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Fibromyalgia, anxiety, Psychological counseling - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Schizophrenia
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   how can i help u
User :   I have a knee issue, and I'm wondering if it's an issue on it's own entirely, or it has something to do with the fibro myalga diagnosis a doctor at this site gave me.
Doctor :   its
Doctor :   shall we proceed
User :   Yes.
Doctor :   ok
User :   Okay. Here is my issue.
Doctor :   i know your history
Doctor :   we will continue from where we stopped
User :   Okay.
User :   We shall proceed.
User :   Are you there?
Doctor :   any stress, depression, anxiety and over-exertion

User :   I get stressed when I have school work, when I worry about my latest obsession, and when I worry about social issues, and when I worry about work issues.
User :   I had depression a few years back, but it wasn't officially diagnosed.
Doctor :   ok
User :   I have General Anxiety DIsorder.
User :   I don't know what over-exertion is.
Doctor :   ok
Doctor :   please continue
User :   That's all the answers I have for you.
Doctor :   any other details that you would lke to share?
Doctor :   ok
User :   Not really. You were the same doc I talked to right before this?
User :   I guess I remember in Kindergarten something of the like happening, but it was so long ago, I don't really remember the details too well.
Doctor :   yes
User :   Do you need to know anything else?
User :   Hello?
Doctor :   Just give me a min.
User :   Okay.
Doctor :   I am just going thru the past chat history in detail.
User :   Cool beans.
Doctor :   I am here
Doctor :   sorry for the delay
User :   Awesome. Sorry. i've just had issues with staying connected to this system so I am relieved.
User :   Apology accepted.
Doctor :   there some issue with server
Doctor :   so there was a delay
User :   Okay.
Doctor :   Most of the symptoms falls under Fibromyalgia
User :   Same with my jaw and knee issues? I was feeling around last night to the doctor to describe pain, and I missed over the jaw one completely, and I didn't ask him specifically to relate fibro myalgia to the knee one.
Doctor :   almost 75% of the patinent with fibromyalgia have jaw and knee issues
Doctor :   its one of the clue for our diagnosis
User :   Yeah, the jaw bone hurts when I press against it. Oh, wow.
User :   Interesting.
Doctor :   ok
Doctor :   have yu done any tests
Doctor :   blood tests or CT scan
User :   Yeah. The doctor felt around in some places, and said it could be that, but that there wasn't a treatment so she wouldn't worry about it.
Doctor :   ok
User :   I went to my gastroenterologist about it after my colonoscopy, and from what I remember, it wasn't his specialty so I needed to go see a rheumatologist.
Doctor :   but wat about the test s
Doctor :   ok
Doctor :   let me explain this to you AAAAAAA
Doctor :   Irritable bowel sydrome is a part and parcel of fibromyalgia
User :   Then, I went on last night, and the doc diagnosed me with fibro myalgia. And he said to stick with the drugs I'm doing. And to do stretch exercises and what not. And to go to a gastroenterologist or dietician about my diet. We are going to talk to my therapist to refer me to a dietician.
Doctor :   ok
User :   So I called a rheumatologist today, and they need the blood tests done, so I made an appointment that I need to reschedule with my doctor to talk with her and possibly get lab tets.
Doctor :   Rhematologist is a ideal person
User :   That's good to know about IBS because my mom didn't think so.
Doctor :   he will advice you following test
Doctor :   thyroid profile
Doctor :   Creatine phospokinase
Doctor :   ESR
Doctor :   Antinuclear antibodies
Doctor :   and Rheumatoid factor
Doctor :   is that fine
User :   Cool. I wrote that down. Yeah, my gastro thinks that since my doc wasn't worried about it, I shouldn't go to a rheumatologist, but I so wanna go now. Considering I've been treating IBS, and I still have the abdomen pains. And I've been diagnosed on here as having fibromyalgia.
Doctor :   ok
Doctor :   first and the foremost
User :   Do I need to describe in detail where I press down, where my pain is, or do you have enough info? I did that to the guy last night, and answered his questions to get my diagnosis.
Doctor :   you should be relaxed
Doctor :   yes you can explains this to him
Doctor :   be relaxed not to worried or stressed
User :   I mean, do I need to describe this to you?
Doctor :   mental relaxations is very important for you
Doctor :   no need
User :   Thanks.
User :   Thanks for your advice. More things to say?
Doctor :   Unless psychosocial and behavioral variables are approached and treated , strictly pharmacologic interventions are of limited benefit.
Doctor :   yes physical therapy is very important aspect of it
Doctor :   improves pain and in an overall sense of well-being
Doctor :   Psychologic counseling is useful
Doctor :   are yu there
User :   Hold up while I write this down.
Doctor :   regarding diet
Doctor :   ok
Doctor :   take your time
Doctor :   diet rich in Vitamins and calcium
User :   I go see a thearpist for cognitive behavioral things.
Doctor :   like green leafy vegetables- spinach, cabbage, cauliflower,
Doctor :   and fresh fruits
Doctor :   go for skimmed milk and milk products
Doctor :   they contain more calcium
Doctor :   Graded aerobic exercise is an integral part of optimum treatment in patients with fibromyalgia
Doctor :   discuss with you therapist and go for graded aerobic exericise
Doctor :   is that fine
User :   Yes. Hold on as I write it down and answer your questions.
Doctor :   ok
User :   Okay, for some reason, I have a mental block against vegetables. I've tried a fair amount of them, and honestly, I dislike pretty much all of them. Green beans and lettuce CAN be tolerable. It may have to do with the censory aspects of asperger's, and the powerful mind that I do have.
User :   I cannot stand spinach, and I don't know if I've tried cabbage and cauliflower.
Doctor :   ok
User :   I like most fresh fruits.
Doctor :   go for green beans
Doctor :   try for cabbage and cauliflower
User :   My mom keeps skimmed milk at home, although I'm not a fan of milk straight. I SOMETIMES get higher milks for mixing into foods, but not generally.
Doctor :   thats great go for more fresh fruits
Doctor :   ok
User :   Graded aerobic exercise sounds good.
User :   What exactly do you want me to discuss with my therapist?
Doctor :   drink plenty of water
Doctor :   atleast 8- 10 glasses per day
Doctor :   so keep you self hydrated by consuming more fluids
User :   I would do that. But I really don't like the taste of water. I only drink it when it's the only thing there, and when I'm super thirsty from aerobic exercise and heat.
User :   I guess it's an acquired taste.
User :   I'm also worried about having to use the bathroom all the time.
Doctor :   wat about fruit juices
User :   Oh, I love apple juice.
Doctor :   fluids can be plain water or fruits juices
User :   That's nice to know.
Doctor :   are yu on any multivitamins
User :   Yes.
Doctor :   any healty protien drinks
User :   No.
Doctor :   if you dont like milk that much, can go for
Doctor :   B- Protin powder chocolate flavor
Doctor :   can have this with milk

Doctor :   are yu there
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