Hello, this may be a very long thing but please hang in there with me, I'm really really struggling. I will first go over my medical info, then my symptoms leading me to believe I have MCAS, then I will go over the issue. Once again please give me any advice at all if you can.
Medical background: I am 20 years old, female, diagnosed professionally with hEDS, many doctors have said I meet full POTS criteria however currently awaiting my autonomic testing redo.
Symptoms related possibly to MCAS: localized rashes when stressed (typically on hands and forearms), flushing in heat or blotchiness after showering, 80% of the time I eat I get reactions like stomach pain, nausea, dizziness, and an intense panicky feeling. I have not attributed these reactions to a specific food.
About a week ago I was at the dentist, had those localized stress hives I've gotten a few times in my life, then decided to bring it up to my doctor. We talked about possibility of MCAS and she said it is definitely possible especially because of the co-morbid connection to hEDS and POTS. I went home terrified as I've heard many many horror stories about anaphylaxis and mcas. I decided to go on a low histamine diet (plain chicken with salt and fresh garlic, broccoli, cauliflower, blueberries, apples, chia, a few others) then my birthday came around on august 30th and I was distraught I couldn't have sushi, a pumpkin chai, etc to celebrate.
Yesterday I had a consult over the phone with the immunologist. Long story short he claimed there is no relation between pots hEDS and mcas and that is a "social media myth". I went over my symptoms and history, how ive never had anaphylactic shock and never had lip swelling or reacrions to the various amounts of makeup and hair and nail chemicals I use. He came to the conclusion that he doesn't think I have mcas, I informed him about my diet and at first he told me to just slowly introduce food back in, then eventually just said I can eat whatever and don't restrict. I also asked about taking zertec daily just in case and he said it's unnecessary. He said he'll still do testing (I probably won't get results all together for a few weeks). I also asked hypothetically if I have mcas should I worry about anaphylactic shock even if I never have had it, he said it's very unpredictable.
Here are my problems/questions
1: is anaphylaxis really that common and should I be worried?
2: any comforting words of wisdom?
3: should I or should I not eat the foods I want to eat
I just keep seeing so many mixed things, terrifying stories, and the fear is getting absolutely paralyzing. Please help me out