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Fibromyalgia and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1774 Questions
Doctor :   hello
User :   hello
Doctor :   i am Dr here
User :   ok, i had previously consulted and returnin after all blood tests were good
User :   the doctor told me i have fibromyalgia and has put me on pregabalin 75mg 2 times a day and lexapro half tab at night
Doctor :   ok
User :   i only sleep like 4 hrs max at night and my legs aches below knees mainly
Doctor :   may i know your age please ?
User :   in the eve when i return from work even after i didnt work much, my eyes become red like i am so tired
User :   35
Doctor :   since how long you been on the medication ?
User :   my skin is also itchy at places for a while then diassapears and so are the rashes they appear on the body then move around
User :   since 31st dec
Doctor :   i see
User :   blood tests seems normal,
User :   even hiv
Doctor :   what all tests were done
User :   what is the HIV 1/2 antigen antibody test
User :   blood count, urine anaylsis, ra factor, vdrl, hiv, etc
Doctor :   ok
User :   dr jagdish from your side had said about esR which was 3 down from 9 a month before bu still within the range of 0 to i think 14
Doctor :   well 2 weeks in a short time
User :   have you dealt with cases of fibromyalgia, lupus and hiv infections
Doctor :   let the medications work for atleast a month
Doctor :   then you will find relief
User :   i am having these symptoms since oct 2010
User :   yes doc has given me these med for a month
Doctor :   what are your PRESENT symptoms ?
User :   legs aching sometimes, sleep only 4 hrs max at night and still dont feel like i have slept, sudenly start sneezing and running nose for a while like i have flu but it goes away after a couple of hours like nothing happened, rashes that keep moving around my body
Doctor :   after medications have the symptoms improved?
User :   the hiv 1 2 antigen and antibody test was non reactive, is this accurate
User :   no
Doctor :   thats ok
User :   same symptoms after medications
User :   what is antigen
Doctor :   what is your doctor says?
User :   i have tried pednisolone before, zyrtec, atarax, etc
User :   he said fibromyalgia
User :   what do you think
Doctor :   are you still on steroids ?
User :   yes you mean the pregabalin and lexapro
User :   just had them!
Doctor :   ok
Doctor :   well it will take time
User :   have u had any patients with hiv infection?
User :   when i read online it all points to hiv which is bit disturbing
Doctor :   dont worry
Doctor :   its all nothing
Doctor :   the blood test would have shown
User :   i had earlier written to dr jagdish the following
User :   About mid october, my body started to ache all over something like fatigue and was constantly working hard thereafter until nov 1 and 2 i took the days off sick. Doctor gave me anti biotics assuming its was flu as i mentioned that normally after a massage i would feel better but not this time. The fatigue continued and come towards end november i could not get good sleep anymore as my legs started to ache. It was like burning sensations moving around all parts below the knee and above the knee at the back ie the thighs also were firm and not loose as normal. On sat 27th nov i slept only 2 hrs and sw the doctor immediately the next day who gave me dormicum for sleeping, some pain killer for the legs and something for the throat mucus always being there. He also gave me some B1B6B12 tabs - Neuroflex. Dormicum did shut me down for about 4 hrs but i was wide awake there after, did all my things normal. I still didnt feel better that week and went to see a doctor to health screen me on Mon 6th Dec. All tests were fine including HIV which showed Non Reactive. the doctor gave me Alprazalom and Amitripidilyne and to continue with the B1B6B12 tablets. On 11th Dec before i was flying out on holiday i saw the doctor again for some red patches under my arm pits and small red rash on my thighs and others small also on my body. He gave me some solution - alkaline and cream to apply which i did. 2-3 days later the red patches went away but the small rashes on my shoulder did not and continued to increase in numbers. Saw a doctor now locally in Tanzania and he said it was due to allergy and gave me pednisolone and told me to continue with the rest of the medecines. The pednisolone enede on the 19th Dec and thereafter the rashes were just increasing in number so i stopped all medications on the 15th dec wednesday and saw a doctor again. He gave me Zyrtec and atarax and have been having them till now though the atarax finished yest. the rashes had stopped increasing but today i can feel them and one popped out a while ago below my wrist and went away! Same on my arm above the elbow on the left had one. I also felt some sensation on my arm on the inner side - right hand and when i looked later it had some light brown spots different from rest of the reddish bumps that i have. Some are slightly itchy but majority are not. i looked around the body and see few some brown spots here and there but one big one right on the back above my bum in the middle. its is really dark and about a centimetre round. Also have one on the thigh which came up 2 days ago - right leg and still there, where as on the same spot on the left leg i had one last week and now its fading away. For now i do feel fatigue though i am at work and constantly worried if its something serious - what do you think it is that i am going through and should do?
User :   later i saw the foc on 31 dec and blood test were ok and he gave me the meds i told u
Doctor :   i see
User :   have u dealt with similar cases
Doctor :   yes
User :   what is ypur opinion
Doctor :   you need to follow the nedications as the durations is short for you
Doctor :   did you had any unprotected intercourse ?
Doctor :   medication **
User :   protected on oct 1 bit risky one
Doctor :   so please take HIV from your head
Doctor :   if you had the it would have shown in the tests
Doctor :   so dont worry
Doctor :   i can assure you that
User :   what is the anitgen test
Doctor :   its a test done for antibodies
Doctor :   for autoimmune diseass
Doctor :   and firbromylagia in one of such disease
User :   so is it the standard one then the hiv 1 2 antigen/antibody test
Doctor :   you need to be patient
Doctor :   yes thats corrcrt
User :   oh so it could take 6 months for hiv to be detected?
Doctor :   no it takes 2- 3 months
User :   ok
Doctor :   thats why i am saying your chances are RARE
User :   but fibro myalgia cannot be detected by any test whats why doc said its this i think
User :   3 months of fatigue, wondering what this could be?
Doctor :   the diagnosis of fibromyalgia is made purely on clinical grounds based on the doctor's history and physical examination. In patients with chronic widespread body pain, the diagnosis of fibromyalgia can be made by identifying point tenderness areas (typically, but not always, patients will have at least 11 of the 18 classic fibromyalgia tender points), by finding no accompanying tissue swelling or inflammation, and by excluding other medical conditions that can mimic fibromyalgia.
Doctor :   so a physical examination is must
User :   he never examined me physically
User :   so i better go see another doc to do this to confirm
Doctor :   yes you should please do that
Doctor :   i am sorry since this being a online consultation i am limited
Doctor :   hope you understand that
User :   my eyes get red in the evening like i am so tired why
Doctor :   but you do need to se a doc for a complete physical examination
User :   and when i wake up its same until i have shower then go out i see redness from the eye settle down
Doctor :   was a thyroid test done ?
User :   yes also non reactive or neg
Doctor :   ok
Doctor :   well you do need a complete physical examination done
User :   what causes thyroid
Doctor :   its autoimmune disease
User :   this autoimmune is getting to me i hiv also one
Doctor :   you dont have HIV
Doctor :   HIV is a viral infection
User :   then what other autoimmune can i be infected with
Doctor :   like i said we need a examination so that we can pinpoint the cause and treat you accordingly
Doctor :   i suggest you to get a second opinion from a another doc
User :   will do that
User :   what are the early signs of hiv infection
User :   its been 3 months i am still having same symptoms you know, pednisolone helped with my legs a bit
User :   otherwise i am back to same
Doctor :   ok
User :   is Dr working now
Doctor :   he will be online tomorrow
User :   what times
Doctor :   before 9 pm
User :   XXXXX time?
User :   or GMT?
Doctor :   XXXXXXX
Doctor :   time
Doctor :   from 1 pm to 9 pm
User :   ok
User :   ok thanks
Doctor :   your welcome
Doctor :   take care
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