Hi Dr Samuel N Grief, Yesterday I woke up at 7am after going to sleep about 12.30. I have for a while not being able to sleep. I am burnt out and depressed at present. I have had migraines in the past but this is different. I get Fibromyalgia and it has been quite bad lately. I had a hysterectomy in Dec 2011 and I have been worried that something isn t right (may have slipped down again) so wondering if back pain could also be to do with this. For the past month my back pain has been getting worse. Thursday night I went out and my knees were extremely painful(sharp shooting pains) as well as sore lower back. So I came home and got warmed up but when I got up to go to bed my whole body was in pain. I didn t get to sleep till about 1.20am after taking panadol. I woke at 7am with extreme sharp pains in the left side of my head. I have had this before but not as bad. I was able to go back to sleep until 8.30 when I woke and was in extreme pain. I took panadol and a nausea tablet thinking it was a migraine but not really feeling sick. Also, light was ok for me where previously with migraine I can t stand the light. I couldn t go back to sleep and so I took a quetiapine (not on these atm but still have a couple in my medicine cabinet. I slept till 3.30pm. The rest of the day and night I am extremely fatigued, tearful and in pain and keep going hot and cold. The temparature is quite cold at present so I was surprised I got hot a couple of times. I went to bed at 10.30 and took an imovene as I couldn t sleep. (Another med I no longer take but have a couple in my cabinet) Now I have woken at 5am this morning with pain again on left side so took panadol but unable to sleep. It isn t as bad as yesterday but my body in very fatigued and painful. My head feels very heavy like and I don t feel quite all here. Am I going crazy. Is it to do with the fibro or is it a migraine. I have had the flu injection as I get asthma. But don t feel fluey, not cold symptoms - just extreme fatigue and tired.