Gluten Sensitivity And Epilepsy: A Systematic Review
Yesterday, The Times published this article, which was entitled ‘Game-Changing’ NHS Laser Therapy To Prevent Epileptic Seizures.
One reader had made this comment.
Be ace too if they can tweak to help migraine.
I used to suffer from something like migraine about thirty years ago. But after being found to be coeliac and going gluten-free, what ever it was seemed to disappear from my life.
Type “Coeliac Disease and Migraine” into Dr. Google and there are lots of references.
This indicates to me that serious scientists and doctors, must believe there could be a link.
There certainly is with me and going gluten-free eased my migraine-like symptoms.
I then typed “Coeliac Disease and Epilepsy” into Dr. Google and found this paper, which was entitled Gluten Sensitivity And Epilepsy: A Systematic Review.
This information is from the Abstract of the paper
Objective
The aim of this systematic review was to establish the prevalence of epilepsy in patients with coeliac disease (CD) or gluten sensitivity (GS) and vice versa and to characterise the phenomenology of the epileptic syndromes that these patients present with.
Methodology
A systematic computer-based literature search was conducted on the PubMed database. Information regarding prevalence, demographics and epilepsy phenomenology was extracted.
Results
Epilepsy is 1.8 times more prevalent in patients with CD, compared to the general population. CD is over 2 times more prevalent in patients with epilepsy compared to the general population. Further studies are necessary to assess the prevalence of GS in epilepsy. The data indicate that the prevalence of CD or GS is higher amongst particular epileptic presentations including in childhood partial epilepsy with occipital paroxysms, in adult patients with fixation off sensitivity (FOS) and in those with temporal lobe epilepsy (TLE) with hippocampal sclerosis. A particularly interesting presentation of epilepsy in the context of gluten-related disorders is a syndrome of coeliac disease, epilepsy and cerebral calcification (CEC syndrome) which is frequently described in the literature. Gluten-free diet (GFD) is effective in the management of epilepsy in 53% of cases, either reducing seizure frequency, enabling reduced doses of antiepileptic drugs or even stopping antiepileptic drugs.
Conclusion
Patients with epilepsy of unknown aetiology should be investigated for serological markers of gluten sensitivity as such patients may benefit from a GFD.
My Thoughts
These are my thoughts.
Coeliacs Prior To 1960
Consider.
- Even if my excellent GP; Doctor Egerton White, felt I was coeliac, there was no test until 1960 for coeliac disease.
- And the test that was developed using endoscopy wasn’t anywhere near to the endoscopies of the present day.
- My late wife, who was a family barrister, likened the test to child abuse on a young child.
- I have heard some terrible horror stories of doctors looking for coeliac disease in young children in the 1950s.
- But there were some successes. A friend of mine, who is in her eighties, was successfully diagnosed by her parents using food elimination. But they were both GPs.
- Recently, I’ve met two elderly ladies, who only in the last couple of years have been diagnosed as coeliacs.
Luckily, I was never tested until 1997 and I was diagnosed in 48 hours, by gene testing.
Methodology
The methodology was based on a systematic computer-based literature search of the PubMed database.
This has these advantages.
- The rules for the search can be published and peer-reviewed.
- Its Wikipedia entry says PubMed is a free database including primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics.
- The technique can surely be applied repeatedly, to see how results are changing with time.
- The search can be modified to analyse any topic, drug or condition, that appears in the PubMed database.
- The analysis could surely be applied to other databases.
As a writer of data analysis software, developing this sort of software, would be really enjoyable.
Coeliac Journey Through Covid-19 – Long Covid
Long Covid
In Should Those With Long Covid Be Checked For Coeliac Disease?, I wrote this.
One of my Google Alerts picked up this interesting page on the British Medical Journal.
In response to this paper on the journal, which was entitled Long Covid—An Update For Primary Care, a retired GP named Andrew Brown had said this.
The update reminds us that alternative diagnoses should be considered in patients presenting with long covid symptoms. I suggest that screening for coeliac disease should be added to the list of conditions to look for. Coeliac disease occurs in more than 1% of the population, with many more cases undiagnosed. Typical symptoms of fatigue and GI problems are the similar to those of long covid.
As a non-medical person, I would agree, as after the Asian flu of 1057-58, I was off school for a long time with long covid-like symptoms and my excellent GP; Dr. Egerton White was very worried.
Unfortunately, my medical records from before 1969 have been lost.
But at the time, it is now known, I was an undiagnosed coeliac.
So was my coeliac disease meaning that I couldn’t fight the flu?
I cover the link between coeliac disease and long covid in more detail in Covid Leaves Wave Of Wearied Souls In Pandemic’s Wake.
Coping With My Cough
Over the last few weeks, I’ve developed a terrible hacking cough.
I used to get these as a child and regularly had months off school.
I can remember that our GP; Dr. Egerton White was worried and visited me regularly.
But I can’t remember having one since and certainly, I never had one in the forty years I lived with C.
About ten days ago, I noticed that a Marks and Spencer chilli con carne seem to calm my coughing down.
So I consulted Doctor Google and found several pages like this page on Rochester Regional Health, which is entitled Spicy Foods and Your Health.
Under a heading of Spicy Foods Help with Cold Symptoms: FACT, this is said.
Spicy foods contain capsaicin, the bioactive ingredient in chili peppers. Capsaicin breaks up mucus, which can help effectively relieve coughing and a sore throat. However, capsaicin can increase the production of mucus, causing a more prevalent runny nose.
My nose is running, but not excessively so. But I am generating a lot of mucus, just as my father always did.
His remedy was a mixture of strong mints and catarrh tablets.
I have started eating my Leon breakfast, that I eat most days with a pot of their chilli sauce.
It does seem to calm my cough throughout most of the day.
The Cough Goes On!
The cough that started last week has still not left me and it’s like the ones I used to get as a child, that went on for months and months. At least twice, I had six months and more off school. Sadly, those sections of my medical records got lost after University, so we can’t find out what the good doctor Egerton White thought!
Should Those With Long Covid Be Checked For Coeliac Disease?
One of my Google Alerts picked up this interesting page on the British Medical Journal.
In response to this paper on the journal, which was entitled Long Covid—An Update For Primary Care, a retired GP named Andrew Brown had said this.
The update reminds us that alternative diagnoses should be considered in patients presenting with long covid symptoms. I suggest that screening for coeliac disease should be added to the list of conditions to look for. Coeliac disease occurs in more than 1% of the population, with many more cases undiagnosed. Typical symptoms of fatigue and GI problems are the similar to those of long covid.
As a non-medical person, I would agree, as after the Asian flu of 1057-58, I was off school for a long time with long covid-like symptoms and my excellent GP; Dr. Egerton White was very worried.
But at the time, it is now known, I was an undiagnosed coeliac.
So was my coeliac disease meaning that I couldn’t fight the flu?
I cover the link between coeliac disease and long covid in more detail in Covid Leaves Wave Of Wearied Souls In Pandemic’s Wake.
Covid Leaves Wave Of Wearied Souls In Pandemic’s Wake
The title of this post, is the same as that as this article on The Times.
It is the usual excellent article by Tom Whipple and it discusses long covid.
I haven’t knowingly had long covid or even common-or-garden short covid for that matter.
The Asian Flu of 1957-1958
But go back to 1957-1958 and the outbreak of Asian Flu.
This was another present from China to the world. Wikipedia says this about its severity.
The number of excess deaths caused by the pandemic is estimated to be 1-4 million around the world (1957–1958 and probably beyond), making it one of the deadliest pandemics in history.
According, to this page on Wikipedia, deaths from Covid-19, were approaching 5,500,000 at the first of January 2022.
But then the world population is now 7.9 billion as opposed to 2.8 billion in 1957. This is 2.8 times bigger.
If the Asian Flu of 1957-1958 had had a Covid-19 death rate around two billion would have died.
Was There A Long Form Of The Asian Flu?
In Long Covid And Coeliac Disease, I started the post like this.
I recently heard an interview with Adrian Chiles on Radio 5 about the so-called long covid
I am 73 and the more I read about Long Covid, the more I think I had something similar around 1958, when I had just started Minchenden Grammar School, where I missed most of the Spring Term. This was at the time of the 1957-8 flu pandemic., which killed between one and four million people worldwide.
This article on New Decoder is a personal memory of that pandemic, from an experienced journalist called Harvey Morris.
Last night, I was listening to another program about kids with long covid and they seemed to be describing how I felt all those years ago.
One of those two programs, also said that one doctor tested patients for coeliac disease.
So did I have a long form of Asian Flu which kept me off school for a long time?
I can remember a conversation between my late wife and my mother that took place before we got married in 1968.
My mother described how I was badly ill at around ten and how our GP, the excellent Dr. Egerton White kept coming to see me, whilst I was recovering at home, as he couldn’t fathom out what was wrong with me.
But he did seem to take particular care of me, even coming to visit me in hospital, when I had my tonsils out at around five. Could it be, that as he had brought me into this world, that he felt differently about me? It should be noted that he was probably from the Caribbean and either black or mixed-race.
Is Long Covid Linked To Undiagnosed Coeliac Disease?
As I said earlier that one doctor tested long covid patients for undiagnosed coeliac disease, at least one doctor must believe so.
Looking at the statistics in The Times article, I can make the following deductions.
- 42 % of sufferers from long covid are over fifty?
- 58 % of sufferers from long covid are female?
- It is not stated how many sufferers had been diagnosed as coeliac and were on a long-term gluten-free diet.
These statistics would fit roughly with the statistics for coeliac disease.
- According to the NHS, there are more female coeliacs as male.
- There was no test for coeliac disease in children until 1960, so it is likely, that many undiagnosed coeliacs are over 60.
- Since around 2000, coeliac disease is tested for by means of a simple blood test.
- Doctors understand coeliac disease better now, so I suspect more coeliacs under about thirty have been diagnosed.
I am certainly led to the conclusion, that undiagnosed coeliac disease could be a factor in long covid.
Treating Long Covid
The article on The Times has a section which is entitled How Do We Deal With It (1)?, where this is said.
One of the great challenges of pathology is that you have to know what you are looking for before you can find it.
“People with long Covid go to the clinician, give blood, and none of the results that come back show that these individuals are sick,” says Resia Pretorius, from Stellenbosch University. The doctors look through the metabolites in their blood, seeking something unusual, and find nothing. “The end result is their clinician tells them it’s psychology — go for a run or whatever. Some of these patients can’t even walk up a set of stairs. They think: are we mad?”
She had an idea. What if it was about the blood structure, as much as its composition? Her laboratory has looked at the blood of both acute Covid patients and long Covid sufferers. They have found tiny clots.
Something in the disease seems to cause malformation, and they can’t be removed.
They have also found preliminary evidence that treating patients with antiplatelet and anticoagulants leads to significant improvement. Although, she stresses, it’s a risky procedure that requires careful monitoring, in case people bleed dangerously.
When I read the bit about anticoagulants, the bells in my head started ringing.
I am a coeliac on a long-term gluten-free diet, who suffered a serious stroke in 2011, from which I made a remarkable recovery. I am now on Warfarin, which is the old-fashioned anti-coagulant and test myself regularly with a meter, so I don’t bleed dangerously.
Note remarkable is not a word of my choosing, but one that has been used several times by doctors referring to the recovery in my stroke. But then there are masses of Jewish, Huguenot and Devonian survival genes in my cells.
At the time of the panic about blood clots and the AstraZeneca vaccine I wrote A Danish Study On Links Between Coeliac Disease And Blood Clots, of which this is an extract.
This morning I found on the Internet, a peer-reviewed Danish study which was entitled
Coeliac Disease And Risk Of Venous Thromboembolism: A Nationwide Population-Based Case-Control Study
The nation in the study was Denmark.
This was the introductory paragraph.
Patients with coeliac disease (CD) may be at increased risk of venous thromboembolism (VTE), i.e. deep vein thrombosis (DVT) and its complication pulmonary embolism (PE), because they are reported to have hyperhomocysteinaemia, low levels of K-vitamin-dependent anticoagulant proteins, and increased levels of thrombin-activatable fibrinolysis inhibitor.
One thing in this summary screams at me. The mention of vitamin-K!
Ten years ago, I had a serious stroke, that because of modern clot-busting drugs failed to kill me.
I am now on long-term Warfarin and know I have to eat a diet without Vitamin-K.
There are too many coincidences in all this for me not to shout, “Do More Research!”
‘Natural’ Nasal Spray Could Stop Virus Before It Enters The Body
The title of this post, is the same as that of this article on The Times.
This is the two introductory paragraphs.
A Canadian nasal spray that has been shown to stop the coronavirus from spreading through the body will begin its first UK clinical trial tomorrow.
The SaNOtize nitric oxide spray is designed to prevent the virus from passing through the nose to the respiratory system. The trial will be run by Ashford and St Peter’s Hospitals NHS Foundation Trust in Surrey.
I shall be watching SaNOtize‘s development with interest, as something that could be similar got my life on track!
I am 73 and I was a very sickly child, despite the persistence of the GP, who delivered me, who was the superbly-named Dr. Egerton White, to try and sort out my problems.
I was always, having terms off school with respiratory problems, probably caused by the London smogs of the 1950s. We lived in Southgate and they had as bad smogs as anyone.
In the end, with the connivance of a pharmacist called Halliday, they formulated a nasal spray, that worked. I can still smell it!
My health improved with the Clean Air Act and during University in the seaside city of Liverpool.
Later, I worked for ICI on chemical plants and there was an unfounded story, that the pensions were good, as working on ammonia plants and the like kept you clear of all the viruses going around. But on retirement in all that clear air, you got everything that was going and died soon after leaving work. Hence the pension scheme had more money than it needed.
My health also improved, when at fifty I was diagnosed as a coeliac and went gluten-free.
Now after returning to London after the death of my wife and son to cancer, and suffering a serious stroke, my head is all choked up by the pollution. The Covid-19 lockdown makes it difficult to take the cure, which is a couple of days by the sea. Biarritz, Gdansk and Liverpool work a treat.
Trump Got It Wrong!
Trump was advocating injecting bleach to cure the Covids.
- Note that bleach is a strong alkali
- This spray is based on nitric oxide, which when mixed with water forms nitrous acid.
- Wikipedia says not to mix-up the weak nitrous acid with nitric acid.
So Trummkopf couldn’t tell his alkali from his acid, which surely is a recipe for disaster.
Nitric Oxide
This is part of the introduction in the Wikipedia entry for nitric oxide.
An important intermediate in industrial chemistry, nitric oxide forms in combustion systems and can be generated by lightning in thunderstorms. In mammals, including humans, nitric oxide is a signaling molecule in many physiological and pathological processes. It was proclaimed the “Molecule of the Year” in 1992. The 1998 Nobel Prize in Physiology or Medicine was awarded for discovering nitric oxide’s role as a cardiovascular signalling molecule.
I remember a fascinating BBC Horizon program about nitric oxide’s role as a signalling molecule.
- It started with research done by a veterinary professor at Glasgow University, who believed that after experimenting with penises from dead bulls, concluded that nitric oxide had something to do with it.
- But his ideas were so out-of-kilter with established thought, that his research was sidelined at conferences in journals.
- Reasons like it was a poison and such a simple molecule were given.
- Then in London, someone who knew of his research, had a patient dying of toxic shock syndrome.
- He suggested injecting the lady, with large amounts of nitric oxide, in the hope they could save her life.
- Her partner agreed.
And as it worked, there was a very happy ending.
I
My Unusual Body
I say unusual, but I suspect there are others out there with similar problems to me.
I was delivered in 1947, by the almost exotically-named; Dr. Egerton White, who was the family GP. He had all the expected characteristics of a three-piece suit, a corporation, a long watch chain and the obligatory Rover car. He also had a rather unusual blotchy skin, that leads me to think he was probably of mixed race.
I was small in stature, not the healthiest of children and was always going to see him and his partner, a Doctor Curley!
- At times, I would cough my guts out for hours on end.
- Later I remember my mother saying to my future wife, that I had difficulty eating as a baby, and I would fall asleep as she fed me.
- Often I would spend three or four months away from school and I can remember spending hours with my head over a large jug of hot Friar’s Balsam.
- At one point, someone said it could be the lead in the paint in our house, so my father burnt it all off and replaced it.
- My mother used to make gallons of home-made lemonade according to one of Mrs. Beeton’s recipes, which must have helped, when I drunk it.
- Doctors White and Curley were puzzled and at one point prescribed the new-fangled drug penicillin.
- It should be remembered that in the 1950s, even in leafy Southgate, where we lived, the air was thick with the pollution from coal fires for a lot of the year.
In the end, one thing that helped was a nasal spray cooked-up by a pharmacist called Halliday. I can still smell it and suspect it was little more than the base chemical still used in some nasal sprays available from pharmacies.
Although my poor health persisted at times, I still managed to pass the 11-Plus and get to Minchenden Grammar School.
But I remember in the first year, I had virtually a term away.
From about ten or eleven, my health gradually improved.
I can suggest these reasons.
- Getting older helped in some way.
- I was exercising a lot more by cycling around, although it was up a hill to get home.
- My parents had bought a house in Felixstowe and we would spend weekends there. Although, as I got older I hated being away from my friends with little to do, so I tended to stay in and read.
In the 1960s, my health seemed to improve dramatically, when I spent three years at Liverpool University and a year afterwards working for ICI at Runcorn.
Liverpool is a Maritime City and in those days, the air was much better than London.
But I also got married in 1968 and I can never remember serious boughts of coughing, sneezing and breathing difficulties in the time Celia was alive.
Although, she did often say that before I went to sleep, I would always sneeze three times and sometimes she would even count them.
She also regularly said, that my sneezes were rather violent at times. They still are!
In the late nineties, I was diagnosed as a coeliac. Regularly, I’d go to the GP around the turn of the year with a general run-down feeling.
Nothing specific, but then an elderly locum decided I ought to have a blood test, which would be the first of my life!
The result was that I was very low in vitamin B12. As a series of injections didn’t improve the situation, I was sent to Addenbrooke’s Hospital for tests.
I was diagnosed as a coeliac, initially on a blood test and then by two endoscopies. Note that Addenbrooke’s used to do them without anaesthetic, as it means the patient can easily get into a better position and doesn’t break teeth. It also means that the hospital doesn’t have to provide as many beds for recovery. Certainly, I’ve had worse experiences with highly-capable dentists!
I thought this was the end of my health problems.
It certainly seemed to be, except for occasional breathing difficulties early in the year. I can remember having difficulty climbing Table Mountain.
My stroke was brought on by atrial fibrillation three years after Celia died.
It happened in Hong Kong and before it happened in the restaurant of the Mandarin Oriental Hotel, I had had a walk and remember how well the air felt early in the morning in the City.
The doctors said I had had a serious stroke and I was kept in hospital for twelve weeks on the 29th floor of a hospital with the sun streaming through the windows.
I remember one incident, where I was accused of throwing my water away and not drinking enough, as I wasn’t urinating. But I was drinking, so they checked my waterworks thoroughly and put in a catheter. Nothing improved. Thankfully, eventually they gave up!
So where was all that water going?
Another curious thing in Hong Kong was that their automatic blood pressure machines sometimes didn’t work well on me in the morning. So they resorted to traditional devices and a stethoscope. Strangely, these blood pressure machines never fail these days.
After the stroke, I was put on long-term Warfarin and I have been told several times, that I if I get the dose right, I won’t have another stroke.
Now moved to London, I possibly made the mistake of moving to a house, which gets too hot.
One day I collapsed, panicked as I thought it was another stroke.
It wasn’t and UCLH thought that I needed to be put on Ramipril, Bisoprolol Fumarate and Spirolactone.
Since then another cardiologist has dropped the Spirolactone.
As I said my body is unusual in strange ways.
- If I have an injection or give a blood sample, I don’t bleed afterwards or need a plaster. With a new nurse, it often causes a bit of a laugh!
- My nose seems to be permanently blocked and I rarely am able to blow it properly.
- My feet don’t have any hard skin, which is probably unusual for my age.
- I used to suffer from plantar fasciitis, which seems to have been partly cured by the Body Shop’s hemp foot protector.
- I drink a large amount of fluids, with probably six mugs of tea and a litre of lemonade or beer every day.
- I always have a mug of decaffinated tea before I go to bed.
- I often have half-an-hour’s sleep in the middle of the day. As did my father!
- My eyes are very dry and I have a bath most mornings, where I put my head under the water and open my eyes.
Perhaps, the strangest incident was when I went to sleep on the floor after a lot of tea, with the window open.
I woke up to find I couldn’t see! There was nothing wrong with me, but my large living room was full of steam, like you’d get if you leave the kettle on.
I came to the conclusion after that incident, that the only place the water could have come, was through my skin.
This was also suggested by a nurse, who said he’d got leaky skin.
As someone, who understands physics, could this leaky skin be the cause of my problems?
And do the drugs make it worse?
My Grandfather
He died at forty, long before I was born.
He was an alcoholic, who eventually died of pneumonia.
Could his drinking like mine, have started because of a need for fluids?
I used to drink a lot of beer until I was about twenty-four, but my father had suffered so badly emotionally because of the death of his father, that he had instilled the right attitude to drink deep in my mind.
Conclusion
This has been a bit of a ramble!
Have I Regressed To My Childhood?
Growing up in the early 1950s in London, I wasn’t the healthiest of children.
- At some time most winters, I would have several weeks off school with a severe cold with extras.
- I can remember my mother cutting up old sheets for hankerchiefs.
- These would be boiled after use in a large saucepan on the gas cooker.
- I would cough all night and a good part of the day.
- I would inhale steam from a large jug of hot water and Friar’s Balsam.
Dr. Egerton White was always round our house.
Things improved towards the end of the 1950s.
- The passing of the Clean Air Act in 1956.
- I would be given penicillin which seemed to help. Naughty! Naughty!
- At weekends we’d go to Felixstowe.
What finally improved my health was going to Liverpool University.
Now over fifty years later, I’ve got a cold like I had in the 1950s.
- I can’t stop coughing for more than ten or twenty minutes.
- Nothing seems to work to stop the cough!
- It’s gone on for eight days now!
- I’m not getting much sleep.
Could the pollution from all the diesel vehicles be the key?
A Summary Of My Health
Doctors have always been puzzled about my health. In my early years, Dr. Egerton White struggled to find, what was wrong with the sickly child I was.
I used to miss one school term in three and it was probably the Spring Term, but as I’m relying on memory I could be wrong. I was always suffering from rhinitis, sore throats and often coughed for England. At one time, I was diagnosed with scarlet fever, but as I was the only case in London and no-one caught it from me I do wonder if it was a misdiagnosis.
Dr. White, at one point thought I had an egg allergy, but in the end I got the usual treatment of children in those days, they took my tonsils out.
Sadly, none of my medical records of those days exist, as they got lost somewhere between London, Felixstowe, where my parents had retired and Liverpool University.
But as my current doctor and I have agreed, whatever has bugged me over the years didn’t kill me as a child, so hopefully it is unlikely to kill me now!
Spending time at Felixstowe on the windy East Coast seemed to improve my health, but I still had lots of small problems like athlete’s foot, terrible dandruff, joint and foot pains and an overactive gut. I should also say that I suffering pain from my left arm, where the humerus had been broken by the school bully.
My mother’s health incidentally was generally good, but my father suffered from terrible rhinitis and catarrh, which wasn’t helped by his smoking of a pipe. His father had been similarly effected and found that the best way of coping was smoking and drink. Consequently, he died in his forties.
Moving to Liverpool for four years for university and work, seemed to dull my troubles and I can’t remember any new problems until a few years later, when I was living in a flat in London, when I started to get pains in my knee joints. One doctor recommended an operation, but luckily I decided to pass.
Things seem to get better in the mid-1970s, when my wife and I moved into an eleventh floor flat in the Barbican.
Generally, for the next thirty years or so, my health was pretty good, although my arm, where it had been broken, could be painful in hot weather. We had moved to Suffolk and generally spent a lot of time outdoors.
Then in the early years of this century, I was diagnosed as a coeliac by Addenbrookes and went gluten-free. My health changed for the better, with most of the joint pains and gut problems disappearing. But I still seemed to suffer from the odd bad Spring, although it got better, when my wife and I could afford to take luxurious winter holidays.
Then my life fell in, in that my wife of forty years died of a squamous cell carcinoma of the heart in 2007, followed by our youngest son, who died of pancreatic cancer in 2010.
My health got worse on the death of my wife, with hay-fever like symptoms at times.
I then had a serious stroke in Hong Kong, whilst on holiday. Luckily, they gave me the superduper clot-busting drug, and my brain is no worse than it ever was!
As I lay there for about three months with the sun streaming through the window, some of my old symptoms returned. Rhinitis was pouring down my throat, like it hadn’t since the 1960s and my left humerus was giving me some of the worst pain ever.
Since then, I’ve sold up in Suffolk and moved to Hackney, so that I have access to public transport.
The rhinitis is often present, usually in the Spring, and my body feels very much as it did, when I was at school. I’ve also started to get conjunctivitis in my eyes
In one instance, I collapsed and was taken to hospital. They were puzzled, but did report that I had something like water on the lung. A couple of days of oxygen and I was able to come home.
This Spring, my small problems have been getting worse, with constant wind, itchy skin and especially eye-brows. Then I was found to have a fungal infection in my toes for which Terbinafine was prescribed.
This reacts with my Warfarin, but as I test my INR daily on a meter, I’m able to keep it under control. I should be able to, as I have a Degree in Control Engineering.
One thing that seems to help cope with the muck pouring into my mouth and throat is fresh lemonade, as it scrapes the muck into my stomach. The odd glass of weak Scotch has a similar effect. At times though it all goes away and white wine tastes like white wine, rather than vinegar.



