Question

Fibromyalgia Treatment

How is dizziness in CFS and fibromyalgia treated?

A Answers (2)

  • ACeleste Cooper, Rheumatology, answered
    Dizziness can be a symptom of many things and is taken care of by treating the underlying cause.

    There are several conditions that coexist with FM and CFS that can cause lightheadedness. Even more significant is research that suggests both POTS and NMH occur more frequently in chronic fatigue syndrome and fibromyalgia. Postural orthostatic tachycardia (POTS) and neutrally mediated hypotension (NMH) can cause extreme dizziness and alter one's ability to function. Both are treated by increasing blood volume with hydration and possibly a medication to help the body conserve its water.

    Dizziness can mean many things and is not a symptom to take lightly. If you experience this symptom discuss it with your doctor so the appropriate tests can be ordered to determine the cause. If dizziness comes on suddenly, seek immediate treatment.
  • AJacob Teitelbaum, Integrative Medicine, answered
    Dizziness in the form of disequilibrium is not uncommon in chronic fatigue syndrome (CFS) and fibromyalgia. If no vertigo is present (vertigo in CFS is much less common and is where you feel like you or the room is spinning in a circle), the key likely causes are:

    -  Autonomic dysfunction - Increasing salt and water intake and adrenal support are important here (unless one has high blood pressure of heart failure) as would be proper chiropractic adjustment of the atlas area in the neck.
    -  Intermittent drops in blood sugar from low adrenal. If this is the cause, dissolving 1/2-1 teaspoon of sugar under the tongue during an attack should eliminate the attack in under 2 minutes (and usually quicker). The sugar is not a long term solution (though sucking one tic tac during an attack is helpful) but simply tells you to treat for low adrenal issues.
    -  Neck muscle spasm can trigger episodic dizziness.
    -  Have a physician rule out heart problems (abnormal rhythms or valve issues, etc).
    -  Spend a few days at a friend's house and see if the problem resolves. If so, look into a condition called "sick building syndrome."

    In those with vertigo in CFS/FMS (much less common than dizziness), I am likely to presume an infection, such as Lyme, affecting the nerve to the ear and give a trial of long term antibiotics.

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