Hi, this is Keith from Jacksonville, FL. I have felt pretty bad for the last few months. Nasal issues and clogged ears (have tubes now) and most recently body pain and inflammation all over. I tested positive for C-ANCA and had a P-ANCA score of 319. It appears as though it could be WG. Doctors want to make sure with a nasal biopsy before they start me on treatment. However, my ENT says he cannot see any questionable nasal tissue to biopsy. Lots of crusting was removed in a prior biopsy to determine that I did not have cancer, but it hasn't come back. Any suggestions to get a firm diagnosis? They did look at my lungs and kidneys and all appeared good there so they suspect "limited WG". Can alcohol or sugar cause flare-ups? Any help is much appreciated. Thanks.

Keith