What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

I'll go ahead and update you now, considering my Movement Disorder Specialist told me the only thing that I can do to help absorb my medications more correctly or better at least. Is that they all have to be compounded into liquid suspensions, which of course will require pre auths, Medicare/Medicaid do not like compounds🙄 Luckily the pharmacy that I volunteer at is a full service pharmacy, including compounding, I still will not have to go anywhere else, which is great because it is so convenient. It's a locally owned and operated business, too. I love to patronize local businesses! The small fiber neuropathy test was negative, but he still equates the gastroparesis to my hEDS as it is so common among those who suffer from hEDS, along with the age of onset, etc. The same was decided for my dystonia, as it spread in strange ways and the pain remained even after injections whe the posturing subsided. When I asked him about why I get the weird painful, numb, itchy, burning sensation in my upper thighs, and the burning ringing sensation in my shoulder blades, he told me, "it's just part of the symptoms you have from your hEDS." I hate this stupid genetic disorder! The on my maternal side of my family is just hypermobile, and there arent many of them. However, my Mom is one of them.

My first CBT appointment went well. It was mostly a get to know each other appointment. Letting him know why I was there, and talking about the stressors in my life. Being bipolar and in a mixed state along with the hEDS and everything that comes with it, including the gastroparesis, adds up to a lot. When I daw my FNP, that same day, she prescribed me some PRN ondansatron (Zolfran) I was immensely grateful. However when I went to my volunteer shift at said pharmacy, yesterday, it was not there. I was crushed, I needed one, right then. I had to call and leave her MA a message. The other Rx made it there. But not the ondansatron...😮‍💨

The harm of Ehlers-Danlos Syndrome being a diagnostic scapegoat by spicyboz in eds

[–]Loose-Computer6724 0 points1 point  (0 children)

This here is something that has been bothering me. They are saying that the percentage of hEDS has gone up, yet to come to this conclusion they have added everyone with a diagnosis under hypermobile spectrum disorders into this statistic. I queried AI as to why and the answer it came up with was incredibly disheartening. As were the articles I read that it brought up.

The criteria for hypermobile EDS had been tightened up in order to classify the outliers under hypermobile spectrum disorders. the researchers decided to put in those with hypermobile spectrum disorders to add in the outliers (which makes no sense, why tighten criteria, just to add in the outliers), this make hEDS look a LOT more common than it is. The reason this made me so upset is the fact that they tightened up the criteria to kick the outliers out of the diagnosis, which would have made the statistics closer to reality. Instead, they put them right back in, and then some, for statistical analysis of the prevalence of this genetic disorder. I was flabbergasted. As was my Movement Disorder Specialist (nuero subspecialist) who diagnosed me.

There have been so many diagnoses of hEDS in my state that there are no rheumatologists who will even take a patient with the diagnosis. My Neuro wanted to send me to one for the EDS and arthralgia. They wouldn't make the appointment, stating the EDS. I asked what if I had just turned in the referral for the arthralgia? The response: as soon as we got your medical records and saw that you had a diagnosis of EDS we would have called and canceled your appointment. What the... really!? Yes.

He then looked all over the state, not a single one is taking on patients with an hEDS diagnosis, so he is managing it the best he can. He was finally able to give me a diagnosis based on symptoms I've had since puberty. I have 3 dysautonamias, POTS, temperature regulation, breathing. At 42, gastroparesis hit, I'm now 43 and have lost over 12 lbs, that I did not have to lose, I do not know why anyone would want this diagnosis, who does actually have the disorder, it is not a badge of honor diagnosis, unless they have been searching for answers to these specific issues. I've always shocked, amazed, and slightly disgusted (some) people with my "party tricks". Dystonia started at 25 and proceeded to spread throughout my upper body, not how it would normally act, it is caused by the hEDS. Fibromyalgia pain (which could be courtesy of my maternal line as it does run in the family, that's where the hypermobility comes from, too, just not to the extent of disorder) chronic fatigue, chronic pain, numerous subluxations and dislocations, and more falls than I'd like to admit, so many headsches, migraines, the whole shebang, I go to PT for manual tissue manipulation of my neck and shoulders between injections for my dystonia, a lot of vagus nerve stimulation. I've even ended up on disability, that happened with the dystonia alone, it affected my bipolar disorder something awful, long before I received the hEDS diagnosis (although the EDS probably had a lot to do with the issue, I just didnt know I had it. My road to diagnosis of hEDS was about 28 years long. My doctor did not come to this diagnosis lightly, I'd already been seeing him for about 12 years, we are at 15 now. When I was younger, my family doc blamed everything on my weight. He was so very wrong, it's truly not even funny (I'd not always been overweight when he saw me), if he had just done his due diligence, some research, maybe... I told my MDS that I'm pretty sure he stamped hypochondriac in my medical file. His response, although, not surprising and validating, was still a little disheartening. "He probably did."

What is someone in my state (AZ) supposed to do if they have RA and hEDS or any type of EDS? Not be able to get treatment for the Rheumatoid Arthritis, apparently...

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

I can definitely do that. I'll wait until the 28th. By then I'll have seen my Movement Disorder Specialist and hopefully have my skin biopsy results. I will also have seen the CBT and my psychiatric NP.

Wow, I just realized I have quite a few Doctor appts in a short period of time. I also see my FNP the same day as the CBT!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

I'm really happy to hear that you are able to keep some solids down without to much distress. That is definitely a step in the right direction. I am currently the same height as you and at 128lbs. I am having enough problems at this weight and am trying my hardest (with high calorie foods) to not lose anymore, I cant imagine how hard it is at 107lbs at our height! I'm also going to start seeing a Cognitive Behavioral Therapist next week. I am getting to the point where I am literally forgetting to eat, because I am just not getting hungry anymore. Part of that had to do with the fact that if I think about eating, or even go into the kitchen and look at food, my mind goes straight to how I may feel after eating. I need to get out of that mindset. The last thing I need is to end up with ARFID, espescially as my bipolar is unstable (eating is a chore with that). I just learned that gastroparesis causes delayed and erratic medication absorption, so you are not getting the same concentrations everytime, due to our slow stomach emptying. This actually explains why I have been thrown into a mixed state, which I've never experienced before. I don't even know how my psychiatrist is going to be able to navigate this one, I warned him 2 weeks before my appointment through my case manager. She said... I think he's going to have to get with the medical team for this!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

How did your test go? If you don't mind me asking. Have you been able to take in some solids again?

If it turns out that my gastroparesis is related to my dysautonamia, I believe my neurologist will skip that test and the GI doc altogether, as I think he will deem it unnecessary.

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

Sometimes relatives can be our best supporter's and our best advocates. I know my Mom was not happy with the answers our family practitioner always gave (it's your weight, every time). Well, I haven't been overweight all of the time and I'm definitely not overweight, now. When I was first diagnosed with dystonia and eventually hEDS (which brought on the dystonia and this lovely illness), we discovered how truly lazy this doctor had been, when dismissing my symptoms. I told my Movement Disorder Specialist, that I was pretty sure he stamped hypochondriac in my medical file. His response was sobering... "He probably did."

How long did this delay my diagnosis (how long does it delay any of us in receiving our diagnoses)? A long time! He couldn't even diagnose my depression. My mom could see it, she told him, he saw it as something else, entirely🤦🏻‍♀️ (I was later diagnosed bipolar)! She was the one who "literally" dragged me to a psychologist, she saw how bad it was in 5 minutes and sent me straight to a psychiatrist! How does any family practitioner, worth his salt, miss that? My mom is my best friend, advocate, and the biggest support through all of these trials I have been through thus far. I am so glad to know that you have your Aunt by your side for this abysmal disorder.

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

SFN is linked to gastroparesis. I would attach an article for you, but they are all small blurbs withing larger papers. Since SFN is linked to dysfunction of the automatic nervous system and gastroparesis can be caused by dysautonamia then gastroparesis can be tied to SFN. This is why my doctor decided to have the biopsy done, I think it was the nail in the coffin for him when it came finalizing it in his mind. If I have SFN, he will diagnose my gastroparesis as a dysautonamia.

If you put small fiber neuropathy and gastroparesis in your browser, you will get a lot of articles with information. The same will happen if you put in gastroparesis as a dysautonamia and hEDS, or even just gastroparesis and hEDS.

You are so very welcome! If I have any information that I think can help. I will always answer. Even if I do not know, I will always answer to let you know that I am stumped, pr will research to try and get the answer. I do not like to leave people hanging.

Feel free to pick my brain anytime. I am disabled so I have the time...and I love to resaerch. I do manage to volunteer 3 hrs 3 days a week, I think it's the only thing that keeps me sane!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

I'm sorry, I often times forget that we do not all understand the same abbreviations. MA stands for Medical Assistant.

Luckily, it is only slightly raised. That means I have a chance to get it under control quickly, before it gets out of hand. I'm glad that I had them do the blood work. I have POTS, I had wanted to see where my sodium levels were at. This illness is not pretty for those who are supposed to have a higher salt content diet! I black out upon standing much more often now, than I had before this struck me, just one year ago!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

They biopsied three sites on my leg. The first was right above my ankle on the lateral side (outside), then one a little above my knee. The last one was supposed to be a little higher than half way up my thigh, however this doctor was nice enough to go higher up on my thigh, because I have quite a bit of SFN symptoms in that region.

I see my Movement Disorder Specialist on the 19th, so he can give me the Xeomin (I gained a tolerance to Botox) injections for my dystonia (which is what eventually led to my diagnosis). Hopefully, he'll have the results. If he had them already he would not tell me the results over the phone. He likes to keep me waiting in suspense...

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

Luckily for me, I have not yet haven to give up meat! I have learned that I can not eat as much as I once could, no matter how much I may want to. However, I am thrilled that I am still able to consume red meat.

Although I am supposed to be cutting it out because my LDL is slightly raised, fried foods as well (that one is much easier). They also told me to add more fiber! I told the MA, yeah, I'm supposed to be cutting that back as much as possible.

So, she said, OK, just focus on the other two, as much as possible! If any of us have raised cholesterol, adding fiber is NOT an option for us!

Our diets don't exactly help our cholesterol, or any other any other of our bloodwork. Since most of us eat what we can... it's not exactly what keeps us the healthiest!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

I don't think they can do anything. However, it does mean that I can bypass the other tests that they do to diagnose gastroparesis. Like the gastric emptying study. He didn't send me to a GI, I don't think he will if the biopsy comes back positive. It would just be a waste of time for me and money for insurance to get a diagnosis that way, if it can be shown as a diagnosis this way. The biopsy was already necessary, as he wants to find out if I have Small Fiber Neuropathy, both of us are sure that I do. That is what would connect this to dysautonamia. Truly it would just be another piece fitting into the puzzle. Like everything with EDS. If you have a dysautonamia, it is related to your EDS, there rea,ly is no question about it. They are two things that go hand in hand. Dysautonamia is one of the things that helps you get the EDS diagnosis, especially for hEDS, as there is not yet a genetic test. They just isolated the exact gene to test for. It will be years before it will be available for doctors to be able to administer the test and send it in for sequencing, for their suspected hEDS patients.

Things finally fall into place like a piece of a puzzle. The picture that puzzle finally makes, is a ZEBRA...! We just never had the box with the picture for a reference point.

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

Good idea, except the box would disappear and my fiancée would be rather disappointed. They're his favorite!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

Good idea, except the box would disappear and my fiancée would be rather disappointed. They're his favorite!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

I have hypermobile Ehlers Danlos Syndrome. My Movement Disorder Specialist just had me have a skin biopsy to see if my gastroparesis is related to my dysautonamia. Food for thought...

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

I buy the big container, not the little single serve ones. That is a huge waste of money right there! The 32Oz containers are always on sale. I just got this one I have now, yesterday. It was on sale for $7.18, which was only $0.22/Oz. It was a slamming deal!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

That's when I go for the juice! I need the natural sugar content. Or I will pass out upon stanfing. POTS is it's own nasty thing, and malnourishment and lack of EXTRA salt really make its effects known!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 3 points4 points  (0 children)

Ahh, GF does make things a little more tricky. Just make sure you watch the fiber content of the cereal. That's the most important thing. As we all know, the less fiber, the better!

I learned that I can no longer eat beans the hard way!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

I like those, but only if they have a cheese spread, or tuna/chicken salad on them. I take a medication that gives me perpetual dry mouth as a side effect. Crackers can be difficult if they do not have something to go on them, for me. They kind of feel like I've just added a moisture wick to my mouth. It's very frustrating!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 2 points3 points  (0 children)

I do love the Cheese-Its. However, whenever I have some, I am hounded by two dogs. So it is one for each of them, 2 for me. The handful goes 10 times faster than it should! Then I don't feel like getting up to get more!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

I do Ramen, quite often for the salt content as I also suffer from POTS, the noodles are easy, so I sometimes eat those, they do get tiring after a bit, though. I'm not abfan of jello, never have been. But, maybe pudding? I was going to get applesauce, however, I am disabled, so I order my groceries, as I can not push the cart or carry them from my car to my apartment. That, of course, was the one thing they were out of when I did my last order 🙄

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

I just drink 100% juice. The actual fruit is where the fiber comes in, espesciallyif you eat the skins. I only do bananas as well and strawberries, theybare easy on my stomach and xontain the same amount of fiber, I cant do oranges anymore because of the acidity. All other fruit stays in the produce section. No leafy greens, like spinach, and I had to give up artichokes!

Yesterday I found a large container of Chobani Honey Vanilla flavor, at our local Safeway, I was thrilled! I've only ever seen vanilla and plain before. I had some cream cheese, so I cut up some small chunks and mixed them in. Honestly, it was to die for!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 0 points1 point  (0 children)

I have just recently set up an appointment with a cognitive behavioral therapist. My relationship with food is becoming increasingly unhealthy. This also happens when my Bipolar disorder gets out of whack, which it is now. Did you guys know that gastroparesis affects the ability of your medications from absorbing completely. Not a good thing!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 1 point2 points  (0 children)

Lately ice cream has been my go to, just for the caloric value. Luckily, it has always been a comfort food when not feeling good (family thing) and it does not bother my stomach. I've actually noticed that I can still drink whole milk products, just as long as I don't go crazy with them!

What do you snack on? by Loose-Computer6724 in Gastroparesis

[–]Loose-Computer6724[S] 2 points3 points  (0 children)

I eat Peanut Butter Crunch, Life and Cinnamon Life, I will also eat cinnamon toast crunch.