Doctor insights on:
Causes Of Acute Intermittent Porphyria
Great question: AIP causes an axonal neuropathy which starts in proximal arms but spreads throughout limbs, and likely throughout the body. During the cramping attacks, there is an increase in delta-aminolevulinic acid and porphobiilnogen which likely stimulates abnormal nerve activity within the gut. ...Read more
The porphyrias are metabolic disorders caused by abnormalities in the synthesis of heme, the portion of hemoglobin which carries the iron inside red blood cells. The manifestations of porphyria vary considerably depending on the mutation involved, ranging from light sensitivity to liver failure to nerve damage to bouts of terrible pain. Special testing is required to ...Read more
Short answer- YES: The diagnosis of AIP should always be in the differential diagnosis of a person who becomes psychotic& who fits a certain clinical profile which usually includes vague GI symptoms and abdominal pain unexplained neuropathy, and other characteristic symptoms. Feel free to write me more questions on this topic and I'll be happy to answer: www.healthtap.com/drsaghafi ...Read more
Hi. Are there any special instructions prior 2 submitting a random urine sample to r/o acute intermittent porphyria? Besides being symptomatic. Thanks
Do you have to have abdominal pain if you have acute intermittent porphyria? What are all the symptoms?
It's a mix: Acute intermitent porphyria should be suspected when mental illness, bad constipation, abdominal pain, low sodium, or a neuropathy are found without obvious explanation. Any one of these should trigger suspicion. The tests are often done wrong because of problems with collecting the specimens. ...Read more
Avoid triggers: Glucose and hematin work so-so for the acute attacks; the key to managing this treacherous illness (after making the diagnosis) is to learn what triggers the attacks and to avoid it. Sometime as simple as an old-fashioned barbiturate "to relax" can be deadly. Truly undestand the process and life can be enjoyed fully. ...Read more
Her are the symptoms: Yes her are the other symptoms insomnia anxiety or restlessness severe abdominal pain constipation vomiting diarrhea pain in your arms, legs or back muscle pain, tingling, numbness, weakness or paralysis dehydration excessive sweating seizures confusion hallucinations disorientation paranoia red urine high blood pressure. ...Read more
Acute porphyria: Muscle weakness can be a symptom can comes with exacerbation of acute intermittent porphyria. Fine motor skill difficulties alone is unlikely to be the result of acute porphyria. See your PCP for any concerns about fine motor skills. Here is info on acute intermittent porphyria. http://www.porphyriafoundation.com/about-porphyria/types-of-porphyria/AIP ...Read more
I just found out I have a genetic disorder called porphyria (acute intermittent). Am i still able to lose weight?
Yes, but carefully: Acute intermittent porpyria, or aip for short, is caused by low levels of the hmbs enzyme. Symptoms include episodes of severe abdominal pain, seizures, muscle weakness, and confusion. Aip is very rare: to lose weight, you should see an expert. Attacks can be brought on by certain drugs, alcohol, stress, infections, and not eating enough. Here is a good link - http://www.Porphyriafoundation.Com/. ...Read more
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