No wooden toothpicks for this chap

DEAR DR. GOTT: As a child I frequently suffered from mouth sores. By chance I chewed on a wooden fork while eating French fried potatoes at age 12. (I am now 70.) The following day I had about 20 sores in my mouth near my lips.

Although no doctor then, or now, believed wooden utensils, tongue depressors or any other treated wood products put in the mouth caused these sores, I religiously made sure I did not use them. I didn’t have a sore again until I was 35.

I was at a function where chicken was served on wooden skewers. I carefully removed the skewer and ate the chicken. Two days later I had about 100 sores in my mouth and down my throat. I was in agony. My dentist helped [Read more...]

Is sinus condition an allergy?

DEAR DR. GOTT: For years I have had sinus issues, only on the left side of my nasal septum. An ENT looked at my X-ray and said it was just allergies. I use a corticosteroid nasal spray and a mucous thinner. My glasses bother me at the left side of the bridge. They have been adjusted, taken apart and put back together, but nothing helps. I have gotten new glasses and they are the same. I also have had bouts of “TMJ” where the bow of my glasses hurt only above my left ear. High doses of ibuprofen will break the pain cycle after a while. I also wear a night guard over my teeth. I usually sleep on my right side as it helps to keep the left sinus draining. What is going on?

DEAR READER: Because you are having continued trouble despite treatment, I recommend you seek out a second opinion or request further testing.
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Joint and muscle pain caused by allergies

DEAR DR. GOTT: I am 75 years old and have what I believe is muscle and joint pain caused by allergies, similar to the lady that wrote you a while back. For me it happens mostly in the fall but when the aches and pain come, I just take antihistamines until the first freeze and then all is okay. This note is only to tell you that there are more like her out there.

DEAR DR. GOTT: Sometime ago you had an article about muscle and joint pain caused by allergies. Well, I am one of those people. This has been going for many years and I have been to so many doctors and have had many tests but everyone tells me there is nothing wrong, it’s probably my imagination. I also have told all the doctors I have been to that after I take an antihistamine, I have relief. No one believes me.
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Allergic reaction causes hives

DEAR DR. GOTT: I enjoy your column very much. I went to a physician for hives. He did a host of blood work and only found low vitamin D levels. He said there is an ingredient called carrageenan that causes allergic reactions and inflammation in the body. He told me to go home and check everything I use to see if it’s in there. Sure enough, the creamer that I have every day had it in there. I thought that this couldn’t possibly be the answer; it was too simple. I stopped using the creamer anyway, and my hives disappeared. Just to be sure, I used the creamer again and broke out with hives within 30 minutes.

The amazing doctor who suggested this to me during my one visit then “ran off” to Arizona to practice integrative medicine. I only knew him as Dr. P, but I will always be grateful to him. Please share this with your readers so that maybe it can help some of them, too.
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Is MCS for real?

DEAR DR. GOTT: Multiple chemical sensitivity (MCS) is a crippling problem for those who suffer from it. I would like to educate people about the problem because most people think that I’m crazy or that “just getting fresh air” will resolve the problem. The effects of chemicals used in personal and laundry products act as neurotoxins on my system, resulting in neurological difficulties — diminished cognitive function, loss of equilibrium, fogging vision, etc. Local drugstores and laundry-detergent aisles are lethal vats of poison for MCS sufferers. I am a massage therapist and have asked clients to refrain from wearing fragrance, but I have found their use of fragrant laundry products more dangerous than cologne. In particular, dryer sheets are extremely poisonous and cannot be purged from the room just by airing it out. I urge people to investigate the toxicity of their laundry products.
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Warm skin may be caused by swelling

DEAR DR. GOTT: For three months, I have had warm skin. I have seen my primary doctor, a naturopath and a dermatologist. All three have told me that I have inflammation under my skin but none has been able to help me. Can you?

DEAR READER: Without knowing more, I cannot be certain, but the first thing that comes to mind is angioedema. This is an inflammation of the tissues just under the skin. There are two types — hereditary and acquired. Hereditary angioedema (HAE) is rare and genetic. Acquired angioedema is much more common and often the result of an allergic reaction, and it typically affects the skin around the eyes and lips. I urge you to speak to your physician about this possibility.

Muscle/joint pain caused by allergies?

DEAR DR. GOTT: I’m hoping this information will be helpful to many of your readers. I am a healthy 57-year-old female. Ten years ago, my husband and I lived in Virginia because he was in the Army. I became ill with tingling and numbness in my left arm and also aching joints. After numerous doctor visits, MRIs, etc., I still had no diagnosis. Then, about three months later, I awoke with my arms and torso covered in hives. I immediately went to see an allergist who told me that I was allergic to something that had caused the hives to develop, but he also said it was wreaking havoc inside my body and making my arm and joints ache. I started taking an antihistamine every day for two years and was absolutely fine.

For some dumb reason, I stopped taking it, and last year I had another strange episode: This time, it was strong pains in my breasts. It felt as though I was lactating, but I knew I could not be. Again, I had many doctor visits and also underwent a sophisticated mammogram. I was told I had fibromyalgia, because I also had aches and muscle pains. I disagreed with the diagnosis and began researching on my own.

We had gotten a new dog four months earlier, and, after talking to friends, I decided to stay away from the dog. Sure enough, I began feeling better. Then I told my boss at work, a female, about the strange breast pain, and she immediately told me that I must be allergic to the dog because her little boy had similar reactions to his new dog. His underarms swelled up painfully. I was elated to solve this!

We returned the dog to the shelter, and I was immediately tested for allergies. I was allergic to cats and dogs, not to mention many grasses, molds, trees and house dust. I will never stop taking my daily antihistamine, and I have been feeling great ever since restarting it.

DEAR READER: I have printed your letter because I find it interesting that you say you have joint, muscle and breast pain due to allergies.

Most allergies cause itchy, watery, red eyes; a runny nose and/or congestion; coughing, wheezing or other asthma-like symptoms; skin rashes, hives or swelling. The type of symptoms experienced depends on the allergen and how you came into contact with it. Pet dander, for example, is typically inhaled, so skin manifestations, while possible, are not generally seen.

I am unable to find any reliable scientific evidence that shows that any allergen, let alone pet dander, can cause joint, muscle or breast pain. I was able to find personal testimonies that claimed these symptoms due to allergies, but there is nothing to substantiate the claims. Perhaps this is something that should be further investigated by the medical and scientific communities.

I am not in any way dismissing your claims. I am simply stating that at this point there is no hard evidence to back up the claims. The fact that you have experienced relief by taking a daily antihistamine is compelling nonetheless.

To provide related information, I am sending you a copy of my Health Report “Allergies.” Other readers who would like a copy should send a self-addressed stamped envelope and a $2 check or money order to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my website at www.AskDrGottMD.com.

Medical woes plague young reader

DEAR DR. GOTT: Since childhood, I have been suffering with tonsillitis, chronic colds and allergies — both seasonal and medication-induced. At the age of 24, I was diagnosed with discoid lupus; at the age of 30, with fibromyalgia, pleurisy, kidney stones/infection, vertigo, depression and anxiety.

My ANA test for three years has come back normal, but I continue to get lesions, my hair falls out, and I get sick easily. I have been to two rheumatologists. Both say I do not have SLE, but my family doctor feels I do. What do you think?
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Woman faces woes of middle age

DEAR DR. GOTT: I am writing to inquire about a medical condition that I have had for more than 15 years with no diagnosis determined. I’m a 63-year-old African-American female in good health except for allergies. The older I get, the worse the problem.

I have constant cramping in my legs, thighs, toes, hands, rib cage and arms. Lately, most of my cramping is happening at night when I go to bed. Both legs cramp up, and one of my feet twists to one side. These cramps are painful. I can turn over in the middle of the night and catch a cramp. I have had all types of blood work performed, and when my potassium was a little low, I was told to take a potassium pill. I cramped twice as much.
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Could vitamin D deficiency cause cold symptoms?

DEAR DR. GOTT: I have been sick with cold and flu symptoms (on average) about 12 to 14 days each month for the past year. My family doctor referred me to a rheumatologist because she thought it might be autoimmune. The rheumatologist believes that a low vitamin D level and allergies are causing my symptoms. She has put me on 50,000 IU of vitamin D for the next eight weeks and daily Claritin.

Can you tell me what could be causing my low vitamin D level? Do you believe that this is the issue, or are the low levels caused by something else?

DEAR READER: Vitamin D is a fat-soluble vitamin that is essential for promoting calcium absorption, maintaining adequate serum calcium and phosphate levels, bone growth and remodeling, reduction of inflammation, and neuromuscular and immune function.
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