Hi Earthia
I love your message, some great questions and an incredible statement.
Statement first: “I also seriously think I have allergies that are my triggers for a flare up”
The medical profession do not know what triggers sarcoid. If you can identify what allergies trigger your flare up then you would do all of us a hugh favor!
Let us know your thoughs on these triggers.
Steroids have both good points and also bad points. I am no doctor but here are some thoughts from my long term experience with Sarcoid. Now in excess of thirty years.
Good:
1. Builds muscle tissue, essential for someone who has been sick for a long time and may well not realize that muscle wasting has been going on.
2. Reduces joint inflammation making movement more comfortable and improving the range of joint movement.
3. Reduces scar tissue in the lungs.
Bad:
1. Major increase in appetite, meaning you eat a lot more and yes you add alarming to your waist line and the weight scales become your enemy because they must be lying.
2. Bone density decreases if you have long term exposure to anti inflammatory.
3. Stomach lining is adversely affected again with long term exposure.
The decision or not to take the medication will be different for every person. If you are seriously ill with Sarcoid then you will take the medication willingly and not bother yourself with side effects.
In my case I was dying so the choice factor was easy. It took the medication and received both the benefits and the side effects.
I was on 60mg of steroid which is a huge dose. For a prolonged period of time as there were no improvements till around the two year mark. The doctors here in Australia at that time knew very little if in fact anything at all about Sarcoid. They relied of info they were getting from their American counter parts.
I then took a further two years to take me off them gradually as I was on such a high dose level.
So four year exposure at very high exposure. At the same time they had me on Ibrafan??? Long time ago may have the name wrong. It is an anti-inflammatory; I stopped taking these when I heard of their side effects to the stomach. I had been on them for that same four years.
Thirty years later…my joint pain is such that I have had to take action to improving my mobility.
One doctor suggested on start again on anti inflammatory with the addition of a stomach protector. Taking both at the same time. I am feeling some benefits without any stomach problems. So I have gone back and increased the strength with her in consultation.
Down to the facts;
Inzac tabs 500mg twice a day
Omparzole 20mg once a day.
Tzchurch said in a post above. “So I am on Omeprazole permanently to try and prevent damage”.
I can only assume that they are working for Tzchurch.
Also a good post from Magdafloasiou “My doc told me that as long as I take the medication after I eat and then drink a lot of fluids during the day, I should be fine. As far as I know, the problems usually start when patients take the medication on empty stomach...”
They are two great posts.
All in all a long answer to some great questions…thanks for them Earthia