See a specialist: Normal blood work taken when you are feeling relatively "normal" may not exclude all cases of mast cell disease. It may help to recheck certain labs (e.g., tryptase) within a couple hours of the start of an episode. There are also other potential causes for your symptoms, such as certain tumors, dermatographism, etc. I would see an expert in mast cell disorders and/or flushing disorders for help.
Answered 2/18/2015
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