Adapting your home for life with SM: safety and comfort tips

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Here are some steps to take to remove potential triggers from your home environment when you have systemic mastocytosis (SM).

There is no cure for systemic mastocytosis (SM), so treatment focuses on symptom management and avoiding triggers that activate the mast cell activity that causes the symptoms.

Potential triggers are varied and commonly found in day-to-day life, so they can be difficult to eliminate. But once you are familiar with your individual triggers, there are steps you can take to remove them from your home environment.

Systemic mastocytosis (SM) is a rare hematological disease characterized by mast cells that are overactive and accumulate in different parts of the body such as the bone marrow, liver, spleen, gastrointestinal tract and lymph nodes.

What are common SM symptom triggers?

Each person living with SM will experience triggers and symptoms differently. It’s possible to have only a few of the known triggers, and severity and duration of symptoms can vary.

Read more about SM signs and symptoms

Keep a diary of your symptoms and associated triggers to help you identify patterns and ways to avoid them. Common triggers include the following.

  • Alcohol.
  • A high-histamine diet.
  • Spicy food.
  • Certain medications.
  • Friction on the skin.
  • Insect bites or stings.
  • Pollen or strong perfumes.

How to make your home safe and comfortable

You can transform your home into a safe place where you know you can be less vigilant about anticipating symptom triggers. It will give you back a feeling of control and relief. Here are some suggestions.

  • Diet: Be proactive about planning meals and stocking ingredients that will support your health and well-being with no risk of activating symptom flare-ups. Clearly label any at-risk foods so you don’t make any mistakes.
  • Temperature: Regulate the inside temperature to avoid being too hot or cold. Be prepared with fans or air conditioning in the summer.
  • Air quality: Monitor the air quality in your home. Avoid pet dander, pollen from flowers and dust mites.
  • Clothing: Have a wide range of options for clothes in natural fibers. Choose lightweight layers to help regulate body temperature.
  • Bedding: Choose comfortable, breathable natural fibers for your bed linen, pillows and mattress.
  • Allergens: Eliminate toxic cleaning products, strongly perfumed candles or air fresheners and chemical-based washing liquids. Ask family and friends not to wear strong perfume by making them aware of the possible consequences for you.
  • Comfort: Create a space where you can rest comfortably with good air flow and low light.  
  • Medication: Keep these items easily accessible to relieve symptoms: medications such as antihistamines and creams to ease skin irritation. Have doses of epinephrine on hand if anaphylaxis occurs.
  • Communication: Inform your friends and family of your condition so they know what to expect when they come to your home and how they can help protect you from symptom flare-ups.