GEORGE CROOKS: Ask the doctor

QI have had symptoms of fibromyalgia for two years.

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I have recently been referred to a sleep clinic but my GP is dismissive of the possibility of fibromyalgia despite every classic symptom.

I don't know where else to turn. My GP said a sleep clinic will offer no diagnosis for my sleep problems and rheumatology only ruled out arthritis. I so want a good night's sleep. Can you advise?

AThe symptoms that you outline all can be experienced by patients who are given a working diagnosis of fibromyalgia. I assume as you have been to rheumatologists that they have ruled out any progressive inflammatory condition or connective tissue disease.

There is no doubt that the symptoms also tend to generate psychological pressures, and depression and/or anxiety are commonly found.

Treatment varies and something that appears to help one person may have little effect on the next person. But sometimes a combination of physiotherapy with non steroidal anti-inflammatory medication or moderate pain killers can help.

Atherosclerosis is a potentially serious and progressive (gets worse over time) condition where the body's medium and large arteries become clogged up by fatty substances, such as cholesterol. These substances are called plaques or atheromas.

Symptoms

Atherosclerosis does not usually produce any symptoms until your blood circulation becomes restricted, or blocked, leading to the onset of cardiovascular disease (CVD). The type of CVD and its associated symptoms will depend on where the blockage occurs.

Diagnosis

Your GP may recommend that you are screened if they feel that you are at significant risk of developing CVD.

Treatment

If it is felt that you are at significant risk of developing a CVD due to atherosclerosis, you will be advised to make lifestyle changes to help reduce your risk, such as changing your diet and taking more exercise.

WHAT IS...

ATHEROSCLEROSIS?

QI have had a pain in my left leg for about a year which seems to be coming from my femur.

It's only painful when I've been sitting down and then stand to get up, or when I'm lying on it in bed at night. What could be causing the pain?

AThigh pain can be caused by a very wide variety of conditions, including normal growth, general wear and tear and physical activity.

Thigh pain caused by a minor muscle strain or injury may be controlled at home, with rest, ice, elevation of the leg, and pain killers such as ibuprofen or paracetamol can help.

Occasionally a trapped nerve can present with positional pain like this, so if things are not continuing to settle, a trip to your GP for a quick check up would be well worth while.

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