It’s Valentine’s Day 2017. Another afternoon, another specialist. This time I’m sitting in front of a very jolly endocrinologist (hormone specialist) armed with my A4 lever arch file of hospital letters. It’s been more than 14 months since my health started to horribly misbehave. The unexplained and spontaneous allergic reactions, the foot drop, the bizarre sensations in my face and fingers, the stabbing pains all over my body and the extreme heaviness in my legs. Although I’ve seen a raft of specialists, there’s been no explanation for the cause of my ill health and, in some ways, not knowing has been the hardest part.
“What’s been going on?” the consultant softly asked. “I don’t know where to begin,” I sighed, before handing over a couple of sheets of well-thumbed A4 paper. Keeping track of everything had become a full-time job in itself so I had compiled a succinct list of every clinical episode and every blood result in chronological order in the hope he would be able to glance at it and arrive at a concrete diagnosis. “Interesting,” he said. After five minutes he looked up. “Your latest blood tests have come back abnormal.” I could tell from the look on his face that he was about to give me some news.
“I could tell by his face that he was about to give me some news.”
Do you know what’s wrong with me?” I replied, heart pounding before blurting out that I just wanted the reactions to stop and to feel even 80 per cent again. “It looks like an auto-immune problem that’s attacking your thyroid,” he replied before explaining that I’d need to have another scan – this time an ultrasound of my neck to double check that there were no suspicious lumps and bumps there.
“You’ll need to go on medication right away, have your bloods rechecked and come back in see me in a month or so,” he continued. “If you respond to the thyroxine we can discharge you and you’ll then need to be monitored by your GP every six months.”
Now, I’m not sure how many people would be delighted with a Hashimoto’s diagnosis but I was pleased purely because something had been identified at long last. I could have kissed him. Hope flooded through my veins, especially as the thyroid gland is part of the endocrine system, which produces hormones that coordinate many of the body’s functions. Could this be the reason why my body was acting up? Was I finally on the road to recovery?
“Could this be the reason why my body was acting up?”
A few week later I had another appointment, this time with my wonderfully patient immunologist. My tongue was still spontaneously swelling although I’d noticed a pattern – whenever I ate citrus fruit, mature cheese, marmite, baked beans, and vinegar I’d have a reaction.
During the course of my research, I’d stumbled across something called Histamine Intolerance – a condition which causes allergic-type reactions in people who do not have sufficient levels of a gut enzyme called diamine oxidase (DAO) to break down the histamine found in foods that contain high levels.
“I’d previously had skin prick allergy tests for all sorts of things including oranges, lemons, limes, and pineapple.”
Yet all had returned negative. But in those with histamine intolerance, the results always return negative because they’re allergic to the histamine in the food, not the protein. And guess what? High-histamine foods include mature cheese, wine, beer and cider, yeast, shellfish, sauerkraut, fermented soya products, and most fish. Certain fruits also release histamine including citrus varieties, grapes and strawberries!
I enthusiastically explained my findings to the immunologist who explained that there was very limited high-quality peer-reviewed research in this area. However, he also pointed out that it was not to say that the condition did not exist and supported me in my quest to try a low-histamine diet for three months, before attempting to reintroduce the food.
So far, so good. I’m having fewer reactions although I did have one recently after eating a packet of plain crisps. The intermittent stabbing pains which occur all over my body also seem to be improving so I’m keeping everything crossed.
I have a follow-up appointment with my immunologist next month and will be sure to report back on my progress.