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Doctor insights on: Fibromyalgia Vs Lyme Disease

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I am on a fentanyl patch to control my pain I have fibromyalgia, chronic Lyme disease. I forgot this morning, took Ultram twice 100 mg, I am naseous.?

I am on a fentanyl patch to control my pain I have fibromyalgia, chronic Lyme disease.  I forgot this morning, took Ultram twice 100 mg, I am naseous.?

Nausea: Nausea can be a symptom of opiate withdrawal, but you are wearing your fentanyl patch. Nausea is also a common side effect of ultram. It's possible that this is the result of the inadvertent double dose of ultram you gave yourself, rather than opiate withdrawal. I suggest contacting your physician, and also creating a way to consistently keep track of the pills you take each day. ...Read more

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Dr. John A. Goldman
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Dr. Randy Baker
576 doctors shared insights

Lyme Disease (Definition)

Lyme is caused by borrelia burgdorferi. Acute symptoms can include bullseye rash, headaches, joint pain, fever, and flu like sx. Chronic symptoms can include fibromyalgia symptoms, nerve pain in extremities, mood swings, brain fog, heart problems. Lab diagnosis is not very reliable, and sometimes clinical ...Read more


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How does cfs relate to other illnesses such as fibromyalgia, multiple chemical sensitivities, gulf war syndrome, neurally mediated hypotension, Lyme disease, and candida?

Simply put...: The underlying theme describes a constellation of signs and symptoms that we have absolutely no clear, concise idea how it biologically works, how to effectively treat it, and how to address its neuro-psychiatric effects, unfortunately, it is this ambiguity that is being exploited by some quacks, to spread misinformation about each of the diagnoses mentioned (and it's not exhaustive). ...Read more

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Dr. John A. Goldman
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I have an enlarged thymus gland and am a 47 yr old female..I have been very sick with Lyme disease, emphysema, fibromyalgia. Should i go to the er.?

I have an enlarged thymus gland and am a 47 yr old female..I have been very sick with Lyme disease, emphysema, fibromyalgia. Should i go to the er.?

No: The chronic issues you face should be addressed by an internist who can look at all of your signs and symptoms through a wider-angle lens. An enlarged thymus, unless associated with myasthenic or obstructive symptoms, should not be worrisome. ...Read more

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What is the definition or description of: Lyme disease?

Lyme: Lyme is caused by borrelia burgdorferi. Acute symptoms can include bullseye rash, headaches, joint pain, fever, and flu like sx. Chronic symptoms can include fibromyalgia symptoms, nerve pain in extremities, mood swings, brain fog, heart problems. Lab diagnosis is not very reliable, and sometimes clinical diagnosis must be made. ...Read more

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Symptoms of Lyme disease easy to see?

Symptoms of Lyme disease easy to see?

Easy to see but...: The symptoms of lyme are very easy to see but it may be hard to recognize these as lyme. Classic symptom of bullseye rash only seen in half or less, then flu-like symptoms, then migrating joint pains (often 1st in knees), fatigue, poor memory/concentration, can't find right word, blurred vision. Can cause virtually any symptom, often misdiagnosed as chronic fatigue, fibromyalgia, arthritis, MS etc. ...Read more

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What are the symptoms of Lyme disease?

Pain, fatigue and...: Lyme can cause virtually any symptom, but classically starts with rash & mild flu-like symptoms, then joint pains (often 1st in knees) & fatigue. It often causes problems with memory/concentration/word finding & blurred vision. Neurological sxs can mimic MS & als. It can cause sxs similar to chronic fatigue, fibromyalgia, rheumatoid arthritis, lupus and other autoimmune diseases-also cardiac sxs. ...Read more

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Dr. John A. Goldman
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Are there any illnesses that share the same symptoms of Lyme disease?

It depends: Occasionally symptoms of lyme disease could mimic those of a medication reaction or allergy, contact dermatitis or other non-infectious problem like clinical depression. Generally a physician who specializes in infectious diseases would be required in order to distinguish lyme disease from these other disorders. Also, late stages of lyme disease need to be distinguished from earlier stages of lyme. ...Read more

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Signs and symptoms of Lyme disease and how long does it last?

Signs and symptoms of Lyme disease and how long does it last?

Many sxs/until cured: Lyme can cause virtually any symptom, but classically starts with rash & mild flu-like symptoms, then joint pains (often 1st in knees) & fatigue.It often causes problems with memory/concentration/word finding & vision. Neurological sxs can mimic ms & als. It can cause sxs similar to chronic fatigue, fibromyalgia, lupus & other autoimmune diseases-also cardiac sxs.It lasts life-long unless treated. ...Read more

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Is chronic Lyme disease a myth? Or is it real?

Is chronic Lyme disease a myth? Or is it real?

Real & controversial: There is a huge divide here. Most infectious disease specialists believe chronic lyme doesn't exist while ilads, a group of docs who specialize in lyme, strongly believes in it. I have many patients suffering from chronic lyme.See http://www.Hindawi.Com/journals/ipid/2010/876450/ and http://www.Ilads.Org/lyme_research/chronic_lyme.Html and http://columbia-lyme.Org/patients/ld_chronic.Html. ...Read more

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What are the symptoms of Lyme disease and can it wait 2 - 3 months to show symptoms got bit by one now throwing up coughing tired and wheezing?

What are the symptoms of Lyme disease and can it wait 2 - 3 months to show symptoms got bit by one now throwing up coughing tired and wheezing?

Many and varied; yes: Lyme disease can cause virtually any symptom in the world. Early lyme tends to cause non-specific flu-like symptoms & a rash. Then it tends to cause joint pains (esp. Knee pain) & fatigue. It often causes problems with memory & concentration & a variety of neurological symptoms. As it progresses it may be misdiagnosed as chronic fatigue, fibromyalgia, arthritis, multiple sclerosis etc.See comment:. ...Read more

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Dr. Jay Rosenfeld
1,195 doctors shared insights

Fibromyalgia (Definition)

Widespread pain and tenderness on palpation of specific muscle points, associated with variety of other symptoms that include fatigue, sleep disturbances, depression, anxiety, ...Read more


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Dr. John A. Goldman
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