I was diagnosed with CIU (chronic idiopathic urticaria) July 2022, after 2 ER trips, months wasted on uncomfortably high anti-histamine dosages, and several specialists - derm, GI, allergist - all with competing takes on the underlying cause.
The dermatologist took a biopsy, concluding high eosinophil count and deep inflammation. No vasculitis, unlikely immune condition. Their best guess was a hyperimmune response set about by a reaction to the Covid vaccine or Covid exposure.
My GI suggested IBS, my PCP said I was 'off the map.' My allergist said I was SOOL, and that there was no cause, this was just how it was now.
Being a data analyst and technology researcher, and holding an unmovably firm belief in causality (there is ALWAYS a cause), I immediately set about combing the internet, contacting providers, and hitting up med school friends for any information I could get on CIU or allergic responses.
I looked at SIBO, I thought about parasites my outdoor cat might have given me, I considered food allergies.
I put together intensely detailed food, bowel, sleep and activity journals...and found three VERY intriguing trends.
1) Each hive flareup was preceded with ibuprofen intake. But it was (consistently) gradual. The first episode I had taken two ibuprofen 4 hrs prior. The second, 2 hours prior. The third, within 1 hour. However, I stopped taking ibuprofen and the hives continued...inconsistent with drug reactions.
2) My bowel movements had direct impacts on the strength and generalization of my hives. If I didn't poop for 3 days, my hives got progressively worse. Then when I pooped, I had a reliable 24 hours of hive relief. This is yet to be investigated fully, due to a lack of providers where I live.
3) SALT INTAKE. I never realized until this month how high my salt intake had been. The recommended daily salt intake is 2300 mg/day. I was AVERAGING 3500-5000!!! Once I started tracking salt alongside my food journal, I noticed a strong, and I mean near 1:1 relationship between salt intake and hives, acne (that had developed coincidentally), eczema (developed coincidentally). Once I began limited my salt to under 2000 mg, everything started getting better.
My face began clearing up, my itchiness dulled, my snoring stopped, my sleep improved. So I did a quick Google...and it turns out this is a KNOWN relationship. 2019 is filled with articles such as this: https://european-biotechnology.com/up-to-date/latest-news/news/how-salt-triggers-allergy.html.
So my question: has anyone else tracked or varied their salt intake and recorded their histamine responses? I strongly believe I'm onto something here.
High salt intake, combined with long eating windows would impact the bowels negatively by preventing the repair of intestinal lining and encouraging gut biome imbalances. Maybe this erodes intestinal lining, creates IBS-like or SIBO symptoms and leads to a sustained immune response?