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Suggest Treatment For Lack Of Motivation And Anxiety While Treating Fibromyalgia
Question: Weight 92 kg Height 175 cm Age: 54
Diagnosed conditions: Fibromyalgia, C2/3 facet joint damage (MVA), C6/7 nerve root impingement (MVA), RSI right wrist (35 years), plantar fasciitis (comes and goes), sacro-iliac pain (comes and goes).
Recent blood test: bit low in Vitamin D.
Medications: Tramadol 100 mg/day, Codeine 30 mg day PRN, Citalopram 10 mg, Oxazepam 7.5 mg Piroxicam 20 mg as needed
Hi – I feel very breathless on little exertion and my heart rate increases a lot – for example just bending down to do up shoelaces. However, I can go for a 50 minute walk and not get too out of breath (except on hills). Having trouble sleeping for last two months as came off Stillnox after eight years on it. Sometimes used codeine, Temazepam and periactin to sleep. But last night took none of these and still feel very short of breath. Doctor has listened to chest – all ok. Might have a bit of reflux at night – not sure – but I think morning coughing could be due to that. Put on 10 kg in a six month period recently – it’s plateaued at 92 kg for about three months. Also feel pretty exhausted and tired and lacking motivation quite a bit of the time. Thanks
Diagnosed conditions: Fibromyalgia, C2/3 facet joint damage (MVA), C6/7 nerve root impingement (MVA), RSI right wrist (35 years), plantar fasciitis (comes and goes), sacro-iliac pain (comes and goes).
Recent blood test: bit low in Vitamin D.
Medications: Tramadol 100 mg/day, Codeine 30 mg day PRN, Citalopram 10 mg, Oxazepam 7.5 mg Piroxicam 20 mg as needed
Hi – I feel very breathless on little exertion and my heart rate increases a lot – for example just bending down to do up shoelaces. However, I can go for a 50 minute walk and not get too out of breath (except on hills). Having trouble sleeping for last two months as came off Stillnox after eight years on it. Sometimes used codeine, Temazepam and periactin to sleep. But last night took none of these and still feel very short of breath. Doctor has listened to chest – all ok. Might have a bit of reflux at night – not sure – but I think morning coughing could be due to that. Put on 10 kg in a six month period recently – it’s plateaued at 92 kg for about three months. Also feel pretty exhausted and tired and lacking motivation quite a bit of the time. Thanks
Brief Answer:
Please refer to the detailed answer below.
Detailed Answer:
Hello,
Your symptoms are all because of fibromyalgia. Two important points in the management of fibromyalgia are pain management and control and prevention of anxiety and depression.
In your case, pain part is taken proper care of and you need some psychological help in the form of behavior therapy and motivation along with medicine adjustment.
In my opinion, you should take the help of a psychologist to deal with your symptoms.
I hope this information will guide you properly.
Regards,
Dr. Bhanu Partap
Cardiologist
Please refer to the detailed answer below.
Detailed Answer:
Hello,
Your symptoms are all because of fibromyalgia. Two important points in the management of fibromyalgia are pain management and control and prevention of anxiety and depression.
In your case, pain part is taken proper care of and you need some psychological help in the form of behavior therapy and motivation along with medicine adjustment.
In my opinion, you should take the help of a psychologist to deal with your symptoms.
I hope this information will guide you properly.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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