Sarcoidosis - not enough care and attention given to sufferers

Posted , 66 users are following.

Hi, I've only just joined this forum but as a long term sufferer of Chronic Sarcoidosis I thought maybe I could say a few things on the matter. First of all I was shocked to read that one of the forum members had been told by his specialist that night sweats are not a symptom of sacoidosis. Nonsense! night sweats and indeed profuse sweating during the day are symptoms of Sarcoidosis. The lack of support for people suffering from sarcoidosis is dreadful but the truth is that not enough is known about the disease and especially amongst UK doctors. American doctors are more on the ball but then they have the money for research etc in the US. I spend my entire time fighting and arguing with health people, trying to get appropriate treatment for my various symptoms. Luckily I have an excellent respiratory specialist but that is all he is a respiratory specialist so when it comes to all the other problems I have due to sarcoidosis such as skin, eyes and nerves I have to fight to get tests and treatment as either no one believes me or they think it is up to my respiratory specialist to deal with it. He in turn kicks it back to my GP (rightly so) and at the end of the day nothing gets done as no one will take responsibility for the symptoms! It's a ridiculous situation but it boils down to money as all these MRIs and tests are very expensive and neither party wants to foot the bill. The over powering fatigue is dreadful and I can literally fall asleep in mid conversation. Also the depression that comes from constantly feeling unwell and the frustration of fighting for proper care also takes it's toll. The sweating I spoke about earlier, can not only hit at night either as I find that expending a little energy just hoovering a carpet can cause sweat to literally drop off me. At the moment I have severe pain and severe pins and needles in both arms and hands and it has taken me 6 months to finally talk my GP into allowing me to see a neurologist. I will see her tomorrow but my respiratory specialist told me not to hold out too much hope of being believed! So you see even the doctors who understand Sarcoidosis know the taboo within the health sector so what chance do we have? I was originally on high doses of steroids but unfortunately they caused me to have a psychotic break so I had to be taken off them so I am now on an inhaler and mucosal thinner to try to combat the extremely thick, sticky sputum I cough up.In one sense I suppose I am luck as I am already in a wheelchair due to nerve damaged feet (hospital screw up!) but I had to change to an electric wheelchair because with being so breathless and having nerve problems in both arms I couldn't propel myself around in my manual one. I say I'm lucky to be in a wheelchair only because without it I wouldn't be able to get around at all because of the sarcoidosis. I sometimes wonder if UK doctors have a bad attitude towards sarcoid sufferers because they think everyone only has the acute sarcoidosis and it would probably resolve itself or even come and go undetected in it's own time. I really don't know but what I do know is that they need to become better informed about this disease and be more caring when treating their patients. It's not a deadly disease but it certainly takes its toll on the sufferer and the symptoms need correct and fast treatment before they become a real problem. Keep your chin up fellow sufferers and don't be scared to be pushy with your GP. He has a comittment to treat his patients whether he thinks its serious or not. You have a right to demand to see a specialist or to get a second opinion but do remember that not everything is linked to your sarcoidosis so if you develop a new problem make sure you get it checked out properly and don't be fobbed off with your GP saying it's just a symptom of your sarcoid because it could be a different health issue altogether.

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  • Posted

    Hi everyone 

    I'm feeling sick as a chip - was told last week I also have crest and when I look it up on the computer and see the pictures well it's quite upsetting - I thought the anti nuclear antibadys were from the sarcodosis but no - well no good crying I suppose just keep going anyone else have crest syndrum 

    • Posted

      Sorry to hear your diagnosis perhaps herbs might be able to help you too?
    • Posted

      Sorry Sharon to hear that.. Really feel for you. On-line these are prob the worst cases, lets hope yours is not going to get like that. Sometimes internet makes things worse.. I use to be convinced that I had RA.. then lymphoma.. and checking on-line they kind of matched my symptoms.. obviously that was not correct diagnosis..

      I seem to struggle the worst between end of Oct- end of Feb.. Sun actually seems to be good for me.. my calcium levels are also pretty low, so seems to be that I actually require extra vit D

      Hope you are feeling much better soon Sharon x

    • Posted

      Hi Sharon

      Sorry to hear you have added problems

      I have not heard of Crest but will definitely look it up.   But as previously mentioned by MM  the internet can give you a scare as they always look at the extreme cases

      I also had so many things running through my head. I even thought it was ME at one stage

      There are so many mirrored symptoms with such a broad spectrum of illness

      I often wonder if it is actually Sarcoid I have at times.   

      Hope it doesn't get too much

    • Posted

      Hi Sharon

      Had a look on some of the medical sites I access for my work. If it makes you feel any better about it the vast majority of people with crest have it very mildly. Basically its a hardening of skin, which can be treated (though not cured) effectively with your every day moisturiser. It can also affect other organs but even then a lot of it tends to be fairly mild and often doesn't need any specific treatment. Its an auto-immune disease, which is what they also reckon is a possible cause of sarcoidosis so its probably no surprise if people with one develop the other. 

      The other comments folk have made are quite right - cases shown on the internet tend to be the very worst ones because they get a reaction. Nobody is going to react much if they say "our patient has this condition which caused hard patches on their skin and it cleared up pretty well with use of E45 cream". So here's hoping you are one of the vast majority of folk who develop the condition and just have it in a mild form.

  • Posted

    Thanks every one x 

    I have stopped looking at the internet - feeling a little better on the plus side my eye tests were fine - but I'm seven ting stone now carnt stop eating - reduced the steroids to one a day and joined slimmimg world - hope every one else is ok and nice to have a bit sun shine 😘

  • Posted

    Hi everyone... I've recently been diagnosed with sarc (lungs, lymph nodes, spleen, joints) and am undergoing a few further tests because my spleen is causing concern.  I have an excellent specialist and she has suggested that I try a combination of steroids (short term - I'm exhausted at the moment) and Hydroxychloroquine (long term - to help with raised calcium and swollen joints).  My preference is to stay away from the steroids completely but does anyone have any experience of HYDCL?  Since they first thought I might have it I have read lots of scientific papers in medical journals but the jury seems to be out on whether HYDCL exacerbates or helps fatigue.  Also I get loads of headaches and have read it can make them worse.  Also, does the tiredness get better?  Has anyone found anything else helps?  I'm at the point I'd try Morris dancing whilst dressed as a frog if I thought it'd help.
    • Posted

      Hi there

      Welcome to the mad house wink 

      I haven't used hydroxychloroquine because I haven't had any issues with my joints but I'm pretty sure some of the other have. So they might be able to help with that.

      I was on steroids for a while, 3-4 months on a dose of 25 mg/day then gradually reduced over the next 3 months till I'm now on nothing. They'll help with the exhaustion and probably some of the other sarcoid problems but not everyone wants to use them I know. 

      Morris dancing dressed as a frog - never had that suggestion from any of my doctors but I'm in Scotland where we don't do Morris dancing so maybe that's why ;-)

      hope you find something useful from some of the others on this site

      Morag

    • Posted

      Thanks Morag :-)  If you don't mind my asking what side effects did you have from the steroids? 
    • Posted

      I was the weird one. They say you put on weight while on steroids, I lost weight. Slight nausea/indigestion for the 1st week or so but my consultant had also prescribed omeprazole in case that happened. Other than that, absolutely nothing.
    • Posted

      I'm not sure how much I'm worried about weight gain but I think it would depend on how much weight!  I hadn't thought about that as a potential because the dose would be low, but maybe 20 mg is enough to have an impact.  I think I'm a bit anxious about starting 2 drugs at once because I won't have a clue what's helping and if I have side effects which drug it is.  Were you less tired?  Was tiredness even an issue to begin with?  I appreciate the help smile  You're the first person I've spoken with who has it too.
    • Posted

      Welcome Boomatunn,

      Yep, other than spleen, my issues are same as you, the lungs, lymph nodes, joints and occasional neurological issue.  My both specialists  ( lungs and joints) took me  off steroids, I did get the injection for joints and inhaler for lungs, which both seemed helping.  I am  exhausted most of the time and could be sleeping standing up in a public transport..  I was put on Hydroxychloroquine in Nov 2013. My eyes are still OK, I am  maybe not as tired now (read : slightly better), joints are no longer swelling, feet and ankles are not painful all the time. So I guess it has being helping. I still get stiffness in most of my joints but nowhere near as bad as it was. My lungs are back to normal with exclusion of diffusion issues, which they are not overly concerned with considering the leap I have made otherwise. I found that cutting out fast carbs from my diet has helped also (and all alcohol with exception of glass or two red wine couple of times a week). I only have a slice of whole meal bread in the morning and pasta once a week ( I could eat pasta all the time), I now eat , lots of greens and fruit, lots of fish, especially trout and salmon, some meat and poultry. East products (cakes, pastries, beer etc) are the worst for Sarcoid, sufferers (especially the ones with joint problems)

      Hope this helps a little

      Love, MM

      PS, I have had Sarcoid since 2012

    • Posted

      According to the consultant here 20-30 mg is the normal starting dose and I know loads of folk who have been on steroids on a lower dose than that who say they make you eat and eat and then you put on weight. Some of them say up to a stone or so - but then they're also the ones who eat loads of junk and increase the amounts of those. Like I say, didn't happen to me though.

      Definitely made a difference to my tiredness. I was just sitting around doing nothing when I finished working for the day as I had hardly any energy and I noticed a difference in that after just a week or so. 

      In theory hydroxychloroquine should help your joints and steroids should help with the other problems if that helps. Hydroxy should also help if you get if you get bitten by a malaria mosquito - but I have a feeling that's a bit unlikely ;-)

    • Posted

      Thanks MM77

      To be honest they're not sure I haven't picked up a random infectious disease on my travels and that's what's causing my spleen to look how it does.  My joint problems are minor at the moment but I seem to suffer from random and changing aches and pains in my muscles and joints.  I am only just realising it is the sarc and not the result of an accident I had a while back.  My lung function is fine thankfully at present and I hope it stays that way. 

      What dosage are you on?  Have you had any side effects?  As for food I'm a vegetarian and am generally quite healthy (currently tucking into cake but hey ho!).  I've read mixed stuff on cutting dairy out so am reducing it.  Cutting out pasta and bread would be a nightmare though.  What have you replaced it with?  Have you taken info from rheumatoid sites? 

      Sorry for all of the questions - there are so many different things going on it's hard to make sense of it all!

       

    • Posted

      Well you say that but I'm currently being tested for every type of parasite and bug going!  I travel constantly to remote places (work and privately) so am often on anti-malarials. 

      I guess the effects from the steroids are very personal.  I think I might start with the Hydroxy and see how it goes.  If I'm still exhausted then it's worth giving the steroids a shot but going from no drugs to both feels like too much too soon for me. 

    • Posted

      Hi and Welcome, it is good we are havng a few new people joining us, but obviosuly not good that all suffering.

      I was finally put on hydroxychloroquine after a year, I have been on them two months now and have not had any side effects at all.

      My ankles have definitley improved, and  thankfully my eyesight has not got any worse.

      My husband was insistent I went to a herbalist, so now I am on a cocktail of other medicines to try to get my system 'up n running'

      I visit a chirprator regular and today he said he was finally able to work on my airways that was almost shut down previously.

      So heres looking forward to a better few months ahead.

    • Posted

      Thanks Linda, this is really reassuring!  I am glad your ankles are better.  The swelling is a new symptom for me and I'd like to stop it before it becomes a real issue.  Were there any other reasons why put you on hydroxy? 

      Fingers crossed the combination of super herbs and the drugs help even more smile

       

    • Posted

      Hi, the ankle swelling and inner elbos joint pains were my first symptons!!

      So it really is different for all of us.

      My consultant was steering away from steroids and felt Hydr would be best for me for inflammation and swelling etc, although mine wasnt too bad by the time I started the medication.

      Super herbs...yes it will be interesting....see if my husbands money was well spent ;-}

    • Posted

      Oh yes, my elbows have been a nightmare for months.  I kept seeing a physio, bought a new mouse and keyboard at work and stopped carrying heavy things.  My physio said I had golfers and tennis elbow (so both sides of joint were affected).  This now makes sense.  Also the soles of my feet ache like never before and when I flew to Asia the other week my hands and feet blew up.  I had them in a tub of icy water this weekend.

      I think my consultant's biggest concern is the raised calcium levels but if the drugs help the swelling it's a benefit.

      If the herbs work you'll have to share the special combo!  

    • Posted

      Think the truth is that there are so many different ways sarcoid can manifest there are different symptoms for us all. With me, its my kidneys and lymph nodes and my chest is totally clear. So then the consultant, if they're any good, will tend to prescribe on the basis of what they expect to help your worst symptoms. So Hydr for joints, steroids for kidney probs, inhaler for lung symptoms etc. 

      Even though the symptoms are different I personally find its good to know you aren't the only one out there with it

    • Posted

      I agree - just reading a few of the posts on here makes me feel more normal and less crazy.  I thought I was imagining things but now I see that's not the case.  I'm blessed with a wonderful consultant who really listens but even then unless you experience you'll never fully understand. 
    • Posted

      My illness started from joints and my joint problems started with random parallel pains in my muscles and joints and then moved on to lymph nodes and lungs.

      I am on 400 mg per day, so max recommended (not higher). It does affect my stomach, so on Omeprazol too but that could be the good old Naproxen I was on for over a year.  No other obvious side effects and just had my eyes tested (most common side effect) and they are npot damaged from the medication.  I think generally dairy is good as long as you do not over due it or eat long life stuff.  Should just eat brown rice and pasta and brown bread in moderation. Try to avoid potatoes in any form and any white flower product and sugar as much as possible As a veggie you probably don’t have an issue to eat pulses, nuts, veg and fruit. I found info from US sarcoid sufferers on-line, just googled sarcoid sites and checked rheumatoid ones as well and there are many similarities. Had a half a kilo of fresh fruit salad (good carbs) last night for my dinner (5 mixed fruit and berries) and must admit millions more energy today1

      Don’t worry about all the questions, we all do that and that’s why this site is great. Sharing experiences and asking for help. Sometimes I find that good old moan helps great too and you my sarkie friends are the only ones who understand

      Love, MM

    • Posted

      Yes Morag - I totally agree. It is a very broad spectrum

    • Posted

      When my feet swell they feel like they are on fire and about to burst, yes cold water does seem to help.

      There was concern over my raised calcium and been told do not eat prawns....I soo love them too. :-{

       

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