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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Why are there positive ANA, chronic fatigue with lightheadedness?
Query: Hi doctor,I am a 23-year-old female. I have positive ANA, chronic fatigue, and lightheadedness. Also, inflammation markers are elevated. I currently take Adderall 20 mg twice a day, and Prozac 40 mg once in a day. And I also performed laboratory tests like CBC, LDH, and CMP. Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for writing. I have gone through your query. There seem to be some doubts about the reports, and I would like to know the history in some more detail. As per the history: 1. Since how long have you been experiencing fatigue? Is it worse during the day or at... Read Full »
Why do I get severe joint pain with no disease?
Query: Hello doctor, I get frequently sick with joint and muscle pain and burning legs sometimes feel difficulty walking and climbing stairs. I consulted a physical, he tested ANA and it came back positive but since ESR and CRP are normal he said no need to test further and I am perfectly healthy. But my ... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to ask you a few more queries. Is your sleep pattern normal? Do you have morning fatigue? How long did the viral last? Any hair fall, oral ulcers, dry eyes, or dry mouth? Any recent irritability or forgetfulness? It more appears to be chronic fatigue sy... Read Full »
What diagnosis favor symptoms like joint pain, fatigue and irritability with normal ESR?
Query: Hello doctor, I have pain in the bones, joints of hands and feet especially in the morning upon waking up. It has been consistent for the past couple of months. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). There is a high RA factor and low vitamin D. I would like to take a few more details on the history part. But it would be better if someone can examine the joints as it is a long treatmen... Read Full »
What could cause knee problem with stiffness in hands and shoulders other than RA?
Query: Hello doctor, I am a 28-year-old female currently under investigation for RA and have been for a while now. I began having knee problems at the age of 15 (my mother’s problems began in her knees at the age of 13) and the problems remained there for a few years. In the last three to four years... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and blood reports. (attachment removed to protect patient identity). I do have a few queries to help you reach the correct diagnosis. I want to be really sure we are dealing with inflammatory arthritis and so we can modify your medicines... Read Full »
Please suggest the dosage of Pregabalin for fibromyalgia.
Query: Hello doctor, My sister takes 225 mg Pregabalin for fibromyalgia at 7 PM, but it is not giving any relief from pain. She has severe back pain. We tried another 150 mg at 10 PM and the pain reduced fairly. What is the right dose and at what time it should be given? I am attaching her medicine list fo... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, if that much dose is not effective in fibromyalgia you ought to change it. I understand she is on Quetiapine and also on Effexor (Venlafaxine). I understand that they started it for depression or bipolar disorder. Well, the other drugs you can consider... Read Full »
Is it possibile for chronic joint pain and stiffness to occur only with vitamin D deficiency?
Query: Hello doctor, I have had many years of health problems including severe joint pain, inability to lose weight, chronic fatigue, transient pains, and abdominal pains that seem to come and go in cycles sometimes lasting for days or even months. I have a medical phobia, so have not been to the doctor ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history and blood reports. (attachment removed to protect patient identity). I found a few abnormalities which I would like to ask a few more details on and also some more questions pertaining to your problem which would help us reach a conc... Read Full »
Do extreme fatigue, achy joints with psoriasis in hands and leg possibly lupus?
Query: Hello doctor, I am 57 years old with extreme fatigue, achy joints in hands and feet especially during the first hours in the morning or after resting. I have psoriasis in hand, elbow, leg, and behind one ear and vitiligo over 80% of my body. I get random low-grade fevers and develop rashes when in ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports. (attachment removed to protect patient identity). Considering the symptoms and medications you are taking, I would like to know a few more details. How is the sleep pattern? Do you get enough sleep or is it disturbed? Any early mornin... Read Full »
Do persistent body pain with intense pain in extremities symptoms of cancer?
Query: Hello doctor, I am 33 years old and weighs about 86 kg. My whole body hurts. I got pain all over the body, pain in legs and hands. Pain is persistent all the time mostly in the lower feet and hand. I am having pain for the past three months. I just had an appointment with my doctor. He ordered some... Read Full »
Answer: Hello, Welcome to icliniq.com. Well, I have gone through your history and the reports attached.(attachment removed to protect patient identity). All the reports are normal. I could not find the reports of liver function tests there, but I suppose your doctor had already looked into it. Do not w... Read Full »
Why do I have tender muscles all over the body?
Query: Hi doctor, I am a 41-year-old male. My blood and urine tests are normal. I am experiencing tender muscles all over the body. I have pain in legs and arms, and I have tried various treatments to treat them. I have done physical therapy, chiropractic, and massage. I am concerned that it can be an ove... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history and blood reports (attachment removed to protect patient identity). Your test results are normal. The pain experienced all over the body looks like a different condition known as fibromyalgia. I want to ask you some questions to confirm ... Read Full »