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TikTok GP Urges Patients With Unexplained Symptoms to Ask About MCAS

With specialist tests scarce on the NHS, care typically focuses on avoiding triggers and using antihistamines, according to the Cleveland Clinic.

Overview

  • Private GP Dr Asif Ahmed told followers that mast cell activation syndrome may be worth discussing with a doctor when symptoms defy explanation.
  • He said episodes can be more intense than typical allergic reactions and can involve multiple body systems, noting that people with the condition may report almost any symptom.
  • Reported triggers include food, heat, cold and stress, and suggested warning signs include skin writing, widespread body pain and persistent exhaustion.
  • Diagnosis is challenging because routine results may appear normal or borderline, and Dr Ahmed said specialist testing is not fully available through the NHS.
  • Cleveland Clinic guidance lists symptoms such as low blood pressure, flushing, hives, gastrointestinal issues, shortness of breath, fainting and anaphylaxis, and notes management relies on trigger avoidance and H1/H2 antihistamines.