Insomnia or waking up feeling just as tired as when you went to sleep
Stiffness upon waking or after staying in one position for too long
Difficulty remembering, concentrating, and performing simple mental tasks ("fibro fog")
Abdominal pain, bloating, nausea, and constipation alternating with diarrhea (irritable bowel syndrome)
Tension or migraine headaches
Jaw and facial tenderness
Sensitivity to one or more of the following: odors, noise, bright lights, medications, certain foods, and cold
Feeling anxious or depressed
Numbness or tingling in the face, arms, hands, legs, or feet
Increase in urinary urgency or frequency (irritable bladder)
Reduced tolerance for exercise and muscle pain after exercise
A feeling of swelling (without actual swelling) in the hands and feet
Fibromyalgia symptoms may intensify depending on the time of day -- morning, late afternoon, and evening tend to be the worst times. Symptoms may also get worse with fatigue, tension, inactivity, changes in the weather, cold or drafty conditions, overexertion, hormonal fluctuations (such as just before your period or during menopause), stress, depression, or other emotional factors.
National Institutes of Health.
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).
Frissora C., "Symptom overlap and comorbidity of irritable bowel syndrome with other conditions." Current Gastroenterol Reports, August 2005. Issue 7(4), pp 264-71.
Offenbaecher M,; Ackenheil M., "Current trends in neuropathic pain treatments with special reference to fibromyalgia." CNS Spectrum, April 2005, issue 10(4), pp 285-97.
Patten S.; et al, "Long-term medical conditions and major depression: strength of association for specific conditions in the general population." Canadian Journal of Psychiatry, March 2005, vol. 50(4), pp 195-202.
Nampiaparampil D.; Shmerling R.; "A review of fibromyalgia." American Journal of Managed Care, November 2004, vol. 10 (11 Pt 1), pp 794-800.