Thursday 15 August 2019

Gastroparesis Awareness Month: Tests. Scleroderma, Raynaud's, Autoimmune Rare Disease.

Gastroparesis Awareness Month: Tests    
Scleroderma, Raynaud's, Autoimmune Rare Disease.
#SclerodermaFreeWorld #RaynaudsFreeWorld #Research 

 
The month of August is Gastroparesis Awareness month.

I wrote in some detail, about how this clinical unmet need affects the scleroderma patient, here.

In this article I want to highlight some of the tests which are carried out to determine the level of stomach damage, and the overall productivity of the digestive system process, as a result.

Gastroparesis occurs when the stomach can not pass food down to the small intestine, thereby affecting the digestion process.  

Most scleroderma patients report gastro-intestinal involvement as a symptom. 

This is a very serious and most debilitating symptom, presenting itself in a whole manner of ways: 
bloating, acid reflux, constipation, diarrhoea, vomiting, 
feeling full after a few mouthfuls of food, nausea.... etc.    

I went into more detail about these symptoms: 


Upper GI Complications, DAY 21 Scleroderma Awareness Month 2016.  

Lower GI Complications, DAY 26 Scleroderma Awareness Month 2016.



At the time of my initial diagnosis back in 1997, my main symptoms were the tightness of my skin, combined with stiff and swollen joints. 

At the time of attending the Scleroderma Unit for the first time, some 12 months later, I struggled to drag my body anywhere, and my skin was super tight and itchy. 

During that time, my gastro symptoms were more of a mild inconvenience as opposed to the high maintenance and demanding symptom which they are now.

I do however, remain overjoyed that my ‘skin is cured from scleroderma’, having not been able to stretch my arms, in 1997. 

Back in 2004, I underwent several tests to assess any internal damage to my oesophagus, stomach lining and overall gastro-intestinal system.  

The first of these tests was an 'Endoscopy'. In this procedure, a tube with a camera at the end (the endoscope), was inserted down my oesophagus via my throat, through to my stomach. I had foolishly opted for not having a sedative throughout the procedure, in the hope that I could return to work later that day, as, I was still working as a barrister at that time. 

The whole procedure was a nightmare from start to finish! Due to scleroderma- I struggled to open my mouth wide enough and for long enough to allow the tube to be inserted. As well as, 'swallowing' the tube was very difficult. The image gained showed my stomach lining to be extremely inflamed and red. I did not return to work for a few days!

Another test, carried out on a different day to the Endoscope, required me to eat a 'radioactive pancake'. The taste was 'ok', and after marked time intervals I was assessed by a machine which was measuring how long it took for my digestive system to process the pancake.    


I have opted out from a repeat / update of these tests, as the experience still haunts me! I am hoping that my strict diet and juices will continue to keep my gastro intestinal symptoms at a tolerable level.  

Thankfully, my symptoms are currently stable. I have regular monitoring appointments. These include annual heart and lung tests. I am now living with the damage which, the disease at its most active, caused.  

Juices are most definitely the way forward for me to feel better. I have scleroderma induced gum recession, making chewing very difficult. As well as, I have a constant dry mouth, so soft foods only! 

The 2 main juices which I have daily are a Vitamin C smoothie and a green juice. 

 


My lovely American friend, Kelli Schragg, ('Healing Loving Scleroderma with Real Food' Facebook Page), Dr Susan Nyanzi, Roy Louden, and UK patient Vanessa Cummings have seen improvements with their symptoms from a diet change.  

A few months ago, Australian patient Margie Kugler became one of the first scleroderma patients to have a gastric stimulator fitted.  

In a few weeks, on his birthday, our little hero Wyatt The Warrior is due to have a gastric stimulator fitted. Please hold Wyatt and his family in your prayers, 'Stay Strong Wyatt!'     

Nearly all of the patients included within my Scleroderma Awareness Month 2017 and 2018 campaigns, reported Gastro-Intestinal symptoms, as one of their many current health challenges. INDEX.


There are many unmet clinical needs, which patients have in common: 

 

CALCINOSIS, Click here  
 

GUM RECESSION, TOOTH EXTRACTS, Click here  

 

SOFT TISSUE, ULCERS, Click here   

 

TELANGIECTASIA, Click here  

 

SCLERODACTYL HANDS, Click here    

 

INVISIBLE DISABILITY, Click here  

 

RAYNAUD'S, Click here  

 

GASTROINTESTINAL, Click here
 

Although these unmet needs are not immediately life threatening, they cause havoc with the day to day quality of each patient’s life. 
 
An investment in medical research will most certainly improve the currently ‘soul destroying’ reality, these unmet clinical needs bring.

I am honored to be a patient research ambassador with the National Institute for Health Research. video.

Overall, for optimum patient care, 3 hallmarks preside:
Where, investment in medical research is crucial, to improve the day to day reality, as well as, the long term outlook for the entire global scleroderma community.



Living the dream, scleroderma style.         
          
Follow:

Facebook Page: Raynauds Scleroderma Awareness Global Patients

Facebook, Instagram, YouTube, Twitter: @SclerodermaRF  @RaynaudsRf  

#SclerodermaFreeWorld           #RaynaudsFreeWorld


Please DONATE to help fund life saving medical research at The Scleroderma Unit, Royal Free Hospital, London.

100% of your monies will be used for medical research purposes only. Thank You.  




An edited version of this article was first published August 2018, in my column with Scleroderma News.   
 


To Read My 2019 Articles:   
 
Leaving a gift in my Will, Click here   

Planning for the Future, Click here  

 
 
Rare Disease Day 2019: Leaving a Legacy Gift, Click here    
 
Celebrating 20 years of being a patient at the Scleroderma Unit, Click here

2019 New Challenges, Click here
 
Becoming a Patient Research Ambassador for the NIHR, Click here   
 
NIHR Video: 'My Experience of Clinical Trials', Click here 

If we only had more RESEARCH investment for Scleroderma, Raynaud's, Autoimmune Rare Disease, Click here   

The Importance of Medical Research and Awareness to the Scleroderma, Raynaud's, Autoimmune Rare Disease patient, Click here  

2018 Scleroderma Awareness Raising and Medical Research, Click here      



SCLERODERMA:  

Order your awareness t-shirt here    



June 2019

 
Huge Thanks to Ellen, Dianne and the Royal Free Charity team

Importance of an early diagnosis, Click here   
    
Taking Part in Clinical Research Trials, Click here     

The Importance of a Multi Disciplinary Medical ‘Dream Team’, Click here    

Expert Specialist Centres, Click here      
  
My Skin is Cured from Scleroderma, Click here   
    
UK Guidelines for Managing and Treating Scleroderma, Click here        

Fatigue, Click here         

Mobility, Click here      

Diet and nutrition, Click here     

Raynaud's- How to Diagnose, Click here      


Sept 2017

Prof Chris Denton and I, Sept 2017
 
This year, 2019, I am celebrating 21 years of being a patient at the Scleroderma Unit, The Royal Free Hospital - a world leading expert specialist, research centre. 
Read more, here
 
I am eternally grateful to the global scleroderma trail blazers Dame Prof Black and Prof Chris Denton, whose commitment and dedication to unlocking the scleroderma enigma, is nothing other than, superhuman. Along with the Raynaud's world trail blazer, Dr Kevin Howell.  

I am truly humbled and inspired by their work ethic and commitment to their patients.  

I am wholly appreciative for Prof Denton’s continued medical expertise and support, especially during my barrister qualifying years, 1997 - 2004. 
 
1st March 2004, I qualified as a self employed practising barrister. Further to having been told in 1997, by my diagnosing doctor, that I was looking at a 15month prognosis. 
 
Read more about me, here  

 

 
World Scleroderma Day 2018, Click here 
World Scleroderma Day 2017, 29th June, Click here   
World Scleroderma Day 2016, 29th June. Origins of the date, Click here  
World Scleroderma Day 2015, 29th June. 

James Carver, myself, Prof Chris Denton
I had the pleasure of being a presenter and part of the European co-hort who gave a presentation at the European Parliament, Brussels, in honour of World Scleroderma Day 2015.  

I am immensely grateful to James Carver MEP for organizing this event in memory of his late wife Carmen, who sadly passed from Scleroderma.  

To view the presentation, Click here 

Raynaud's
October: 
    
Raynaud's, Click here  
 
To view the UK treatment guidelines for Raynaud’s Phenomenon, Click here   

To view the EULAR treatment guidelines, Click here    
To view Thermograph Video, Click here   
To view Thermograph image, Click here   
   
My Raynaud’s reality, Click here   
 
The global Raynaud's trailblazer - Dr Howell and I, Sept 2017
 
To view Nailfold Capillaroscopy equipment (used to identify possible blood vessel damage), Click here  
 
To read My ‘Invisible Disability’ experience, Click here  

  


Facebook Page: Raynauds Unit Royal Free Hospital
  
Twitter: @RaynaudsRf 

 

 
 

Please DONATE to help fund medical research at The Scleroderma Unit,The Royal Free Hospital, London.  


100% of your monies will be used for medical research purposes only. NO wages or admin costs. Thank You. 

  

 
Last Update: August 2019. 

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