Common "Fibromyalgia" queries answered by top doctors | iCliniq

Fibromyalgia

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 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 »


Dr. Naval Mendiratta

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 »

Do extreme fatigue, achy joints with psoriasis in hands and leg possibly lupus?

Query: Hello doctor,I am a 57-year-old with extreme fatigue, and achy joints in my hands and feet especially during the first hours in the morning or after resting. I have psoriasis in my hand, elbow, leg, and behind one ear and vitiligo over 80% of my body. I get random low-grade fevers and develop rashes...  Read Full »


Dr. Naval Mendiratta

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 morni...  Read Full »

Why are there positive ANA, chronic fatigue with lightheadedness?

Query: Hi doctor,I am a 23-year-old female. I have a 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 a day. And I also performed laboratory tests like CBC, LDH, and CMP.  Read Full »


Dr. Naval Mendiratta

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. For how long have you been experiencing fatigue? Is it worse during the day or at night? Di...  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 »


Dr. Naval Mendiratta

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 treatm...  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 unl...  Read Full »


Dr. Naval Mendiratta

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 c...  Read Full »

Do persistent body pain with intense pain in extremities symptoms of cancer?

Query: Hello doctor,I am a 33-year-old and weigh about 189 pounds. My whole body hurts. I got pain all over the body, pain in the 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 order...  Read Full »


Dr. Naval Mendiratta

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 worr...  Read Full »

Please suggest the dosage of Pregabalin for fibromyalgia.

Query: Hello doctor,My sister takes 225 mg of 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 ...  Read Full »


Dr. Naval Mendiratta

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 for fib...  Read Full »

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