Reply to Sudden onset water weight gain in 20 y.o.

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Would have her elevated her legs during the day. For POTS, heart needs to be above kidneys for the hours of sleep. You can put books or bricks underneath the feet if the headboard to achieve this. Wedge is not adequate. Have her wear compression socks during the day.[/quote]

Thank you! Also you have a good point about
allergies / MCAS. She was tested by GI for celiac a few years ago and was negative. Not sure if that can change over time. But she frequently gets sick with congestion, fatigue, UTIs, EBV (3x), and she even got the flu last fall despite getting a flu shot. Tested for long COVID in 2022 - negative. Allergies are tree nut, pet dander and seasonal, but not especially severe. Just chronic. She treats with stuff like Flonase and DayQuil. Has an epi pen, never had to use it. No allergist has found her situation remarkable. It’s apparent she needs to revisit testing. Who is equipped to test for MCAS?[/quote]

I would have her immuglobulins (iga, IGM, igg) checked. If you are IGA deficient you get frequent infections like the ones you mentioned and you will test negative for celiac even if you have it because the celiac blood test checks for your IGA and other IG responses to celiac products. [/quote]

I’m not sure I understand the suggestion above. Her IGG and IGA were normal in 2022, in the context of testing for celiac. Are you saying to test again not in relation to celiac?[/quote]

If they were fine a few yrs ago, then you don’t have the concern I was mentioning. IGA deficient people are born that way, and are prone to frequent infections. That’s all.  [/quote]

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