Hi...as you have a long history to taking NSAID group of drugs (ibuprophen and tylenol) for your fibromyalgia
...it has caused you peptic ulcers in your stomach leading to abdominal pain
, vomiting and occasionally blood...
I would advice you to undergo a upper gastrointestinal endoscopy
and start taking rabeprazole
20 mg one hr before food both am and pm for two weeks...after that you can make it just am...also stop NSAIDs and switch to tramadol 50mg for your pain...
Dr. Ashish Verma