Fibromyalgia and Irritable Bowel Syndrome Is There A Connection?

Fibromyalgia  syndrome is associated with chronic severe muscle or soft tissue pain. 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 over 5 million U.S. adults, and an estimated 25 million to 45 million people in the U.S. have IBS.

Studies are now showing that if you have fibromyalgia or IBS, you may be more likely to have the other one, too.

In one study, 32% of people with IBS also had fibro symptoms compared with 4% of people without IBS. Another study showed fibromyalgia occurring in 20% of people with IBS. And studies have estimated 32% to 70% of people with fibromyalgia also meet criteria for IBS.

I find that about 80% of my fibro patient’s has IBS.

Fibromyalgia and IBS don't always go together. They're two separate conditions.

Pain Processing

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, soft tissue, and muscle pain. Both have a lowered threshold to pain in general. In fibromyalgia, the central nervous system may be highly sensitive, making someone feel more pain than what someone without fibromyalgia would feel in a similar situation.

The neurotransmitter, serotonin has been linked with both fibromyalgia and IBS.

I find that once I start to return my patients serotonin level to normal their IBS goes away within a couple of weeks.

If you’d like to know more about reversing IBS please see my past article Treating and Beating IBS click on the link below-

http://treatingandbeatingfibroblog.blogspot.com/2011/02/reversing-irritable-bowel-syndrome-ibs.html

Dehydration Contributes to Fibromyalgia Symptoms

Hormones that may be Affected by Hypothalamic Dysfunction           

The hypothalamus is the master gland controlling the activity of most other glands in the body.

This small gland coordinates a phenomenal portion of the body’s activity. The hypothalamus receives and transmits messages from the nervous system and hormonally through the circulatory system.

Because of its broad sphere of influence, the hypothalamus could be considered the homeostatic regulating center. It regulates appetite, monitors blood sugar, blood volume (fluid level within the circulatory system), and metabolism. It is the coordinating center for much of the autonomic nervous system. The autonomic nervous system is like our little robot that controls all of our unconscious functions including breathing, heartbeat and digestion.

Low Vasopressin (anti-diuretic hormone). 

This causes decreased ability to hold on to fluid resulting in frequent urination and increased thirst. 

Dehydration then occurs despite increased water intake.  Because vasopressin is also a stimulus for adrenocorticotropic hormone (ACTH) and adrenal function, low vasopressin could also result in decreased adrenal function.  Both dehydration and low cortisol (a hormone secreted by the adrenals) can increase the susceptibility to NMH.

“How do you tell who has the worst case of FMS or CFS?  By the size of their water bottle.”

Dehydration can cause many of the chronic symptoms seen in FMS and CFS including NMH, depression, excess body weight, high blood pressure, fatigue, low back and neck pain, and headaches.

Dehydration depletes the neurotransmitter serotonin. A reduction in serotonin is associated with insomnia, increased pain and depression and is a major cause of fibromyalgia!

From Dr. Batmanghelidj and his book “Your Body’s Many Cries for Water” comes the following;

“The human body is composed of 25% solid matter (the solute) and 75% water (the solvent). The brain tissue is said to consist of 85% water...It is the solvent-the water content-that regulates all functions of the body, including the activity of all the solutes (the solids) that are dissolved in it.

The disturbances in water metabolism of the body (the solvent metabolism) produces a variety of signals, indicating a “system” disturbance in the particular functions associated with water supply and its rationed regulation. Let me repeat, every function of the body is monitored and pegged to the efficient flow of water. “Water distribution” is the only way of making sure that, not only an adequate amount of water, but its transported elements, hormones, chemical messengers and nutrients first reach the more vital organs…

However, since water shortage in different areas of the body will manifest varying symptoms, signals and complications now labeled as disease, as soon as water is offered as a natural solution, people may think this could not be so!”

I recommend my patients drink pure water-half their weight in ounces on a daily basis.

The above material comes from my book “Treating and Beating Fibromyalgia and Chronic Fatigue Syndrome.”

You can read more about my book by clicking the link below-

http://store.drmurphreestore.com/trandbefiand1.html

Stress and Fibromyalgia

A survey by The Fibromyalgia Network reports that 62% of their respondents list physical or emotional stress as the initiating factor in their acquiring fibromyalgia.

I believe chronic stress is the underlying catalyst for the onset of HPA dysfunction and fibromyalgia. Several studies have demonstrated how chronic stress undermines the normal hypothalamic-pituitary-adrenal axis (HPA) function.

When explaining the role of stress in fibromyalgia, I find the following analogy helps put stress and fibromyalgia into perspective.

“We are all born with a stress coping savings account. This account is filled with numerous chemicals we use to help us deal with daily stress-serotonin, norepinephrine, cortisol, magnesium, and other important hormones and nutrients al help counter stress. The more stress we encounter, the more stress coping chemicals we use. We replenish our stress coping savings account with adequate rest. Consistent deep restorative sleep ensures we are making more deposits than withdrawals from our stress coping account.

Since fibromyalgia patients struggle with getting a consistent good nights sleep they eventually bankrupt their stress coping account. Once tyour stress coping savings account is depleted poor health and the many symptoms associated with fibromyalgia, pain, fatigue, brain fog, anxiety, depression, low thyroid, etc. start to raise their ugly heads.

With so many different symptoms, it’s no surprise that fibromyalgia and CFS patients are typically taking 6–12 different prescription drugs. Lyrica, Elavil, Klonopin, Paxil, Effexor, Xanax, Trazadone, Neurontin, Zanaflex, Ambien, Lunesta, Cymbalta,  and Provigil have all been heralded as “the drug” for fibromyalgia. Some of these are helpful, some worthless, and some really dangerous.

Drug management alone typically fails to yield lasting relief from the most common fibromyalgia and CFS symptoms, and patients’ and doctors’ optimism over a new drug treatment eventually gives way to this sad reality. Oh well, a new drug with an even larger marketing budget is on the horizon. (Forgive my cynicism. I’ve just seen this situation so many times!)

After seventeen years of specializing in treating and beating fibromyalgia I’ve learned that traditional medicine alone yields little if any long-term results.

The best hope for those with fibromyalgia is to find and work with a doctor who practices integrative medicine-combining judicious use of prescription drugs (short-term if possible) and natural therapies (vitamins, minerals, and other nutrients).

Combining prescription drugs (when needed) with natural supplements allows the symptoms associated with fibromyalgia to be corrected, not just covered-up.

Hang in there-you can beat fibromyalgia. Don’t give up.

New Criteria for Diagnosing Fibromyalgia

Fibromyalgia may be under-diagnosed in both men and women because of the reliance on 11 tender points which is broad but ineffective approach for diagnosing fibromyalgia.

Consequently, fibromyalgia diagnosis in practice has often been a symptom-based diagnosis. The new criteria will standardize a symptom-based diagnosis so that all doctors are using the same process.

The tender point test is being replaced with a widespread pain index and a symptom severity scale. 

The widespread pain index score is determined by counting the number of areas on the body where the patient has felt pain in the last week. The checklist includes 19 specified areas.

The symptom severity score is determined by rating on a scale of zero to three, three being the most pervasive, the severity of three common symptoms: fatigue, waking unrefreshed and cognitive symptoms. An additional three points can be added to account for the extent of additional symptoms such as numbness, dizziness, nausea, irritable bowel syndrome or depression. The final score is between 0 and 12.

To meet the criteria for a diagnosis of fibromyalgia a patient would have seven or more pain areas and a symptom severity score of five or more; or three to six pain areas and a symptom severity score of nine or more.

Some criteria will remain unchanged. The symptoms must have been present for at least three months, and the patient does not have a disorder that would otherwise explain the pain.

You can read more about how I diagnose fibromyalgia by visiting my website www.treatingandbeating.com

Fibromyalgia Sufferers Don't Give Up!

Fibromyalgia takes it's toll on you. Traditional medicine alone is in effective and most doctors don't really know how to treat it. It takes on average 7 years and 12 doctors before ever getting the correct diagnosis of fibromyalgia. It is no wonder that those with fibromyalgia feel hopeless and contemplate giving up on daily basis. 

Don't give up! 

I just got off the phone with a lady in Canada who has been battling fibromyalgia for 20 years. She's numerous drugs, therapies, supplements, and diets-nothing has yielded long-term relief. After 3 weeks of following the sleep protocol in my Treating and Beating Fibromyalgia video series, she reports she feels better than she's felt in 20 years. Re-establishing deep restorative sleep is the key for reversing fibromyalgia. You can read about my sleep protocol for fibromyalgia on my website www.treatingandbeating.com. 

I encourage you to keep seeking out the right doctor, protocol, therapy, shaman, prayer circle-whatever works. Just don't give up!

Anyone can give up, it's the easiest thing in the world to do. But to hold it together when everyone else would understand if you fell apart, that's true strength.
-- Author Unknown


I love this story, one I shared in Health Matters newsletter. Here it is again.

A little girl had been shopping with her Mom in Target. She must have been 6 years old, this beautiful red haired, freckle faced image of innocence. It was pouring outside. The kind of rain that gushes over the top of rain gutters, so much in a hurry to hit the earth it has no time to flow down the spout. We all stood there under the awning and just inside the door of the Target.

We waited, some patiently, others irritated because nature messed up their hurried day. I am always mesmerized by rainfall. I got lost in the sound and sight of the heavens washing away the dirt and dust of the world. Memories of running, splashing so carefree as a child came pouring in as a welcome reprieve from the worries of my day.

The little voice was so sweet as it broke the hypnotic trance we were all caught in, "Mom, let's run through the rain," she said. "What?" Mom asked.

"Let's run through the rain!" She repeated.

"No, honey. We'll wait until it slows down a bit," Mom replied.

This young child waited about another minute and repeated, "Mom, let's run through the rain."

"We'll get soaked if we do," Mom said.

"No, we won't, Mom. That's not what you said this morning," the young girl said as she tugged at her Mom's arm.

"This morning? When did I say we could run through the rain and not get wet?"

"Don't you remember? When you were talking to Daddy about his cancer, you said, 'If God can get us through this, he can get us through anything!'"

The entire crowd stopped dead silent. I swear you couldn't hear anything but the rain. We all stood silently. No one came or left in the next few minutes. Mom paused and thought for a moment about what she would say. Now some would laugh it off and scold her for being silly. Some might even ignore what was said. But this was a moment of affirmation in a young child's life. A time when innocent trust can be nurtured so that it will bloom into faith.

"Honey, you are absolutely right. Let's run through the rain. If God let's us get wet, well maybe we just needed washing," Mom said.

Then off they ran. We all stood watching, smiling and laughing as they darted past the cars and yes, through the puddles. They held their shopping bags over their heads just in case. They got soaked. But they were followed by a few who screamed and laughed like children all the way to their cars.

And yes, I did. I ran. I got wet. I needed washing.

Circumstances or people can take away your material possessions, they can take away your money, and they can take away your health. But no one can ever take away your precious memories... So, don't forget to make time and take opportunities to make memories everyday. To everything there is a season and a time to every purpose under heaven.

I hope you still take the time to run through the rain.

Author unknown

Danger-These Drugs Are A Disaster For Your Health

Benzodiazepines

These medications are usually used as sleep and anti-anxiety medication, they include Xanax (alprazolam), Klonopin (clonazepam), Ativan (lorazepam), Restoril (temazepam), BuSpar (buspirone hydrochloride), Tranxene (clorazepate dipotassium), Serax (oxazepam),
Librium (chlordiazepoxide), Tegretol (carbamazepine), Valium (diazepam), Trileptal (oxcarbazepine), Seroquel (quetiapine), Risperdal (risperidone), and Symbyax (olanzapine and fluoxetine HCl).

Benzodiazepines are addictive, and patients build up a tolerance so that the drugs eventually lose effectiveness as a sleep aid. Addiction may occur in as little as two weeks.

The big problem with these medications, though, are the side effects, many of which mirror the symptoms of fibromyalgia and CFS. And they don’t promote deep, restorative sleep, so they are definitely not worth the risk.

Benzodiazepines depress the central nervous system and act on the neurotransmitter GABA (gamma-amino butyric acid). GABA acts as a calming chemical as it transmits messages from one cell to another. So directly or indirectly, these drugs influence almost every brain function and most other bodily systems, including those of the nervous, neuromuscular, endocrine, and gastrointestinal systems. It’s no wonder their side effects are so severe.

Benzodiazepines should be weaned off, starting as soon as possible. Be sure to work with a medical doctor as you wean off, and take it slow to avoid terrible withdrawal symptoms.

Potential side effects of benzodiazepines: Poor sleep; seizures; mania; depression and suicidal thoughts; tinnitus (ringing in the ears); transient amnesia; dizziness; agitation; disorientation; low blood pressure; nausea or vomiting; fluid retention; muscular incoordination and tremors; sexual dysfunction; prolonged drowsiness or a trance-like state; fatigue; headaches; body aches and pains; chills; runny nose; cough; congestion; difficulty breathing; feelings of discouragement, sadness, or emptiness; diarrhea; difficulty swallowing; vision and voice changes; and a host of others.

The crippling side effects and addictive nature of these drugs have been known for at least 40 years, yet doctors continue to prescribe them at an ever-increasing rate, especially for seniors. Surveys show that over 5.6 million adults over the age of 65 are now taking benzodiazepines. A mouth-dropping 50% of all women 60 and older will be prescribed a benzodiazepine drug.

And since addiction often occurs within four weeks of starting these drugs, the majority of these folks are now dependent on them.

Tolerance to the hypnotic (sleep) effects of these drugs may occur within one week. Symptoms of tolerance are identical to drug-withdrawal symptoms and may include anxiety, panic, severe insomnia, muscle pain and stiffness, depression, suicidal thoughts, rage, heart and lung problems, and agoraphobia (extreme fear of public or crowded spaces).

Tragically, only 10%–30% of people are able to successfully stop taking these drugs. The rest are addicted for life.

Please avoid these drugs if possible. Seek out alternatives, preferably over the counter natural amino acid therapy (5HTP, SAMe, L-Theanine, etc.) when facing anxiety disorder. For sleep related issues try over the counter 5HTP and or melatonin. You can read more about mood and sleep disorders at www.treatingandbeating.com

Lyrica and Fibromyalgia

Lyrica is the first prescription medication approved to treat fibromyalgia.   Because fibromyalgia patients typically do not respond to conventional painkillers like aspirin, Lyrica affects the brain and the perception of pain.  Pfizer’s Lyrica, known generically as pregabalin, binds to receptors in the brain and spinal cord and seems to reduce activity in the central nervous system.

No one knows exactly how Lyrica works.  But some say that Lyrica does not work well enough to have warranted its FDA approval.  According to The New York Times, in clinical trials, patients taking Lyrica reported that their pain fell on average about 2 points on a 10-point scale, compared with 1 point for patients taking a placebo. About 30 percent of patients said their pain fell by at least half, compared with 15 percent taking placebos.

In 2004, Lyrica was reviewed by the FDA as a remedy for diabetic nerve pain.  The reviewers recommended against approving the drug, citing its side effects.  Lyrica causes weight gain and edema, or swelling, as well as dizziness and sleepiness. According to the New York Times, in 12-week trials, 9 percent of patients saw their weight rise more than 7 percent, and the weight gain appeared to continue over time.

But the FDA ignored the advice of Lyrica reviewers, and approved it anyway.  Then Pfizer asked the FDA to expand the approved uses of Lyrica to include the treatment of fibromyalgia, and the agency did so in June.  It was a good move for Pfizer.  According to the New York Times, worldwide sales of Lyrica reached $1.8 billion in 2007, up 50 percent from 2006. Analysts predict sales will rise an additional 30 percent this year, helped by consumer advertising.  During the first nine months of 2007, Pfizer spent $46 million on Lyrica ads alone.

While I welcome anything that will help my fibromyalgia patients, I’m not a big fan of Lyrica.

Why? It doesn’t seem to offer any real long-term relief and the side effects are potentially dangerous. 

There are many side effects that are considered "normal" of Lyrica. However, it should be noted that if these symptoms occur they should be brought to the attention of the prescribing doctor. You must keep in mind that the Federal Drug and Food Administration often approve drugs that will result in certain side effects. However, they do so on the notion that the benefits of the prescription will outweigh the consequences associated with side effects in the long run. The following outlines some of the "common" side effects of Lyrica:

Experiencing Weight Gain

Blurred Vision

Body Tremors

Possible Insomnia

Gastrointestinal Difficulties, such as Diarrhea and Constipation

Mild to Severe Headaches

Nausea

Swelling in Hands

Dry Mouth

Swelling in Ankles

Dizziness

Drowsiness

Possible Fainting

Traditional medicine alone isn’t very helpful for fibromyalgia- 70 percent of fibromyalgia patients seek out alternative methods.

I encourage my patient’s to use the Essential Therapeutics Fibromyalgia Jump Start Package.