes problems.
But I have found out some things that seem to work for me, but not in the way that they cure things: don't eat to many in one time (little portions is better) and food with a lot of fat doesn't improve the situation. I'm also trying to lesser my use of sugar.
But I don't quit eating all the things I like, because dealing with MP is hard enough, so there is no need to make your life more uneasy.
But I try to eat less of the "bad" things and more of the healthy things. Although I've always done that in my life.

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Morning @marcrllk ! Good to hear you are listening to your body. I sure believe we are chemical beings. Everything we come in contact with, ingest and/or breath effects us somehow. I tend to be “sensitive” and try to be aware, what might be a trigger. I have a strong reaction or next-to-no reaction. Same thing with my asthma. But I go from being ok , being ok, to not ok at all and in the middle of a very strong reaction. My allergies are like that too. Crazy body. But I have found with more rest ( not a good sleeper) just down time, watching tv, relaxing and direct attempts to eliminate stress-I’m much better. How about you? Do you find stress if all kinds bites?

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Hi @pcfromfm ! The same is true for me regarding rest and keeping stress down to try to battle symptoms. The other thing that is killer on my body is climate! The dampness, wetness and cold do me in every time....and of course, we just keep getting dumped on with snow! I hope it's not an Alberta clipper lol!!!

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Warmer weather starting end of the week Kim! Thank goodness! Such a bout of cold, right!? Balmy -18 today here! But above zero by Sat they say! Snow to melt! Yea! Yes I’m affected by cold too. Interesting Doc I had said that might have been onset of issue with mp -when I was 8 I had hypothermia.

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