#allergy symptoms nausea

[seasonalallergies-blog]

Unmasking the Hidden Allergy Symptoms Nausea in Children

[stormyrainyday]

i have GOT to stop eating things i'm allergic to these foods are not giving me energy all they're doing is making my tummy hurt

[tj-crochets]

Hey y’all! Weird question time!  Can getting an injection that includes something you have a food allergy to* make you more sensitized/reactive to that thing, or to your allergies in general, for a while afterwards? I’m allergic to acetic acid, and there’s acetic acid in the Moderna vaccine (and booster). I still got the vaccine (and boosters), even though I had an allergic reaction every time**, but some things with tiny amounts of acetic acid I used to be able to eat were an issue for a while after each shot*** Oh wait side note: same question but for taking the thing you are allergic to as in inactive ingredient in pill form (found out the hard way that some inactive ingredients in pills are made from acetic acid! still trying to figure out if that’s the thing I was allergic to in that pill, or if I’m just separately allergic to one of the inactive ingredients in it) *like, not those desensitization shot things allergists can do, but as an inactive ingredient in a different thing **it was kind of a “better the devil you know” situation. The allergic reaction I had to the Moderna one was unpleasant but handleable. I have no idea if I’m allergic to the Pfizer one, or how bad the reaction would be ***generally not a good idea to eat a food you know you’re allergic to, but I’m on a lot of antihistamines and sometimes you just want refried beans in your burritos even though you know vinegar is on the ingredients list. It’s the last ingredient on the list, and vinegar is only like less than 10% acetic acid, so I can usually tolerate it just fine

[jamiebluewind]

Whomever put the regular Ben & Jerry's icecream with the non dairy (which lead to me eating it and having a VIOLENT ALLERGIC REACTION), you can just go ALL the way to hell

[battywitch]

😬

[letmeliedown]

my most recent ex was convinced that my ex who said they were allergic to weed and made me do all kinds of elaborate shit to avoid exposing them to the thing i need to live had been faking to fuck with me. i don't know about that, but i think it is possible to be a shitty asshole about something that is actually a problem for you. like you can insist all you want it's the weed you don't like and not the people but it's hard to believe when you act all the time like it's the people who are gross

[tea-and-finalfantasy]

prescription not ready but when we get meg's prescription from somewhere else, i'm gonna be like Mommy we Must get Dunkin Donuts Coffee as coffee is good for ur liver and i still have liver? nausea

[metalheadsforblacklivesmatter]

Heat Intolerance

This disability pride month I'd like to talk about heat intolerance. Because honestly although it's not the first health issue that presented symptoms in my life. It was the first time I was like "I don't think my body works right".

And honestly given disability pride month is during one of the hottest months in the year. It seems fitting. Especially because there's a lot of disabilities and medications that cause it.

What is heat intolerance?

Simply speaking it's the inability for the body to regulate it's temperatures especially in hot settings to cool itself down.

Why is awareness important?

Because gaslighting people or worse not providing them a place to cool down just because you "feel fine" is extremely fucking dangerous.

What are the medicines that can cause heat intolerance?

Antihistamines (Allergy medications) . Decongestants (Sudafed or any medication that has the D at the end of it). Stimulants (ADHD medications. Steroids. Caffeine.) Beta-blockers (blood pressure medications). Overactive bladder treatment. Psychiatric medications (including but not limited to medications for depression and anxiety). Pain relievers. Antibiotics.

What medical conditions can cause heat intolerance?

EDS (Elhers-Danlos syndrome). Autism. ADHD. Migraines. Brain/spinal-cord injury. Sensory processing disorder. Chronic fatigue syndrome. Endocrin problems. POTS. Menopause. Hypothyroidism. Diabetes. Heart Disease. Multiple sclerosis. Mental health disorders.

What should I do if I suspect I have heat intolerance?

Reduce time outside during hot months. Keep your electrolytes up. Drink plenty of water. Stay out of the sun whenever possible if outside. Be aware of the symptoms of heat exhaustion and heat stroke.

Clothes that are best worn for heat intolerance. Loose lightweight breathable fabrics. Natural fibers. Long sleeves that protect from sunburn as sunburns will increase your risk. Light clothes that reflect light. Wide brimmed hats that shade the face and neck.

Cool. So what are those symptoms I'm supposed you be looking for?

Headaches. Excessive fatigue. Mood changes. Muscle cramping or weakness. Nausea/ vomiting. Rapid heartbeat. Excessive sweating or not sweating at all.

When should I do to the doctor?

If you suspect you have heat intolerance you can go to your PCP to discuss what medications you may be on and what you can do about it. Otherwise, please go to the emergency room if you have symptoms of heat stroke.

This is good information and all but why are you making this post?

To raise awareness. Not just for the people that have it but weren't aware of what it was called. But for all of the idiots that tried to gaslight me when I was in school because I was like "I don't think this is normal. Every time we do our mile run outside I vomit all over the place but other kids aren't doing that."

Also because people always blame me for over heating if I wear long sleeves or pants. I always like to take notes from what people in the middle east wear because they literally live in the excessive heat and spend long hours in the excessive heat. Often in clothing that covers most of their body. They've gotta know what they're doing, right?

I have some type of xenophobic comment about why people from the middle east cover up

Shut the fuck up 😊

-fae

[psychhound]

yall i was searching for something in my google docs and just found possibly the funniest d&d homebrew i couldve ever made i dont remember this at all but im weeping

HEY DO YOU WANT SOME UH,,, ALLERGIES

IF YOU WANT YOUR CHARACTERS TO HAVE ALLERGIES HERE YOU GO

choose a number of allergy triggers from this list: 

specific animals 

specific foods 

plants and plant-based spells or effects 

specific materials or magical items

monster types (beasts, celestials, dragons, etc) 

magical damage types 

specific spells 

specific magical effects 

schools of magic 

spellcasting classes or subclasses 

choose between hay fever, nausea, or anaphylaxis for each allergen  

upon exposure to the allergen, make a DC 10 constitution saving throw. on a successful save there is no effect. on a failed save refer to your chosen allergy symptom 

hay fever: you enter the poisoned condition. your sneezing alerts enemies within 300 feet to your presence. you can make a DC 15 con save at the end of each of your turns to remove this condition 

nausea: you enter the poisoned condition. you must pass a DC 10 con save at the beginning of each of your turns in order to take bonus actions and movement, and beat a DC 15 in order to take actions. on a con save of 20 or higher the condition is removed 

anaphylaxis: you enter the incapacitated condition. you must pass a DC 10 con save at the beginning of each of your turns or your movement speed is halved. on a con save of 5 or lower you enter the stunned condition. on a con save of 20 or higher the condition is removed 

if you are under the allergy symptom condition and roll a natural 1 on a con save, you immediately enter unconsciousness but are stable and do not make death saves 

lesser restoration, protection from poison, and lay on hands all remove the allergy condition. protection from poison does grant advantage on allergy saving throws 

THERE YOU HAVE IT ????? ENJOY ........ THIS.

(for more 5e homebrew including free disability stuff check my pinned!!)

[macgyvermedical]

If someone had previously shown adverse effects (or proven to otherwise be allergic) to intravenous morphine, what else could they be given for pain management in a hospital setting?

Good question:

Opioids (the class of drugs that morphine belongs to) have two different types of allergy-like reactions.

One of these (the most common) is called mast cell degranulation. This causes the allergy chemical histamine to be released and results in allergy symptoms (itching, nausea, flushing, hives, diarrhea, etc...).

The other is a true allergy, mediated by a chemical called IgE. It also results in histamine release and allergy symptoms. The symptoms of a true allergy can be significantly more severe (including swelling of the face, anaphylaxis, dizziness, and severe low blood pressure), but won't always.

In clinical practice, it is really hard to tell which type of reaction a person is having, because both produce essentially the same symptoms for the same reason. The reason it matters at all is because if someone is having mast cell degranulation, they're likely to have that with other opioids too. If they're having a true allergy on the other hand, it's pretty unlikely that they'll have the reaction with other opioids (only about 1.6% of people cross-react with other opioids).

So to answer your question if someone has had a very severe reaction to morphine in the past (like anaphylaxis), they're not super likely to react to a different opioid, so something like dilaudid or oxycodone has a very good chance of being safe for them. If they've had a milder reaction you can probably still give a different opioid, but maybe co-administer it with an antihistamine like diphenhydramine (benadryl) to prevent itching and nausea.

Meanwhile, if someone reacts to more than one opioid, especially if they react severely, it's probably better for them to avoid all opioids. Some other options include:

NSAIDS and Acetaminophen- NSAIDS like ibuprofen combined with acetaminophen (Tylenol) work better than either one of them alone can.

Tramadol- this is technically an opioid, but it works so differently that most people who have reactions to other opioids don't have one to tramadol.

Gabapentinoids- gabapentin and pregabalin change the way the brain perceives pain signals from nerves and can decrease pain- especially nerve pain.

Local anesthetics- these can be used with a small implantable pump to pump lidocaine or other local anesthetics directly to the part of the body that needs pain relief.

Regional blocks- if pain is in an arm or leg, small amounts of local anesthetic can be injected around a nerve to block pain signals coming from that area of the body.

Ketamine- low doses of ketamine can block pain signals in the spinal cord, which helps relieve even fairly severe pain.

Nitrous oxide- if pain is of short duration (like for a procedure), nitrous oxide can help relieve it, usually along with other sedating drugs.

Muscle relaxants- If pain is of a musculoskeletal type (a broken bone or injured muscle), relaxing the muscles around the injury can greatly reduce pain.

Often a mixture of 2 or more of these modalities are used for severe pain.

[seasonalallergies-blog]

The Surprising Ways Allergy Symptoms Can Trigger Nausea

[heartshapedcigaretteburns]

Situationship! Simon "Ghost" Riley

Pt. 2 of this

(This gif gets me bro. Stop looking at me like that omg 🤭🤭💦)

Neither of you really remember the contents of that drunken night enough to have predicted this life changing event. Everything in your lives continues as normal for about 3 weeks. It's about a week into Simons 2 month deployment when you start feeling the classic symptoms of pregnancy. First it's the missed period- whatever, you've had irregular periods since you were 13 so it doesn't particularly worry you especially since you and Simon were always safe (😬). The soreness of your breasts happens soon after that and then it's the nausea and bloating. At this point you're still clueless. You assume it's your late period finally deciding to show up (it's not your fault that early pregnancy feels the same as starting your time of the month.)

However, when 2 more weeks pass with all of the same irritating symptoms but no period you decide to give your doctor a quick call just to see if it's necessary to come in for a visit at this point. You set an appointment for the next day as she recommends just to make sure it's not a hormone issue or something.

~~~~~~~~~~~~~~~~~~~~~~~

As you're sitting on the stiff hospital bed, a nurse comes by to ask a few questions to help your doctor when she comes in later. It's the normal questions- “What are your symptoms?” You list them off. “How long have you had these symptoms?” “About 2 weeks.” “Any allergies to medication?” “No.” “Are you sexually active?” “Yes” “Is there any chance you could be pregnant?” “No. Wait-” Condoms aren't 100% effective tho so there's a sliver of a chance. “Maybe?"

“Well it couldn't hurt anything to do a test."

You doubt you need it but it's better to be safe anyways (see what I did there?) She brings you a cup and instructs you to pee in it and bring it back to her and you think of how embarrassing that is as you walk to the bathroom. Once the job is done you rush back to your room like a man on a mission, your mission is to not be seen carrying a cup of your own pee around. 

You're talking to your primary doctor about your symptoms when the nurse walks back with a cheshire grin on her face and clipboard in her hands. “Well Doc, I think we know what the diagnosis is.” She gushed as she handed the clipboard over to the doctor. “Y/n, congratulations. You're about 6 weeks pregnant.” Your doctor remarked with less enthusiasm than the nurse, unsure how you feel about the news. “You have multiple options moving forward. You can keep the baby, you can-" You snap back to reality at these words and interrupt with a harsh “I'm keeping the baby."

~~~~~~~~~~~~~~~~~~~~~~~

From then, you move forward with appointments and start looking for a better apartment to raise a child in. Though you wish you could contact Simon to tell him, you're quite thankful for the opportunity to process it for yourself. It also gives you plenty of time to prepare yourself for his possible reaction. You know this is strictly casual and he doesn't want kids in the future, let alone at this point in his life. Considering this, you ready yourself to lose him before you ever even have him and have to raise this kid alone. 

You were hoping that Simon would eventually come around to your charm and your relationship would gradually become less and less casual but you're sure this will scare him away for good. You are incredibly disappointed that you'll never know what it's like to be loved by him but you can't imagine not raising this baby. You're not sure whether you'd prefer the baby to be more like you or Simon. As much as you'd love to get to see him in the tiny person that you created together, you don't want to be reminded of what you could've had.

~~~~~~~~~~~~~~~~~~~~~~~

Simon goes to text you to tell you he's coming back a bit earlier than previously thought but decides that this time he'll surprise you by showing up at your doorstep. God he's missed you so much. He's missed your smile and pretty eyes. He's missed your voice and the way you laugh at his grim “jokes". He's missed the way your mouth feels wrapped around his cock. He can't help crawling back to you.

He arrives at your door with takeout and a bottle of red wine and woefully unprepared for the sight he's about to be met with. When the door finally creaks open, he's face to face with you once again but something's different now. Now there's a barely noticeable but definitely there baby bump. His eyes instinctively glue themselves to the soft swell of your tummy as he just stares with a completely unreadable expression. “Simon-" “Y/n." You can't help the tears that start to sting at your eyes. “Surprise?" You croak out painfully, under the impression that this is the last crumb you'll ever get of Simon."You're-” 

"Pregnant” you cut him off. “It's mine?" “Of course." The tears that blur your vision drop and trail down your cheeks as he watches your lip tremble. 

He welcomes himself into your home, setting his things down on your entryway table and pulling you in close. He holds you tight, cradling your head in his hands lovingly. “Don't cry love. Why are you crying?" He whispers softly into your hair. He rubs your back soothingly as you sob into his chest “Don't wanna lose you. I'm sorry, Simon, I know you don't want this." 

It's at this moment he recalls that night he drunkenly bred you. Suddenly his eyes darken with an unknown emotion and something in the air shifts as he discovers that side of him for the first time again but sober this time. It's like something primal clicks in his brain and he's looking at you lustfully. He brings his hand down to cup your swollen belly and drops his mouth down to drop a tender kiss on your lips. “If I remember correctly, this is my doing Lovie" he whispers against your soft lips. “What do you mean?" You ask perplexed. You don't know what’s going on. He's not freaking out. For some reason he's saying this was his doing. “You don't remember?" Simon teases as he slowly picks you up and starts marching to your bedroom."Remember what? What are you talking about, Si?” your worry dissipates fully and now you're more confused and curious than anything as he carries you off. “Guess I'll just have to show you." He threatens as he lays you down on your bed.

Best believe you remember by the end of the night.

I actually loved writing this omg this was way out of my comfort zone with the way I chose to write it but I like how it turned out. I hope you guys enjoy it too. As always, ignore any spelling or grammar mistakes. Love you 😽💞

Taglist: @mytherapisttoldmenotto

[little-doll-of-glass]

Period Relief for Littles:

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Something I don't see talked about is period relief for age regressors, so I decided to write what helps me. Hopefully, this will help you too!

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Raspberry Leaf Tea:

I have really bad cramps and I've found this helps a lot. It's a nice warm drink, which I find soothing. It doesn't taste like raspberries, unfortunately, but I do like the taste.

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Mint Tea:

This helps my nausea and once again, it's a warm drink I find soothing. It helps my nausea and makes it so I don't have to take as many meds.

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Fluids:

Keeping your fluids up is very important because it helps reduce many of the symptoms and clots. Avoid anything that is a diuretic (it'll make you pee more) and try to drink some things with electrolytes in it. I personally like liquid IV for the electrolytes, but Gatorade and other such drinks works too!

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McDonald's Chocolate Shake & Fries:

Okay, so this one isn't necessarily helpful. I just get cravings for salt and magnesium, so this helps knock those cravings out. Plus, it's a nice treat that I don't get very often.

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Heating Pad:

When my tummy hurts really bad, I pull out my heating pad and cuddle up with it. Sometimes I'll put a stuffy against the heating pad to help hold it in place. As an added bonus, the stuffy gives me something to cuddle!

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Ice pack:

When I'm swollen or bloated I like to use an ice pack because the cold helps reduce the swelling. Make sure to wrap it in a towel or pillowcase because cold right against your skin isn't good! I personally like to wrap it in a baby blanket because the material is soft and calming to me.

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Oil in a Diffuser:

Eucalyptus and peppermint help with the headaches I get and makes me feel less cranky.

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White Flower Oil:

I like to rub this on my temples because it also helps relieve my headaches. However, if you're sensitive to smells or have bad allergies, I suggest not to use it.

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Meds:

Mydol or Pamrin are my go-to meds. They help relive bloating, headaches, and cramps. Please, please be careful while taking these because they do have asprin in them, which is a blood thinner, and the caffeine in them might make a headache worse if you take too much.

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Shower & Bath:

I always feel really icky during my period, so I take lots of showers and baths. It helps with my body pain, cramps, and makes me feel more clean.

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Comfort:

🌸 Having comfort during a period is super important, especially if you experience mood swings or if you go regress.

🌸 Having someone you trust comfort and reassure you is very helpful.

🌸 I personally like cuddles, so my friend or CG will hold me. If they aren't around, I make a nest out of my pillows and stuffies.

🌸 Your favorite regression things are immensely important too. If you're upset while in littlespace because you hurt, having your favorite stuffies, sippy, paci, etc. will help give you comfort and give you something to help feel better.

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I help this helps you feel better. Best wishes and hugs if you want them!

(ᵔ◡ᵔ)

[scribblewrites]

Bakugou with a Chronically Ill Partner Headcanons

Katsuki Bakugou x Gn!reader

This is fully self indulgent, chronic illness/autoimmune diseases are kicking my ass 😔

I tried to keep it vague so multiple conditions can be applied, but I only have experience with my type of chronic illness. Pls lemme know if it can be improved to include more

hope y’all enjoy! ♥

— He goes with you to doctor’s appointments and lab testing. Especially if you struggle with a fear of doctors. He will make sure the doctors listen to you and don’t dismiss your symptoms.

— If you deal with appetite issues, nausea, etc., he keeps a list of bland safe foods. During flare ups he loves to cook for you and will make sure you don’t go to long between meals. Food is his love language and he will make sure you’re eating right.

— He bought you a heatable stuffed animal for your chronic pain. He will heat up your stuffed animal for you, though he will often use his quirk as a heating pad as well. 

— When you told him about your chronic illness/autoimmune disease he immediately went and researched it. Of course he’d never admit it but this man did his homework. He spent hours on medical websites, forums, and blogs finding the best ways to support you. 

— Back to the food thing, he keeps track of all of your trigger foods. Since finding out any of your allergies he likes to come up with new recipes around them. He sees it as a challenge if you say foods without your trigger taste gross.

— If your still struggling to get diagnosed and feel like maybe your just crazy me currently, he’s there constantly reassuring you. If any one makes you feel like you’re complaining too much or that your issues are all in your head he is on their ass. He does not put up with people making you feel like shit.

— He keeps track of your prescriptions and when you need refills. You forgot to pick up your medication and now you’re out? He already picked it up on his way home from patrol. He’s even got reminders set on his phone for when you need to take your meds. When they go off he’s by your side with water and food if they can’t be taken on an empty stomach. 

— If you take injections he will help administer it. He will calm you down and distract you if you’re afraid of needles, or administer it for you if you’re unable. 

Shout out to my other chronically ill babes! hope y'all enjoyed these silly hc’s

[zoeykallus]

Hi there! I love your headcanons and I was wondering if I could make a personal request. Let me know if this is a no-go.

I have PMDD, premenstrual dysphoric disorder, basically PMS [premenstrual syndrome] but 20x worse. It usually resolves upon the onset of the crimson wave. But not all the time.

I have been struggling really badly with the deep depression, insomnia, and self-image issues brought on by my disorder.

Do you think we can see how the Batch handles their fem reader S/O struggling with this disorder specifically? And maybe, if it's not too much, a part 2 with some of our favorite regs?

Thank you so much!

Aloha my dear!

Oh, this is a heavy hitter, I know where you are coming from. So many people out there have no idea how freaking much this can affect someone's life. PMS is already a hard thing to deal with, but PMDD brings it to yet another really shitty level. Don't worry, I got you 😊

The Bad Batch x Afab!Reader HCs - Struggling With PMDD

Warnings: Mention of PMDD (premenstrual dysphoric disorder) and its symptoms /Hurt/Comfort/Fluff

_______

AC: I'm using Techs Part first to introduce PMDD and its symptoms to those who might not know what it is. So don't be surprised about Tech's Part being longer than the others, there is a lot of information in there. So please read Tech's part, to understand what this is all about 😊

_______

Ko-Fi (If you feel like giving me some coffee)

_______

Tech

The first experiences he has with you in this context are frightening for him. Apart from the fact that you suddenly seem like a completely different person to him, he is really worried about you. But Tech wouldn't be Tech if he didn't get to the bottom of this.

It takes him a little while to find the right material.

Premenstrual dysphoric disorder (PMDD) is a much more severe form of premenstrual syndrome (PMS). It may affect women of childbearing age. It’s a severe and chronic medical condition that needs attention and treatment. Lifestyle changes and sometimes medicines can help manage symptoms.

The exact cause of PMDD is not known. It may be an abnormal reaction to normal hormone changes that happen with each menstrual cycle. The hormone changes can cause a serotonin deficiency. Serotonin is a substance found naturally in the brain and intestines that narrows blood vessels and can affect mood and cause physical symptoms.

What are the risk factors for PMDD?

While any woman can develop PMDD, the following may be at increased risk:

Women with a family history of PMS or PMDD  

Women with a personal or family history of depression, postpartum depression, or other mood disorders

Other possible risk factors include lower education and cigarette smoking

Talk with your healthcare provider for more information.

"Healthcare provider?" he mumbles softly between reading, "As if any of us have such a thing"

Symptoms of PMDD appear during the week before menstruation and end within a few days after your period starts. These symptoms disrupt daily living tasks. Symptoms of PMDD are so severe that women have trouble functioning at home, at work, and in relationships during this time. This is markedly different than other times during the month.

There is a chart with symptoms and he worriedly starts to read it.

The following are the most common symptoms of PMDD:

Psychological symptoms

Irritability

Nervousness

Lack of control

Agitation

Anger

Insomnia

Difficulty in concentrating

Depression

Severe fatigue

Anxiety

Confusion

Forgetfulness

Poor self-image

Paranoia

Emotional sensitivity

Crying spells

Moodiness

Trouble sleeping

Fluid retention

Swelling of the ankles, hands, and feet

Periodic weight gain

Diminished urine output

Breast fullness and pain

Respiratory problems

Allergies

Infections

Eye complaints

Vision changes

Eye infection

Gastrointestinal symptoms

Abdominal cramps

Bloating

Constipation

Nausea

Vomiting

Pelvic heaviness or pressure

Backache

Skin problems

Acne

Skin inflammation with itching

Aggravation of other skin disorders, including cold sores

Neurologic and vascular symptoms

Headache

Dizziness

Fainting

Numbness, prickling, tingling, or heightened sensitivity of arms and/or legs

Easy bruising

Heart palpitations

Muscle spasms

Other

Decreased coordination

Painful menstruation

Diminished sex drive

Appetite changes

Food cravings

Hot flashes

His brows are drawn together critically. With a heavy sigh, he says quietly to himself, "Oh boy…"

Tech makes it his business to see that you are examined by a proper doctor, given appropriate medication, and change your diet. He sometimes seems stern and matter-of-fact, but only when he notices you neglecting yourself. Tech also pampers you to counteract the psychological symptoms, with picnics, massages and the like.

Don't worry too much, Tech's got your back. He won't give up on you.

Hunter

His senses already tell him what connections exist with your condition. But of course he is not a doctor and therefore informs himself accordingly without your knowledge, Tech helps him. What he learns frightens him, Hunter is really worried, and he makes it his mission to make this time, these symptoms, easier for you. Apart from making sure you always have the medication you need at hand, he is also much more attentive and caring than usual during this time.

You can let yourself go and not have to worry about anything, Hunter takes everything in hand and has it under control. He is especially gentle and forgiving with you during this time. You mean a lot to him, and he does his absolute best to help you.

He doesn't argue with you when you get your moods, if you want to be alone he respects that, but keeps an eye on you from a safe distance, just in case.

Echo

This sweet man really throws himself into the task of helping you. Whether it's getting your medications, preparing food, massages, and running relaxing baths, Echo has it all covered.

With him by your side, you will want for nothing during this difficult time. He is also not easily scared away, he is as patient as he is stubborn. You don't have to go to the doctor alone, Echo will accompany you.

He organizes your medication, your diet and everything else you need, if you want. If you don't, you must tell him clearly, because Echo will automatically see his task in taking care of everything.

Wrecker

He is warm, and lively. Contrary to the expectations of most, he is also very sensitive and attentive. Of course, he does not miss the fact that something is wrong with you. Of course, he is worried and wants to help.

Talk to him honestly, try not to withdraw, and you will have a steadfast supporter and caretaker in Wrecker. He likes to spoil you, make sure you are taken care of and have your medication.

Wrecker is happy to adapt to you, you just need to communicate with him and let him know what you need. Taking care of you is very easy for him, he likes to do that. Knowing that he can make things easier for you is also good for him in this situation. So confide in him, there is absolutely no reason to pretend in front of him.

Crosshair

He is a bit more complicated at first. Of course, you are incredibly important to him, and he also has a certain empathy, but he often stands in his own way when it comes to emotional, interpersonal things.

At first, he can't really deal with it at all and is looking for some distance at this time. But in a small conversation between brothers, in which Hunter makes it clear to him that his behavior sooner or later can seriously damage your relationship, Crosshair first informs himself more precisely about the existing problem. Finally, he approaches you with the knowledge he has gathered and tries to discuss with you what you can do together as a couple, what he can do as your partner to make the whole thing easier for you.

You talk about medications, doctor visits, relaxation techniques, and home remedies to combat some symptoms. It doesn't take long for the two of you to work out a certain routine that you can both manage and that he can use to help you get through this time okay.

@rintheemolion

@andyoufollowyourheart @clone-whore-99

@brynhildrmimi @kaliel2310

@misogirl828 @tech-deck

@meshla-madalene

@chxpsi

@thebahdbitch

@nahoney22 @ladykatakuri

@darkangel4121

@ttzamara

@arctrooper69

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[wheelie-sick]

What is Idiopathic Mast Cell Activation Syndrome?

Idiopathic Mast cell activation syndrome (MCAS) is one of several mast cell disorders. MCAS occurs when there are a normal number of mast cells in a person's body but they over-release mast cell mediators causing random allergic reactions in multiple systems of the body. MCAS is incredibly common being present in an estimated 17% of the population.

Symptoms

MCAS symptoms are incredibly varied and always occur in multiple systems of the body. Anaphylaxis is common.

[ID: A graphic labeled "Some common symptoms of Mast Cell Disease" A graphic of a person standing in the center with multiple organs visible is shown. Around the person are lines pointing to specific areas of the body labeled with the body system and symptoms. Clockwise these read "Neurological headache, brain fog, cognitive dysfunction, anxiety, depression Cutaneous (Skin) flushing of the face/neck/chest, hives, skin rashes, itching with or without rash Cardiovascular light-heartedness, syncope (fainting), rapid heart rate, chest pain, low blood pressure, high blood pressure at the start of a reaction, blood pressure instability Gynecological uterine cramps, bleeding Urinary bladder irritability, frequent voiding Systemic and/or organ specific Anaphylaxis angioedema (swelling) Skeletal bone/muscle pain, osteopenia, osteoporosis Gastrointestinal diarrhea, nausea, vomiting, abdominal pain, bloating, gastroesophageal reflux disease (GERD) Ear/Nose/Throat/Respiratory nasal itching and congestion, throat itching and swelling, wheezing, shortness of breath and more" In the bottom left corner "Symptoms can be sudden and unpredictable in onset learn more at tmsforacure.org"]

MCAS symptoms are specifically not allergies. the reactions may look like allergies but the two are not the same and MCAS is not a condition meaning "many allergies" While MCAS can have some consistent triggers one of the defining features of the disease is that reactions are random and happen unpredictably.

Anaphylactic shock is not a requirement for diagnosis.

Diagnosis

MCAS is diagnosed by an immunologist. It is in part a diagnosis of exclusion and requires ruling out both allergies and systemic mastocytosis as well as other conditions such as certain types of tumors.

Diagnostic criteria for MCAS is debated. Some immunologists follow the symptom-based diagnosis approach in which case the diagnostic criteria are:

Recurring and severe anaphylactic-like episodes that involve more than one organ system

and

Positive response to mast cell stabilizing or mediator medications anaphylaxis-type symptoms

Others follow diagnostic criteria based on laboratory findings. In this case the diagnostic criteria are:

Episodic symptoms consistent with mast cell mediator release affecting two or more organ systems evidenced as follows:

Skin: urticaria, angioedema, flushing

Gastrointestinal: nausea, vomiting, diarrhea, abdominal cramping

Cardiovascular: hypotensive syncope or near syncope, tachycardia

Respiratory: wheezing

Naso-ocular: conjunctival injection, pruritus, nasal stuffiness

and

A decrease in the frequency or severity; or resolution of symptoms with anti-mediator therapy: H1 and H2 histamine receptor antagonists, anti-leukotriene medications (cysLT receptor blockers or 5-LO inhibitor), or mast cell stabilizers (cromolyn sodium)

and

Evidence of an elevation in a validated urinary or serum marker of mast cell activation: Documentation of elevation of the marker above the patient’s baseline during a symptomatic period on at least two occasions; or if baseline tryptase levels are persistently >15ng, documentation of elevation of the tryptase above baseline on one occasion. Total serum tryptase is recommended as the markers of choice; less specific (also from basophils) 24 hour urine histamine metabolites, or 11-beta-prostaglandin F2.

and

Primary (clonal) and secondary disorders of mast cell activation ruled out.

These are not all proposed diagnostic criteria as the subject is heavily debated. Generally, a laboratory-confirmed MCAS diagnosis is considered more legitimate.

Treatment

MCAS is a very treatable condition. Generally treatment follows a path from antihistamines -> mast cell mediators -> biologics.

Epipens are given to MCAS patients with a history of anaphylaxis.

Antihistamines are divided into 2 categories: H1 antagonists and H2 antagonists. These categories are determined based on the histamine receptor each one targets.

H1 antagonists mostly deal with systemic and cutaneous symptoms. H1 antagonists are also further divided into first and second generation antihistamines. first generation antihistamines include diphenhydramine (Benadryl) and Hydroxyzine. These tend to cause drowsiness. With second generation H1 antagonists cause fewer side effects and include drugs like loratadine (Claritin) and cetirizine (Zyrtec)

H2 antagonists primarily affect the gastrointestinal tract and include medications like famotidine (pepcid)

Typically when treating MCAS a person will be put on both a second generation H1 antagonist and an H2 antagonist.

When antihistamines do not treat symptoms well enough the next step is a mast cell mediator. The most common mast cell mediator is cromolyn sodium which is available by prescription only. (this is technically available OTC but it is at 1/50th the dose used for MCAS) Mast cell mediators work by preventing the degranulation of mast cells in the first place.

When both antihistamines and mast cell mediators are insufficient someone with MCAS might be prescribed a biologic such as Xolair to treat their remaining symptoms.

Sources:

American Academy of Allergy, Asthma, and Immunology

Mast Cell Hope

Mast Cell Activation Syndrome: Proposed Diagnostic Criteria