What Causes Ehlers–Danlos Syndrome?
Likely to be Ehler Danlos.
Detailed Answer:
Hello,
Thanks for posting your query and a detailed history.
I understand that you are facing a multitude of health issues and trying to find out the best reason for the same. Most often it is not right to draw a single diagnosis with all the symptoms that you have. One cause for a long time can lead to further complications if undetected and treated. The symptoms that you have described do seem to be related to Ehlers Danlos. There is no definitive treatment available for the problems that you have. I appreciate your willingness to become a guinea pig for your son and grandson but that will not help you.
The symptomatic treatment that you are getting is correct and needs a regular careful monitoring as you have multiple problems and allergies. You are in the right hands and I personally do agree with the line of treatment you are getting.
If you are depressed or stressed, try to come out of the situations by dealing with the root cause and diverting yourself in recreational activities and by taking good rest. Yoga and meditation will also help you.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
I feel acupuncture could help me since this was probably a response from my own endorphins? I have a high pain tolerance, even though most don't believe me, but he did after the test.
Since the neurologist can't figure out what all is wrong, he seems angry and belittles me now. I must move on to someone I can trust not to be bias that all is wrong because of my history of molestation.
I have been going to a different pshyciatrist and psychologist (the first pshyciatrist retired and the first psychologist relocated father away), a second psychologist wouldn't treat me as she was afraid of a dystonic storm and insisted I seek ER attention. The ER tells me that they don't treat dystonia, really!) I am now being by a third psychologist who actually has treated a patient who had Ehlers Danlos once, which I find awesome because I haven't seen a doctor familiar with the disease. Depending on how well I am doing, I see her every 2 - 4 weeks. I have a new Psychiatrist since retirement of the old one that I have been seeing every 3 months for 2 years. I was told when I was doing over 100 physical therapy sessions pre and post surgery for 2 1/2 hours 3 times a week (many personally paid for) that he had seen a patient with this disorder and that I should look into it. He would have to tape my loose shoulders prior to each session and they were trying to develop a muscle a my shoulder junction to help support the unstable joints. This helped a lot. Until this dystonia-like condition occurred, I couldn't develop a muscle; even with muscle stem and training. Now hypertrophy?
Hydrotherapy is another treatment that I would love to do, but driving far away is out of the question and I don't have anyone to take me. We don't have a local transit system where I live. Sometimes I can get somewhere, then I have gotten stuck, unable to drive with spasms that are of great embarrassment trying to be independent. I carry long and short term disability insurance (by luck from my previous employment as a research nurse), insurance with my husband's second job as School Board President and am forced to be lonely and isolated due to the nature of the disease and it's limitations; however, I do help my close friends and family members; especially when they are dealing with a dying parents as this is important for me to have a dying person leave this world with respect and have as little pain as necessary. (Not just with drugs, but by personal care and caring attitude towards them). I guess God gave me this calling because it is the only way that I get any positive feed back for my self esteem and I can better understand the patient's point of view now. I don't get paid, but knowing I may have made a difference for the patient and their family member is payment enough for me. It helps me to leave the house because they pick me up or my husband drives me there and it gives him a break from me. He is diagnosed with Prostate Cancer and is trying to wait and use dietary changes to improve his health and his PSA levels have gone down, but I warn him that it may not be a cure; but I help him choose our foods as I use foods for reduction of inflammation and placed myself on a gluten free diet as well. My last colonoscopy was good without anything having to be removed, so that is a relief.
I can't help but to think that research, especially genetic will make a difference in many diseases. If not in my lifetime, hopefully within my children's. The proof is there in the extreme hypermobility with my sisters, mother and both children as well as my grandson, even though he is young; he still does things with his joints that no other children at almost 6 years old can do. I have seen him fall 3 times in 10 minutes during play, usually hitting his head. We play it down as much as we can, but some injuries had to be attended to. He has already had a dislocated elbow just playing with his mother who is only 5'4 weighing about 110 lbs.
I know I shouldn't take on the burden that I passed an unknown gene on to them, but my husband doesn't have it. His father died from a drunk driver one year after our accident, but he had Myasthenia Gravis. My mother in law died from 2 attempted suicides from depression and multiple strokes and eventually lung cancer. I cared for this woman for over 20 years or more following surgeries because I was the "family nurse" in my husband's family.
Because they misunderstand my illness and symptoms, most people berate me. I have been called a drug addict, attention seeker and after all that I have done, my husbands family are cruel and opinionated.
I cared for my grandson and took in my daughter when she was 2 months pregnant and her "boyfriend" had gone through her savings and put her $5,000 in debt. She hemorrhaged severely trying to deliver a nine pound baby after an all day inducement that only ended up in a 4 cm. progression and distress to both her and the baby. She looked like she was wearing a black pair of workout shorts, front and back and I was left to monitor her at her head as the anesthesiologist kept going back to the ER for more coagulation drug. (I don't remember the name, sorry?). They used epinephrine 5 times during my second delivery and the blood was spewing into my face during the C-section. It took an additional minute or two to release the rest of the baby from her stomach once they removed his head. The first OB was aware she would have a baby approx. 10 lbs. when full term. I saw the baby move independently in her stomach when she was sleeping on her side, but they couldn't or wouldn't believe that he was that large. I said nothing, just supported my daughter the best I could.
She bled through the C-section scar for 6 months while it healed, but she tried to go to work too early and I insisted she use an abdominal binder if she was going to be standing any time. The doctors had never seen such a large hematoma and we were just fortunate that she and the baby survived. He weights 52 lbs and is nearly 4 foot tall in Kindergarten.
We all have crummy adenoids and ears. My daughter had 20 infections between ages 1-2 years and the doctor wouldn't put tubes in. My son and grandson had tubes at a year old with great results and my grandson had already developed collateral circulation in his right ear by age 1.
I believe that I may have dural tears without proper evaluation after having good results from the blood patch. I saw a study in 1990 where they do blood patches after evaluating the different areas in the spine where the CSF is leaking and the person went on to have a greater quality of life with minimal symptoms. Doesn't this sound reasonable. I want an upright MRI, but can't get my neuro to do one because he feels that they don't give good pictures. I think the effect of gravity doesn't show up when one is placed supine. I think that my ideas are rational and non-dangerous; compared to what they have already done to me. How is it that steroid spinal injections are less dangerous than a diagnostic spinal tap. By the way, the test for iron levels wasn't performed due to lab error and a previous skin biopsy on a fatty lesion pushing on my left bicep that was painful was supposed to be tested (the skin punch) for Ehlers, but they didn't prepare the biopsy correctly or it was another error from a test for Ehlers.
I don't think ignorance of a connective tissue disease is a reason to completely discount any symptoms and rule this as a psycho-somatic disease. I am told by mental health counselors that I have made great progress forgiving myself and those for issues in my childhood over many years. I went to the third movement disorder specialist because I didn't want bias placed on the doctor prior to his diagnosis and workup, but my neurologist insisted I give him the names and numbers and intervened. I found out that my second opinion had been tainted by the 2 doctor friends and that the doctor I traveled to in Alabama was actually a younger doctor who was working with my movement disorder specialist and I didn't know it. Even my insurance thought it inappropriate that he send her a note stating that he "strongly suggested looking for a psychological component for my symptoms". I was upset, but still hopeful. There were some things abnormal that she couldn't account for nor was I aware of what she was testing. Autonomic dysfunction isn't something a person can fake, especially if they don't understand how it works. The information is so confusing. By the way, my core temperature is 3 degrees below 98.6 after a home nurse ask me to check it a few mornings in a row. I knew it was lower than normal all my life, but I didn't know it was that low.
Connective tissue disorder likely.
Detailed Answer:
Hello.
Thanks for writing again.
The symptoms that you have and the hypermobility are likely to be due to a connective tissue disorder. Exploring other options like acupuncture and hydrotherapy are safe and effective methods to deal with the pain. The autonomic dysfunction is also related to the connective tissue problem. This needs to be explored in a greater detail by a geneticist.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.