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What Causes Shortness Of Breath And Oesophagitis When Diagnosed With Mast Cell Disease?

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Posted on Fri, 22 Jul 2016
Question: Hi. I have mast cell disease diagnosed by elevated prostoglandin d2 and prostoglandin f2 alpha levels. They were both more than double the high normal levels.
I'm more recently having shortness of breath and esophagitis. My gastro Doctor think it's may be eosinophilic esophagitis which could be related to the mast cell disease.
I just had an endoscopy yesterday and they did some biopsies to check for eosinophils.
Does an elevated prostoglandin d2 level confirm mast cell disease? or could I have an eosinophilic disease instead?

I respond well to steroids, but would rather not take them anymore due to side effects.
Are there any treatments other than steroids that lower eosinophils? I want to try one to see if it helps my shortness of breath and esophagitis. Thanks
doctor
Answered by Dr. Drkaushal85 (15 hours later)
Brief Answer:
No, elevated prostaglandin levels does not confirm mast cell disease.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
No, elevated prostaglandin levels does not confirm mast cell disease.
I need more information about your disease.
Please let me know
1. What are your symptoms?
2. Why doctor directly told about eosinophilic esophagitis? This is confirmed only by Biopsy which results are still pending in your case.
3. Do you have allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (3 hours later)
Hi, ive had severe fatigue, cognative problems, blurry vision, attention difficulties since my early twenties. I felt like a drug reaction from an antibiotic called ampicillin contributed to it.

I have been tested for allergies via skin prick test and showed +3, or +4 allergies to about 30 of the 40 things i was tested for. But, i dont reallly have allergic reactions other than an occasional runny nose.

I tried many treatments for 13 years until i was duagnosed with mast cell activation disorder (mcad) 4 years ago due to my symptoms and elevated prostoglandin d2 and prostoglandin f 2 alpha. I was put on mast cell stabilizers which did help. I was then put on the steroid dexamethazone for 3 years. It helped alot, but i had to discontinue it due to bad side effects.

Im now having esophagitis and shortness of breath which my doctor believes could be esinophilic esophagitis due to the type of symptoms i was having. I got an endoscopy yesteday which showed esopjagitis and I did get a biopsy to test for eosinophils, but the results arent in yet.

I just wanted to know if there are esonophilic disorders that can cause the fatigue, cognitive problems, and blurry vision that i have been experiencing or if a mast cell disorder would be the best explaination.

I am really concerned about my new symptoms which include shortmess of breath, chest pain, which get worse when lyimg down

.
doctor
Answered by Dr. Drkaushal85 (6 hours later)
Brief Answer:
Mast cell disease is only diagnosed by Biopsy showing excessive mast cells.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Honestly speaking, mast cell disease is very rare entity.
And it is only diagnosed by Biopsy from the tissue which is showing excessive mast cell infiltration.
Raised prostaglandins is not confirmatory about mast cell disease.
Eosinophilic disorder commonly cause skin and lung related symptoms. They are unlikely to cause fatigue, cognitive impairment, blurry vision etc.
About your shortness of breath, I want to know few more things.
1. Do you have wheezing?
2. Since how many days you are having this shortness of breath?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (14 hours later)
Hi, thanks for your answer. My doctor thinks I have mast cell activation where there is a normal number of mast cells, but they are overactive.
I've had the shortness of breath for two months, but no wheezing. I developed this at the same time I developed chest tightness, lump in throat, choking feeling, swallowing difficulties which I think are from esophagitis. I was wondering if the shortness of breath could be Related to the esophagitis.
doctor
Answered by Dr. Drkaushal85 (6 hours later)
Brief Answer:
I don't thinks they are related.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No, I don't think esophagitis and shortness of breath are related.
I want to know few more things about your breathlessness.
May I ask you few more questions regarding this?
I will be happy to help you further. Wish you good health. Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Causes Shortness Of Breath And Oesophagitis When Diagnosed With Mast Cell Disease?

Brief Answer: No, elevated prostaglandin levels does not confirm mast cell disease. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. No, elevated prostaglandin levels does not confirm mast cell disease. I need more information about your disease. Please let me know 1. What are your symptoms? 2. Why doctor directly told about eosinophilic esophagitis? This is confirmed only by Biopsy which results are still pending in your case. 3. Do you have allergies? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.