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Tests to diagnose symptoms of fibromyalgia, diet to reduce weight - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
Doctor :   hi\
Doctor :   how can I help you?
Doctor :   are you with me?
User :   hi
User :   sorry
Doctor :   ok
User :   got a bit tied up
Doctor :   plz continue with your query
User :   i would want to know details of an ailment
User :   called firbromalgia
User :   i have been having swollen ribs , knees and back
User :   for almost 10 years now
User :   and has been aggrevated
User :   in the last 2 years
User :   pl advise wat it is and how can it be cured
Doctor :   ok
Doctor :   i will help you in this
Doctor :   can I ask few relevantr questions?
User :   yes pl do
Doctor :   plz provide your age, gender, height, weight, occupation
User :   age 29

User :   gender - F
User :   height 5 4
User :   weight is 58
User :   occupation - banker
Doctor :   Ok
Doctor :   AAAAAAA You have to know about this problem very well to handle it
Doctor :   YOur participation is more important
Doctor :   in handling the problem
Doctor :   Now I take time here to explain about it
User :   ya

Doctor :   Before I do it
Doctor :   I want you to confirm that you were diagnosed with it
User :   just wanted to know if the reason for the pain and the swelling is something call fibromalgia
User :   or is it something else
Doctor :   Yes there is a condition called such
User :   have seen lots of doctors
User :   some are clueless
Doctor :   if the other investitations exclude other causes
User :   and suggest tests a
User :   and evrythin is normal
User :   there has been one doc who mentioned it cud be fibro
Doctor :   If you have widespread pain, you and your doctor may wonder if you're experiencing fibromyalgia symptoms.
Doctor :   whether you do indeed have that isn't an easy process.
User :   ok
User :   this started around 10 years back
Doctor :   Ok
Doctor :   What is your age
User :   where
User :   i had pain around my ribs
User :   and on touchin the same the pain was immense
User :   however in the past 2 years
User :   the area near my knees has been swollen
User :   thru out
User :   and on exersion it becomes so bad
User :   tht i cant walk at all
User :   its like a pullin sensation

Doctor :   Ok
Doctor :   Did you get the tests done during the knee pain
Doctor :   swelling
Doctor :   while there is swelling
User :   the swelling is always there

Doctor :   Look I shall explain you about the Fibromyalgia pain
User :   met one doc
User :   who took x rays and said
Doctor :   ok
Doctor :   continue
User :   there might be a dislocation
User :   but another doc says there isnt one
User :   these were orthopedics
User :   more over the pain in the area near the ribs increases to such an extent at times
User :   like a spasmatic thing
User :   where i need to hold my breadth
User :   for something
Doctor :   ok
User :   due to the pain
User :   u there
Doctor :   yes i am there
Doctor :   wat was X-ray report
User :   the x ray reports didnt mention anythin

Doctor :   ok
User :   wanted to check in the case of fibromangia

User :   is it the muscles affected or the nerves / veins
Doctor :   \do yu have pain and tender points in neck clavicle region
Doctor :   chest and jaw region
User :   which is the clavicle region ?

User :   chest yes all around the rib cage
Doctor :   the bone area btw the shoulder and middle of chest
Doctor :   ok
User :   ya
User :   so wat do u think
Doctor :   ok'
Doctor :   the best person to diagnose and treat your case is rheumatologist
User :   ok

User :   wat does the disorder
User :   mean

Doctor :   other than pain and tenderness of bony areas do yu have any other problem

User :   no
User :   numbness sometimes
Doctor :   ok
Doctor :   do yu have fatigue]
Doctor :   stiffness of muscles and joint
User :   yes

Doctor :   ok
Doctor :   are stressed and tensed most of times
User :   no
User :   reason to be and this has been for 10 years now
Doctor :   any changes in the sleep
User :   no not at all
User :   sleep all night without gettin up
Doctor :   does the small touch or pinch or muscles or bones
Doctor :   causes yu pain or tendernes
User :   not a small touch with if u do with a little pressure it does

Doctor :   ok
Doctor :   do yu any difficulty in swallowing
User :   no

Doctor :   or difficulty in breathing
User :   not always but during times i mentioned above
Doctor :   tinling sensation over the tips of fingers
User :   somtimes rarely
Doctor :   ok
Doctor :   are your bowel movements good
User :   so

User :   ya
User :   they are
Doctor :   ok
Doctor :   any urinary symtoms
Doctor :   symptoms
User :   no all is fine

Doctor :   ok

Doctor :   other than X-ray any other investigations done
User :   MRI

User :   blood tests
Doctor :   ok
User :   urine tests
Doctor :   was it normal
User :   ya
Doctor :   ok
Doctor :   did yu do any blood tests
Doctor :   like blood count
Doctor :   ESR
Doctor :   CRP
User :   i did

Doctor :   ok
Doctor :   was it normal
User :   dont remember the details though
Doctor :   ok
User :   so wat do u think

Doctor :   as per symptoms it does not fit in to firbromayalgia
User :   ok

User :   wat are the things which do not
User :   if u can let me know
User :   for my understandin
Doctor :   i will explain yu

Doctor :   the sleep disturbance is must
User :   ok
Doctor :   involvement of intestines is not there
User :   even in my case its not there ?
Doctor :   yes
Doctor :   yu are not stressed depressed or tensed most of the times
Doctor :   no skin changes
Doctor :   your blood glucose levels are normal
User :   ok
Doctor :   is there any famliy history of similar complaints'
User :   no
Doctor :   ok
User :   mom and dad
User :   have high BP
User :   and spondolysis
Doctor :   as per only pain symptoms and occasional numbness
Doctor :   i cant grade it as fibromyalgia
User :   ok
User :   wat do u suggest
Doctor :   it can be a chornic fatigue syndrome
Doctor :   are yu on any medications for this
Doctor :   hi are yu there
Doctor :   hi are yu there
User :   ya
User :   no
User :   avoid pain killers
Doctor :   not even painkillers
Doctor :   ok
User :   but have a brufin in case i cant bear the pain
Doctor :   let me give yu few medical tips to over come this
User :   ok
Doctor :   one is regarding diet
Doctor :   how glasses of water do yu take
User :   ok

User :   5 a day
Doctor :   its good to take 14- 15 glasses of water
Doctor :   every day
User :   ok
User :   will try
Doctor :   take plenty of green leafy veg

Doctor :   mainly greenleafy veg
User :   ok
User :   tht i do as i am a veg
Doctor :   methi, palak
User :   ok
Doctor :   and also cucumber to reduce the edema
User :   alright
Doctor :   take fresh fruits
User :   can u please advise on my weight
Doctor :   like water melon
User :   is 58
User :   over weight
Doctor :   yes i will
User :   and how can i reduce the same
User :   can u recommend a dieting chart
User :   which is also healthy
Doctor :   is your ht 5.4
User :   ya
Doctor :   wt is 58
User :   yes
User :   58kgs
Doctor :   your BMI is 22
Doctor :   its normal
Doctor :   your ht
Doctor :   its a healty ht for the wt
Doctor :   your ideal wt is 56 to 60 kg
User :   do u think i shd rduce

Doctor :   no need
Doctor :   its the correct wt
User :   ok
User :   wats the good diet u recommend
Doctor :   reduce the oil content
User :   since the last couple of days i notice a lot of fat accumulated
Doctor :   ok
Doctor :   reduce fatty foods
User :   do u suggest one week dietin would help reduce it
Doctor :   reduce cheese, butter, panneer, thick curd

User :   ok
User :   any vegetables i need to avoid for my pain / fat
Doctor :   yes potatoes

User :   ooo

User :   i like potatoes and being veg
User :   most of our vegetables have potatoes
Doctor :   i am sorry
Doctor :   they contain more glucose and fat
Doctor :   either in curry or chips
User :   ok
Doctor :   other veg is ok

User :   is dieting a good option to reduce weight
Doctor :   yes
Doctor :   the main thing is what ever yu eat
Doctor :   yu need to burn it
User :   ok

Doctor :   in the form of exercises
Doctor :   are yu doing any exercises
User :   use to

User :   not now
Doctor :   yu need to burn it in the form of calories
User :   ok
Doctor :   its the better time to start
User :   going for lunch now
User :   can i get back
Doctor :   ok
User :   and then chat
User :   thank you very much

User :   for all the suggestions
Doctor :   yes i want to guide u on exercises , few tests , and consultations
Doctor :   u need to get back to solve your problem
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