Chronic Fatigue and Fibromyalgia AFTER WLS

vanessam
on 10/20/08 8:31 am

I am currently 4 1/2 years post-op.  I am anemic and on B-12 shots.  Over the last 6 months I have developed all the symptoms of Chronic Fatigue and/or Fibromyalgia.  I know that anyone that has been there knows what a frustrating time it is to try and obtain a diagnosis.  I can sleep for 12 hours get up and take a shower and go back to bed.  I have gone through the it's your diet, you are depressed, you need to cut out caffeine, etc.  I have never been more compliant to a doctor and never more miserable!

Has anyone not developed either of these until after WLS?  I am looking for any suggestions on getting a correct and timely diagnosis.  My quality of life is suffering terribly!

BIRDYLADY
on 10/20/08 10:29 pm - GA

It doesn't really get any better after your diagnosed with firbo. Tell you the truth I think it got worse for me. Before all the docs struggled to figure out why I have all this pain and tiredness and so forth. Now that it has been pin pointed as fibro they stop trying! It is not longer how can we make you feel better now its well its just something your going to have to learn to live with. For example, before my diagnoses if I would have called my doc and said "this new med you have me on has made me break out in blisters and I am itching all over and even have blisters in my mouth what do I do?" They would have told me HEAD STRAIGHT TO THE OFFICE NOW.....So I have made this call last week and was told "we can see you next week just stop taking the pills and we will change them when you come in" My question was what do I do about the pain till my appointment? I was told deal with it. after they say it is fibro they stop trying to "fix" you. I wish I would have NEVER been diagnosed with it to tell you the truth. I have lived with this pain since I was a child. The shrink says it is from having an abusive parent is probably what brought it on. On top of being Bi-Polar and having PTSD. So I have my own share of problems and understand they are alot to deal with but shouldn't the docs have to at least try? then you get the people who look at you when you tell them you have fibro and they give you that look like "yeah right whatever" or the "oh no not you too" or you get the your one of the blanket diagnoses.
sorry I am of no help but my advice would be don't push for a diagnoses cause it will do no good. make them work to make you better
Best of luck to you
Hugs
Kimberly

vanessam
on 10/21/08 2:33 am
Kimberly,  It is terrible that you've had such a bad experience.  I've heard that story too many times.  I found this website that may or may not help:  http://www.prohealth.com/me-cfs/modalities.cfm?B1=CHWEBO

Best of luck to you!
Hislady
on 10/21/08 4:27 pm - Vancouver, WA
Don't mean to sound snarky but you guys need to find new doctors. To get a diagnosis you should see a rheumatologist, they are the ones who deal with fibro and know what types of testing to do to get a firm diagnosis. Then the rheumatologist should work with you and your PCP to come up with a treatment plan, it may not be perfect but you have to start somewhere. Then treatment should be periodically adjusted to give you optimal relief. If your docs aren't working this way then you need to either find some that will or push the ones you have now. I know there are still lots of docs that don't believe fibro is a disease but there are getting to be many more who do and they are the ones you have to find. My PCP works with me on pain relief and every 6 months or so we go over what's working and what's not. We also have to take a certain amount of responsibility for our own care and do every thing we can to help ourselves, like exercise even when we don't want to and even if it hurts. There is no magic bullet but it can be worked with. I had my fibro long before I had WLS so I don't know if that affects it or not. I do know WLS has done nothing to improve my fibro and probably never will because fibro is a muscle disorder so it's not like relieving the pain by taking weight off of joints. I wish you luck and do push and be your own best advocate.
maxs_mom
on 10/21/08 6:56 pm, edited 10/22/08 1:19 am - Auburn, WA

This discussion couldn't have come at a better time.  I've always been overweight, but I led a fairly normal and active life until a little over a year ago.  Aside from my weight, I was generally healthy - I have suffered from migraines since I was a child and I do have depression, both which are being treated...  I was diagnosed with PCOS about 7 years ago and aside from the infertility aspect ******g me off because maybe I wouldn't have waited to start a family, etc - the diagnosis just made pieces of the puzzle fit together a little better. 

Then, BOOM, last August I had what I thought was a severe but typical migraine, but it wouldn’t go away.  I tried all of my meds and relaxation techniques to no avail.  This "migraine" morphed in to 2 months of absolute agony.  I know I saw a physician - PCP, neurologists, ER doctors - a total of 18 times because I had to account for everything for my STD.  That issue finally resolved itself well enough that I could return to work.  Then in March of this year, I got really sick again, but this time with what turned out to be a kidney infection.  However, when they did the CT to check for possible stones, they noticed enlarged lymph nodes in my abdomen and the scary cancer word came up.  I second biopsy was done 2 months later and not only were the lymph nodes still enlarged, there we more than they originally thought.  I had a needle biopsy done on the largest one in my groin and thank god it was benign.  However, I still felt like ****  I had repeated kidney infections plus I was in pain all over and had no energy.  The icing on the cake was that I was terminated after my FMLA expired. Labs revealed the possibility of Lupus or RA so I went to a rheumatologist who I hated.  Even though she didn't say it I could tell by her dismissive attitude that she thought if you're overweight, every possible medical condition under the sun, could be resolved by simply losing weight - nothing else mattered - she basically told me that although some of my labs (the expensive special ones) were borderline for a Lupus diagnosis, she didn't think I warranted the care of a rheumatologist at the time and sent me back to my PCP, adding I was welcome to return for repeat labs in 6 months - yeah right *****!  Did I mention her office was in downtown Seattle
and aside from it taking 2 months to get an appointment with her for the consult, roundtrip travel time was at least two hours and I couldn't even drive at the time?)  Anyway, after that disaster, my PCP said I probably had a combination of Fibro & CSF.  She started me on some new medication and it was actually just yesterday that she made an actual diagnosis of Fibro/CSF because the medication seemed to be helping.  Now don't get me wrong, I love my PCP - she's never blown me off, she always sees me same day if needed, she listens to what  say and believes what I tell her.  It's just kind of sucky that it was yet another case of all of the pieces of the puzzle making sense and now we can tackle the problems better. 

My main concerns at this point are medications and WLS...and exercise especially in the beginning.  What are others taking and how are they moving?

Sorry for the long ramble, the topic just hit a nerve.

Amy

Edited to add that writing the above got me all worked up again about that rheumatologist.  I was especially pissed when through my research after my PCP just suggested the possibility of Fibro/CSF I learned that Rheumatologists routinely follow these patients.

 

 

    
BIRDYLADY
on 10/21/08 9:09 pm - GA
Down here in Hinesville being military I have so many different docs. My BEST PCP is deployed right now to Iraq. She was the ONLY one who listened to anything I have to say it seemed. Now to get them to listen you have to throw a fit in the middle of the office or they just pretend your not there. So I seen 3 rhumy docs. First one pulled my finger told me I was fat and stop being so sensetive. I left crying and pissed! Second told me he "thought" I had fibro but was not sure. third said YUP you have fibromyalgia here is what we're gonna do. I thought WOW finally! So he started me on meds that did NOTHING. After him arguing with my shrink on my treatment cause some of the meds he was trying was making my bi-polar act CRAZY he got pissed off and discontinued me as a patient. Told me I would have been better off if he could have dianosed me with MS!! So back to the PCP who sent me to the pain specialist. I now see and she is ok I guess. I honestly think she could listen a little better then what she does but in all honesty she is OK. I would love to have my normal PCP back from Iraq though. I hope and pray she is ok and comes home safe to her family. Oh did i mention the only other rhumy doc is up in SC. I think they should all have to take classes on LISTENING to us.....LOL....maybe when we PCS from here I will have better docs. I can always hope right.
Clara B.
on 10/28/08 4:30 am - Washington, DC
VSG on 11/25/08 with
>>Even though she didn't say it I could tell by her dismissive attitude that she thought if you're overweight, every possible medical condition under the sun, could be resolved by simply losing weight - nothing else mattered - <<

That attitude makes me so mad. I wasn't overweight as a child, and had fibro as a child, and the pain hasn't changed much since then, so, no, losing weight doesn't fix everything!

Maxs_Mom, have you tried Dr. Andrew Holman in Renton/Kent. He's a very nice guy. He couldn't help me as much as he would have liked, but he did do the Mirapex fibromyalgia study with his own funding, and doesn't seem to have much of an ego.
maxs_mom
on 10/28/08 5:40 am - Auburn, WA

This attitude is so prevalent.  Another pet peeve is healthcare workers who have bad attitudes about working with obese patients.  My Mother has worked in healthcare all of her life and you wouldn't believe (sadly, you probably would) some of the things she's told me about co-workers' attitudes.  I didn't really need to be told as I'd experienced it firsthand but a part of me thought I was being overly sensitive.

I haven't heard of DR. Holman.  As I said I was recently diagnosed by my PCP and am comfortable with her treatment plan.  I will ask at my next appointment if I should be seeing a rheumatologist and keep Dr. Holman in mind.

Thanks!

Amy

    
Jancie M.
on 10/22/08 5:35 am

I am sorry you are going through this.  Having gone through it, your frustration is understandable.

I am eight years post-op and went through all kinds of problems about two years ago.  My PCP sent me to the Mayo Clinic where they ultimately diagnosed Fibromyalgia and Peripheral Neuropathy.  They are uncertain whether or not it is a result of the gastric bypass.

I have tried various forms of medication and still suffer as you do from constant exhaustion.  I found that Lyrica made me even more tired.  Cymbalta seems to help me the most.  I have also found that if I have big activities coming up that a double B-12 shot helps.  I am now giving them to myself.

I highly recommend the Mayo Clinic.  They send you to all of the necessary doctors in a series of appointments for all of your testing.  I went to the Jacksonville, FL location and ended up staying on the campus for 2-3 nights each time for all of the tests.  The Mayo Clinic also has an excellent book on Chronic Pain, and I found several very helpful other books on Fibro that provided good information to take with me to the doctor's office.

Now I am facing reactive hypoglycemia which (again) may or may not be related to the surgery.  I'd welcome thoughts from anyone who has gone through this post-op.  The first set of seizures put me into the hospital via an ambulance in August, and I have had four episodes since then.  The doctors seem to be at a loss, so now I am visiting an endocrinologist who has been less than helpful.

 

mamamc
on 11/8/08 11:02 am - AL
I had my first gasterplasy in 1983 it was expermental then. I call it the horse and buggy then I lost the wt and kept it off but lost bone mass I have been in the pain mode for 5 yrs. I had to have emergency surgery oct 05 05 and haven't been able to work since.The surgey they had to do was a rny. In the horse and buggy days they didn't know to push the vitamins and stuff. So my bone pain in my back feet hips hands knees sucks. and feel like I've lost my mind the docs blame the surgery in 1983..well ya what can you do for me...da da well lost my job my 401k my house. Husband. and the list goes on and on Now I I can't go to any docs I do go to the free clince and bless ther hearts I literly tell the can I try this the next time can I try this and they say ok my bi-polar meds come frome my requests. and my pain meds come a pain clins I go to 1 time every 3 months. I was going to them when I did have a job and insurance.. I do order addental meds off the pc and big $ I really can't say where I get my money for these things and its not from the government even though I paid into it for yrs while I worked 2 job amounting to 60-75 hours a week.... cimbalta made me want to do some really bad things.. I've had to sell almost everything I have 2 kids a daughter that doen't believe the pain I'm in and has actually said I hope you don't leave bills after you die that I have to pay for..My son God bless him hes been my rock even though he can't help me with money hes in college and works part time..parent grand parents died all within the last 8 yrs of cancer and I can't see a doc to get the things checked that  people my age should have check and my vision has changed rapidly worse..So life really sucks One thing that help is maryjane.I choke on the smoke but really helps..Yes I know its not legal but I have gotten off so many trial drugs. and my doc at the pain clince has been a blessing I really don't get to see him I see a woman and right at the moment I can't think what she is but its not a nurse.. But I'm reading a book called the seceret and it has a journeral that you put things you are greatful in every day  and I've gotten some tapes that are about a new way to pray..And also read a book about angels and spirit guides I've started to work on my mental stuff.. and hope the higher beings will help with the other stuff.....WOW talk about ranting and whinning..I should get a prize.. now I will have to take about 2 hours to change my mind set and get to writing in my thankful journel...I have been off the computer and this site for almost a yr  someone gave me there very old pc. But it still works for simple things .. God Bless and I will lite a candle for all of you.. My life has turned around since I've tried to put the things from these books to use..But its only been 2 months I still have a lot of pain but I'm  calmer and have less migraines and painc attack please excuse my spelling That is truely something I need to work on but is low on my list of needs
HOPEFUL
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