1) widespread muscle pain, "myalgia,"
2) excessive tenderness in many areas of the body
4) sleep disturbances,
6) mood disturbances, such as depression and anxiety.
Laboratory studies and investigative work up like following are done to help rule out diseases with similar manifestations and to assist in diagnosis of certain inflammatory diseases that frequently coexist with fibromyalgia;
1) Complete blood cell (CBC) count and differential count,
2) Basic metabolic panel,
4) Thyroid-stimulating hormone: Hypothyroidism has many similar clinical features with fibromyalgia.
5) Creatinine phosphokinase (CPK) to rule out inflammatory myopathies
6) Erythrocyte sedimentation rate (ESR)
7) Antinuclear antibodies (ANAs): Many patients with SLE have comorbid fibromyalgia.
8) Rheumatoid factor
9) Sleep studies
If fibromyalgia, lupus, sleep disorders etc can be ruled out; other consideration would be;
1) chronic fatigue syndrome; unexplained, persistent or relapsing fatigue with unrefreshing sleep, muscle pain, concentration problems, headache, sore throat etc.
2) idiopathic fatigue; it does not meet the above criteria.
A consultation with either a rheumatologist or a clinical immunologist would be prudent for an evaluation.
I would be happy to assist you further, if you need any more information.
Thank you so very much. I am so obsessed with all of this and have been labeled (I think) a hypochondriac by my primary care provider. A few more follow-up questions for you -
So, I'm not crazy and should keep pushing this to get the answer?
On first glance, would you think it's most likely hormonal over the other options you note? Of everything I've read, I'd thought for sure it was my thyroid, but my T3 and T4 were both normal. Now, I see I have a lot of symptoms for estrogen, testosterone, etc. issues.
What kinds of autoimmune issues are you thinking? Would that also explain my hair loss?
If it were to end up being something like fybromaylsia, would that also explain my hair loss?
Thanks again! And thanks for being so quick!
One more question, I appreciate you listening to me.
Now that I've taken a full inventory of my problems, since I'm feeling pretty sick today, I also have pain during sex (for about six months), for which I received an ultrasound that found nothing. I'd been told that sometimes it happens and usually resolves itself. I also have a very, very low libido.
Anyway, in doing some research prior to this, I'd considered a possible celiac response (test came back negative) and aspartame sensitivity. Do you think it's possible that perhaps some of these symptoms may also be caused by a food allergy?
Thanks again for listening, I'm at my wits end and this is consuming my life. Please know how grateful I am. :)
And I have severe bruising of my legs at times, with no reason.