Question about Blood work

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Regular Member

Date Joined Jul 2008
Total Posts : 81
   Posted 11/24/2008 2:43 AM (GMT -6)   
What routine blood work should I have to prove to my skeptical doctor that I have Fibro? He has been doing some basic blood work like checking for vitamin deficiencies etc, but that's about it. I am exhausted all of the time, and he thinks its just my bi-polar meds. I can't make him understand that I"m achy and tender all over. He thinks that's just from a lack of sleep. It's so darn frustrating. He's usually a very good, and understanding doctor.
Bipolar II
Lithium SR 600mg/pm
Celexa 20mg/pm
Clonazepam 0.5mg/pm
Ativan 2mg/as needed

Veteran Member

Date Joined Oct 2005
Total Posts : 1245
   Posted 11/24/2008 5:33 AM (GMT -6)   
It is my understanding that there is no blood work that can diagnose Fibro. In fact, sometimes Fibro is diagnosed because everything comes out ok. As far as the fatigue is concerned, make sure he checks your thyroid, Vitamin B-12, Hemoglobin/Hematocrit, Iron levels. For the achiness, make sure he checks your RA factor for Rheumatoid Arthritis, ANA for Lupus, and Sed Rate for inflammation. Hopefully someone else will have some suggestions for you.

Some doctors just don't understand Fibro......

Blessings, Julie
Diagnosed with Crohn's March 2006, Fibromyalgia November 2008
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 12 mg, Miralax as needed, Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg as needed (for anxiety attacks)

Forum Moderator

Date Joined Apr 2005
Total Posts : 17059
   Posted 11/24/2008 12:45 PM (GMT -6)   
Julie is absolutely correct.  There is no medical test to prove you have fibro.  They do a lot of testing to rule out other illnesses first.  Then, if everything is fine and you still have the symptoms, they do a tender point test to see how sensitive you are.
Forum Moderator/ Fibromyalgia
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7

Veteran Member

Date Joined Apr 2004
Total Posts : 6056
   Posted 11/24/2008 1:34 PM (GMT -6)   
The fibro epidemic has overwhelmed the doctors and they are frustrated as well because there are no lab tests to prove it. There is ongoing research about a possible link between a microbacteria that may be hiding in our white blood cells so the body can't see it to fight it, but there are no tests as yet for this possibility.

I"d be up front with the doctor and say that you think it is fibro and ask him to prove you wrong. There is an excellent website for doctors

Fibromyalgia (FMS) and Chronic Myofascial Pain (CMP) For Doctors and
Other Health Care Providers

that can supply him with all of the information he needs to make a dx. If he resents you sending him back to school, get a new doctor.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross

Sera Smiles
Veteran Member

Date Joined Nov 2006
Total Posts : 671
   Posted 11/25/2008 4:34 AM (GMT -6)   
Lorraine, I agree with everything said here and can't add much, except- definitely insist on the CBC full line of tests- all the things Julie pointed out. My biggest suggestion is that once you have the test, ask for a copy of the results- get every page. I don't know how you feel about research, but do the work- once you have the test results, go to the library or invest in a book about FM and a cheap paperback medical dictionary, along with a notebook. Familiarize yourself with the tests and how to interpret the results- for example- SED rate, ANA, WBC, RBC, Hermaticrit, etc. See how they fit together. I did this and learned SOOOO much, that now when I am with the doc, there are times when I am more up on our discussion than he is. At first he was bothered a bit, but I persuaded him to continue with me by letting him know how serious I was about my health- he knows now that I am not one of "those" people who complain and never make any progress- his words not mine LOL I feel empowered and in control of my health. Good luck!

Sera Smiles
Veteran Member

Date Joined Nov 2006
Total Posts : 671
   Posted 11/25/2008 4:36 AM (GMT -6)   
One other thing- do this same work on the types of meds that FM patients take, think about what may work for you, ask the vets here about their experiences with certain meds, and be prepared to make suggestions as to meds that you think will help you. Don't be a pin cushion for the doc to experiment on you with drugs that may or may not work, be your own advocate.

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