Fibro diagnoise advice needed!!

Posted , 5 users are following.

wondering if anyone can offer any advice on my situation and clarify to points I'm unsure off. 

2014 I started having serve asthma attacks out of no where several hospital admissions steriods and so on. 

A few months later I had pains in my legs and knees and lumps which I believe could be bursitis on my knees. This swelling and pain spread to my hands wrists ankles and neck. 

had an ultrascan and saw a rheumatologist private who diagnoised sero negative inflammatory arthritis as per scans. I was then treated via nhs had serval immune suppressing drugs which I couldn't tolerate and after a year referred to another hospital. 

Once again had had tests and now been told I have fibromyalgia. i am not convinced I do have this condition or this condition alone due to the conflicting diagnoises. 

I have swelling in my neck fingers wrists knees and ankles in constant pain. Feel tired and flu like and don't know day to day now I will feel. My bloods come back negative every time but I have been on prednisolne since my asthma so since 2014. Which I understand do Ulter blood work. 

I I am at my wits end to what is actually wrong I feel a bit like i have been fobbed off with this condition. I can't work, write struggle to type. Can't walk long or sit in certain positions due to pain in my spine and also pain in my lower back and buttocks. 

If if anyone has been in any similar situation or give me any advice on the above I would be grateful. Not sure wether to request to see another rheumatologist but I'm just bored with it and waiting to be told another story! 

Many thanks 

0 likes, 15 replies

15 Replies

  • Posted

    I don't have asthma but mine started after a fall I was told my pain was osteoarthritis but X-rays showed moderate wear and tear I've had trouble with hands shoulder elbow back knees ankles fingers sleep and general lack of energy I ended up paying to see a rhumathologist who diagnosed me with fibromyalgia plus he thought I was showing symptoms of some form of osteoarthritis as there are many different types this diagnosis came two years after my problems started I have been off work for 5 months and my life has changed dramatically which has in turn coursed depression and emotional upset currently I can hardly walk as my right ankle is swollen and I'm finding it hard to walk there doesn't seem to be any end to this at the moment and it's a struggle to keep positive I hope this helps in some way to know you are not a lone
    • Posted

      Thank you for replying sorry to hear you are also suffering. Can I ask do your swellings go up and down or are your ankles constantly swallon? I total understand how you feel. This condition is dreadful and not really recognised. When you have pain is it worse when your active or just constant? 
    • Posted

      The swelling will last several weeks I first had it in my right wrist could pick anything up then once that had gone my knees swelled and I had to crawl up the stairs now it's in my right ankle it's been constant for 3 weeks plays up lots if I've walked or done any activity in all areas the swelling was constant for weeks then stopped but moved to another joint my mobility over the last six months has deteriated greatly which I find frightening and wonder where it's all going to end
  • Posted

    Hi Anni,

    Sorry you are struggling. I don't think it sounds like fibro or fibro alone, not if you are severely swollen and still swollen even on prednisone. They do say fibro doesn't cause swelling but many on here will say they do have swelling but fibro is supposed to be an unexplained pain condition due to an over sensitive nervous system which does not cause permanent damage physically like rheumatoid arthritis does. However it is possible that as you have been in pain for a long time that you have now also developed fibro.

    I personally would want to see another rheumy or the one that initially saw you. Is in inflammatory swelling you have, red hot and painful?

    I know it sounds obvious but are you eating well? Any inflammatory condition is made worse by certain foods which vary from person to person but sugar, refined food and nightshade are big ones for RA.

    I don't know what dmra's they put you on, some are very strong and have more side effects but plaquenil is a mild drug used which I tried at one point and didn't have any side effects and I think most people don't suffer to badly with it, some get upset stomach.

    Usually a rheumys first priority is sorting out swelling to avoid damage to the joints. I'm suprised they have left you swollen and just answered the pain side of things. Have you read the symptoms of all the disease such as lupus, scleredoma, RA, polymyalgia etc. If not I suggest googling all diseases a rheumy treats and trying to see what fits your symptoms the best. The. I would definitely get a third opinion.

    Good luck

    • Posted

      Hi Charlotte thank you for your reply. I am going crazy searching the Internet to what it could be and quite frankly since this has all began. Because my blood tests are normal to all autoimmune conditions and my inflammatory markers aren't high they have now said its fibro. But I don't know if prednisolne would Ulter these tests most certainly the inflammation markers but autoimmune as well? I haven't tried any meds for fibro yet Iv had tramadol and all the pain killers going and have terrible side effects this was for my so called arthritis 

      I cannot find an official site which says swelling is part of fibro. My most recent consultant well professor has said its my ligaments which are causing it but reading up on that ligament swelling is only due to injury. It has been in the past hot and red but not all the time but the swelling has been present since it came and never vanished. 

      I just don't understand how a rheumatologist can get such a diagnoise wrong going from arthritis to now Fibromyalgia. I have also been told that could be AS ankylosing  Spondylitisis I have tired methotrexate passed out and leflunimde which also didn't tolerate. I was then Granted anti tnf treatment enbrel but sufferedinfection after infection. I then referred to another hospital when I thought they were going to try and help with getting the right meds and dosage but after one consultation and bloods X-rays and ultrascan of hands decided it's fibro and very quickly discharged me as "there is nothing he can do to help. 

      Is it just fibro you deal with? Do you have swellings ? 

      I am am sick to death with whatever this is. My lif has been on hold for 3 years I am 25 a single mother and just totally lost my trust in doctos GPs and feel very alone to who I can actually trust in the healthcare division and getting the right information. 

    • Posted

      I feel exactly the same I've tried every medication going I also get swelling my GP just shrugs her shoulders and said there's nothing else she can do so I'm now paying privetly and I have to say get a completely different treatment I'm listened too examined thourouly and so far been given far more information than I've gained over the last two years I also found the pain clinic were brilliant it's worth asking to be referred to them . I'm also not sure if I've been diagnosed currently but my bloods show no sign of rheumatoid arthritis but I do have moderate osteoarthritis but that doesn't really warrant my symptoms so I can sympathise with you and your frustration
    • Posted

      I would love to go private again but just do not have the funds too. My mother originally paid to get my diagnoises but you can go on and on and not working I'm struggling to make ends meet as it is. I do agree that private is a completely different ball game and your treated like a person not just a number. I am being referred for physio and pain clinic and cbt what help this will be I'm not sure but have to stay open minded . I just want to live a relatively normal life and even be able to work at least part time for my own sanity as I hate having to rely on the state and to actually feel I'm accomplishing something with my life. 

      I I feel that fibromyalgia is diagnoised when they have no answer to what is actually wrong! The professor I saw who diagnoised this and said it wasn't arthritis was very black and white and because blood tests didn't reveal anything he had made his mind up even before I had my ultrascan. 

      My gp even stated that fibro was a very last resort and he even gave me doubts in my mind as he couldn't work out how Iv gone from one diagnoses to another. Which scan results being very different! Who do I trust I don't know! Just worried because he is classed as a professor if I get another opinion another doctor may be weary suggesting anything else due to his superior Position. Even though I don't feel he made very much effort in investigating my case and brushed me off after only one consultation. And was very quick to discharge me. 

    • Posted

      Hi Anni,

      From reading online Yes steroids can affect and lower your crp levels as can dmards so if you have been on these during tests then I would assume the tests might not give the full picture however at the same time assuming the dr had a brain he would take this into account at the time of testing. I would not accept fibro as your one and only answer, you very well may have it in conjunction with something else but they need to investigate it further. Can you not request to see the 1st dr or ask for a second opinion, I would speak to your GP again (I find women are the best) and ask her to refer you elsewhere as your not happy with the diagnosis, make sure you educate yourself on what is not supposed to be fibro symptoms and point out the differences you find such as swelling.

      Did the scans show damage, I don't understand how after scans they tell you inflammatory arthritis and then change diagnosis, I would imagine the scans showed some form of damage or evidence of arthritis hence why you got the first diagnosis. You can ask to see all your medical records so you can look through your tests results and scan results etc, sometimes there is a small charge but I've got mine this way before.

      If it is fibro alone then there are medications they can give you, usually low dose antidepressant or anticonvulsants, some get on well with them some don't but you can be referred to the pain clinic, you can be refered for physio, there's lots of things they can do for you if you know what your entitled to. Just be firm with them. Have you had thyroid tests, lymes test etc.

      Try not to stress yourself out even though I know that's nearly impossible when your in pain and life is at a standstill but stress really makes things worse and I really reccomend only eating nutritious food. Even if I fall of the food wagon for a few days my pain rares up so bad again im not good for anything. I really didn't think food made a huge difference until I stuck to eating well for a couple of months, after that I realised the difference it made and now I really notice when I gorge on junk. I don't eat anything radical either just more fruit, veg, eggs etc. Some people really find relief with no grains or no dairy etc but I wanted to focus on nutrient dense as I've had low vitamin and mineral blood tests before.

      Have you had the usual iron, vit d, b12, folate tests with the GP? If not that's something you can ask for.

    • Posted

      These doctors just seem to not have brains. My first scan revealed "shallow effusions on dorsum of index and little Mcp joints bilaterally and left thumb Mcp joint joint with small periarticular erosions at both fifth metacarpal heads larger on left"this scan was Dec 2014  my next scan reveals only one erosion and hypertrophy grade 1 in my wrists this was April 2016. The erosion apparently put down to maybe a break. But told if I had inflammorty arthritis there would be more damage over the time period. So two complete different scan results! As the most recent denies what was found on the private one to be true. 

      on that basis I don't have inflammorty arthritis. I know Iv been tested for all auto immune and allergies thyroid also ok. Again whether prednisolne affects it I'm unsure. I am firrm but just getting to  the point I feel embarrassed going to the doctor now as think hypercondriacte. I think my symptoms all in all fit more with lupus but been told it would show In bloods.

      i have been doing lots of research to go in armed once I have my letter confirming fibro diagnoises so will be questioning all of this. 

      I must admit  I'm not the healthiest. I have gained stones from the steriods and try to diet and try eat well. What food do you cut out which helps? From day to day I don't know what causes it I do find when I have had a bad night sleep I'm in more pain. But when I get flu like symptoms almost as if "I'm getting ill" then couple days later I'm ok. Reading about the swelling it seems people's comes and go mine has been permanent for 2 years.

    • Posted

      Hi Anni,

      Bilateral damage at 25yrs of age is less likely to do with previous injury and inflamatory arthritis might cause more damage but it doesnt mean you dont have a another immune disease which causes less damage to the joints. Have they scanned your lungs? 

      Dont worry about feeling like a hypercondriact, ive spent years feeling like im going to see the head teacher when i see drs, i get all nervous and feel judged but i year or so ago i decided i wasnt going to take their rubbish anymore and let drs be on a pedestal, i complained to PALS about a dr who i felt was completely rude and they reffered me to someone else and i got treated like i was a human after that, now when i see my dr i try and make sure they know ive done my reading and have a grasp of what were talking about and they dont need to treat me like an idiot. You have to remember they are human, the pee and poop like the rest of us and they are not special nor do they seemingly have the ability to get things right alot of the time. 

      Gaining weight on steroids is not your fault and i know they make you incredibly hungry but I would try not to focus on weight but focus on if what your eating is nutritious. Also some people with inflammatory conditions dont do well with nightshade food such as potatoes, tomatoes, peppers etc. I dont eat a specific diet i just try not to eat to much white bread, white pasta, sweets, chocolate, crisps, fries, i have also cut out caffeine. I do have egg on brown seeded toast most days at lunch and snack on almonds or fruit inbetween. Look up the anti inflammatory diet online, theres lots of free resources.

      THIS BIT DEFO SOUNDS LIKE FIBRO

      From day to day I don't know what causes it I do find when I have had a bad night sleep I'm in more pain. But when I get flu like symptoms almost as if "I'm getting ill" then couple days later I'm ok. Reading about the swelling it seems people's comes and go mine has been permanent for 2 years.

    • Posted

      Hi Charlotte

      it started with having asthma attacks in 2013 before this is was a healthy active person with no medical history. Iv been under a chest consultant who again has no clue to why I was having these I could not drop below 30mg without having an attack. He stated that my spiroremty is stable. I had a CT back in June 14 on my lungs and sinuses but was clear. They are from that reasonably happy with my lungs. I finally had a nictirc oxide test a year ago which finally revealed eosinophilic inflammation going on as it was high and this was while I was on steriods. So been told unlikely to ever get off prednisolne I'm currently on 5mg several inhalers and tablets. And reasonably controlled but not completely. 

      I do do think this two conditions are linked some how. My chest consultant has put it down to possibly allergies but due to steriods affecting blood tests this is can not be confirmed. 

      So so the erosion in my little finger they picked up on my latest scan wouldn't be from a break? ( I did state I do not recall ever breaking it as well) do you know any conditions which are not Less damaging then inflammatory arthritis? I can't really go back to my previous consultant I left there because I also find the specialties nurses very rude and not approachable and the consultant was rude to me as I was having lots of infections I spoke to health care at home who deliver my injections who is a nurse and told me to go to a specialist bigger hospital as there are different dosages as I couldn't go on having infections ( had to have antibiotics after antibiotics for about 10 weeks after one dose of enbrel. 

      I will defiantly look into that diet. The problem is I can not prepare a meal due to my hands so obviously the easy option is ready meal to put in microwave. Which I know isn't great.  I totally agree it's you in regards to fibro symptoms with them. these started about a year ago when I feel like I'm getting ill may be cold feel dizzy/faint. Headaches sinuse problems feeling exhausted. But even when I feel well I still have the horrendous swelling and pain. 

      Thank you you for all your advise it has really helped. 

    • Posted

      Hi Anni, 

      Well eosinophilic inflammation can be caused by autoimmune disease or allergies according the mayo clinic site. I would think the 2 are related but im not a Dr however timing and common sense would suggest they are.

      The food thing i understand, i often used to just cook the quickest packaged meal, someties still do. eggs i think are a good easy quick food but i would check they dont make you symptoms worse as i know some allergy suffererers dont get on with dairy. My best tip is get a cheap slow cooker and a jml nicer dicer which cuts for you or similar and throw cubed veg and a bit of meat in with some stock and herbs and by dinner time it will be ready. The nicer dicer still takes some hard pushing to push the veg throuh but you can do it with your forearm and it doent take the dexterity involved with using a knife.

    • Posted

      Hi Anni;  I have just read more on your story, and am wondering if your Prednisone could be causing the problems with your bones?  This is a commone side affect of prednisone.................am not saying that this is the Definate answer, but maybe?????................I know that you need your Prednisone for your paiin/lungs, but am wondering if this is your answer to your ?fractured finger.....there are,  what are known as Crush Fractures.....you don't have a reason/event when these occur, but even extra pressure on a bone can cause a Crush Fracture.....many older women after Menopause, get Crush Fractures of the spine, just by lifting a garden hose..........................just a thought...............Bron
  • Posted

    you hit on one of the symptoms of fibromyalgia that very few people say FLU LIKE SYMPTOMS yes its like living with the flu mostly all the time and definately pain in the buttocks its like pain all over and horrific to live with keep your head up and soldier on regards

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