Fibromyalgia is a condition where there will be musculoskeletal pain in multiple regions associated with fatigue, weakness, and emotional disturbances. Genetic mutations, infections, physical and emotional disturbances, etc., are the causes of fibromyalgia. Diagnosis is made by checking the trigger points based on history, blood test, etc. Treatment of fibromyalgia includes medications such as pain killers, antidepressants, antiepileptics. And also with physiotherapy and counseling.

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What does severe joint pain, stiffness and fatigue with positive ANA indicate?

Query: Hello doctor, I am a 25-year-old male. I have been seeing a rheumatologist with no diagnosis, but I have joint pain, blurry vision, and fatigue are getting worse. It feels like my body is shutting down. In terms of tests the only abnormal test I have are positive ANA but no specific antibodies that...  Read Full »

Dr. Nupoor Acharya

Answer: Hello, Welcome to Your symptoms are non-specific and do not fit into a single diagnosis of arthritis. You have not mentioned your joint pains in detail. It will help me understand the pattern of arthritis. Which joints are involved? Do you have swelling, morning stiffness, backache, joi...  Read Full »

Why is there severe prickling pain in my underarms and chest area, which even radiates to my knees?

Query: Hello doctor, I have severe pricking pain in both my underarms and chest area. Sometimes, pain shoots to both knees. Swollen lymph nodes were seen in the neck region on the CT scan. There is joint pain in the elbows and knees. Pain also radiates from the back to the front of the right breast. What c...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to I went through your query and understood your concern. It seems you have fibromyalgia or nerve pain. I also went through your reports (attachments removed to protect the patient's identity). So I suggest you the following. 1. Take a vitamin D supplement. 2. For th...  Read Full »

I have been using a CPAP machine for severe sleep apnea for a month, but I have difficulty in breathing and congestion. Is it due to pneumonia?

Query: Hello doctor, I have fibromyalgia and have been using a CPAP machine for my severe sleep apnea for a month and seeing a respiratory therapist once a week. Yesterday she increased my CPAP pressure to 9.5 from 8.6. I struggled to sleep last night, but I think just from insomnia, not from the increase ...  Read Full »

Dr. K. Shanmuganandan

Answer: Hello, Welcome to The increased pressure of the CPAP (continuous positive airway pressure) machine may have caused the soreness in the lungs. If pneumonia is suspected there will be fever, cough, sputum, and rapid breathing. And also mention how severe is your fibromyalgia pain. The ...  Read Full »

Why does Trigger point injections for neck and back pain cause nausea and tiredness?

Query: Hi doctor, I need an EEG Report explained. I have been feeling tired and nauseous when I exercise, not sleeping well. I was given trigger point injections three months ago. It made me feel worse. I was given a 72-hour ambulatory EEG. I have the report, and I do not know what the results mean becaus...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would also like to know some more details about your symptoms: 1) Since when you started to have symptoms? 2) What were the exact symptoms (apart from feeling tired and not sleeping well)? Please describe in detail. 3) Had any loss of consciousness? 4) Any episo...  Read Full »

What are the symptoms and treatment of fibromyalgia?

Query: Hi doctor, I am a 38-year-old female with consistent muscle ache in my shoulders that makes my arms feel fatigued. They are chronically tired. I also have pretty substantial eosinophil disease, including EoE with >100 EOS per tissue sample. The back story is that I had a viral infection one year...  Read Full »

Dr. Rahul Ramji Kackar

Answer: Hi, Welcome to I noted all your history. The site of pain around the shoulders, arms, and neck is pointing towards fibromyalgia. Let us focus and treat the underlying process which brings this pain. I will like to know more about your menstrual history. Are your periods normal and regul...  Read Full »

I have had mild weakness in one leg, body pain, and pain in both hands for the last seven months. Kindly suggest a treatment.

Query: Hello doctor, I have struggled with mild weakness in one leg and pain in both hands and body for the last seven months. Sometimes my fingers freeze, and my left eyelid also twinges whenever I touch or tightly close my eye. I am also getting lower back pain. I did a blood test and scan of my spinal a...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I agree with your doctor that your symptoms do not suggest motor neuron disease (MND). Pain is atypical of this disorder. Have you performed a brain MRI (magnetic resonance imaging)? How are your reflexes? Thank you.  Read Full »

Can lupus result in extreme fatigue and episodes of unresponsiveness?

Query: Hi doctor,I have hypothyroidism, Hashimoto's disease, high blood pressure, and type 2 diabetes. I was diagnosed with microcytosis before few months. I also have fibromyalgia. I am extremely fatigued and I feel very weak. I am unable to tolerate the sun because I start to have rashes on my skin. They...  Read Full »

Dr. Nupoor Acharya

Answer: Hi, Welcome to You can have these symptoms due to fibromyalgia or hypothyroidism. You have photosensitivity with Raynaud's phenomenon and arthritis. These symptoms can also be seen in lupus or mixed connective tissue disease. As you had a neurological episode, you can have them due to...  Read Full »

What is the difference between fibromyalgia and amplified musculoskeletal pain syndrome?

Query: Hi doctor. Are amplified musculoskeletal pain syndrome and fibromyalgia the same thing? If not, what are the differences between them? My current medications include Topamax, Neurontin, Cyproheptadine, Zyrtec, Peppermint oil capsules and vitamin B2. Thank you.  Read Full »

Dr. Srivastava, Sumit

Answer: Hi, Welcome to Fibromyalgia is a chronic condition that causes pain, stiffness and tenderness of the muscles, tendons and joints. Fibromyalgia is also characterized by restless sleep, awakening, feeling tired, chronic fatigue, anxiety, depression and disturbances in bowel functio...  Read Full »

Are muscle spasm, fibromyalgia, and body imbalance signs of lupus disease?

Query: Hello doctor, I have muscle spasms, headaches, severe fibromyalgia, burning, and stabbing sensation throughout my whole body with imbalance problems. I had these problems for several years. Few years back, I had whiplash. Rheumatologist is checking for possible signs of lupus and other illnesses an...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I can understand your concern. According to your statement, your problem is muscle spasms, headache, severe fibromyalgia, burning, and stabbing sensation throughout the whole body with balance problems. According to your investigation report (attachment removed to prot...  Read Full »

I have a history of lupus and fibromyalgia, and I was recently admitted to the emergency room for vomiting blood. What do my blood reports indicate?

Query: Hello doctor, I have a history of lupus and fibromyalgia. I went to the emergency room due to vomiting blood. Please interpret the blood work. Thank you.  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I have read your attached file (attachment removed to protect the privacy of the patient) and will try my best to guide you in your query. Please ask questions related to it.  Read Full »

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