Before fibromyalgia treatment can begin a doctor must diagnose the condition.
Some experts think that fibromyalgia is underdiagnosed. It can be difficult to diagnose because many of its symptoms are the same as those of other conditions, such as chronic fatigue syndrome, polymyalgia rheumatica, underactive thyroid, Lyme disease, lupus, and multiple chemical sensitivity. Fibromyalgia is usually diagnosed after other possible causes have been ruled out.
To diagnose fibromyalgia, your doctor will...
Fibromyalgia is a common condition that causes painful muscles. The pain is severe and involves many muscles as well as tendons, ligaments, and other soft tissue areas. Fibromyalgia has also been linked to fatigue, sleep problems, headaches, cognitive dysfunction, depression, and anxiety.
Irritable bowel syndrome (IBS) is a disorder that involves abdominal pain, cramping, bloating, as well as changes in bowel movements - constipation or diarrhea, or alternation of both. People with IBS often experience anxiety and depression.
Millions of people have at least one of these conditions. Fibromyalgia affects 5 million U.S. adults, and an estimated 30 million to 47 million people in the U.S. have IBS.
If you have fibromyalgia or IBS, you may be more likely to have the other one, too.
Studies have estimated that 32% to 70% of people with fibromyalgia also meet criteria for IBS.
Linked but Separate
The root causes of fibromyalgia and IBS are not clear; both are functional disorders, which means there's nothing visibly wrong with the structure of the organs, but with how they work.
But there is relationship between two, says Michael J. Pellegrino, MD, a fibromyalgia expert at Ohio Pain and Rehab Specialists in North Canton, Ohio, and an expert on WebMD's Fibromyalgia Exchange. Pellegrino, who has fibromyalgia, says he also has intermittent IBS that he considers mild.
“There’s some connection because they come in clusters, but we don’t know what it is right now,” says Albena Halpert, MD, an assistant professor of gastroenterology at Boston University's medical school.
Researchers see a possible pain link between IBS and fibromyalgia. In short, people with those conditions respond to pain differently than people without the two conditions.
IBS patients are hypersensitive to intestinal pain; people with fibromyalgia are hypersensitive to skin and muscle pain. There is a lowered threshold to pain sensation, in general, Halpert says.