General: Fibromyalgia is not a progressive disease and generally does not lead to other conditions or diseases. It may, however, lead to pain and lack of sleep. These problems may disrupt family or work relationships and performance, leading to frustration and depression. Other conditions that may occur in fibromyalgia patients include gastroesophageal reflux disease (GERD), temporomandibular joint (TMJ) disorder, recurrent migraine or tension-type headaches, and irritable bowel syndrome (IBS).
Depression: Many fibromyalgia patients suffer from depression when the condition interferes significantly with the patients' lifestyles, including causing pain. Individuals and members of their family should consult their healthcare providers if they experience feelings of sadness, low self-esteem, loss of pleasure, apathy, and difficulty functioning for two weeks or longer with no known underlying cause. These may be signs of depression.
Fatigue and sleep disturbances: Fibromyalgia patients often do not feel rested, even after getting sufficient sleep. It is possible that these patients are unable to reach the deep restorative stage of sleep known as rapid eye movement (REM) sleep. Sleep and fatigue disorders associated with fibromyalgia include: restless legs syndrome, sleep apnea, and chronic fatigue syndrome.
Other: Other complications of fibromyalgia may include: premenstrual syndrome (PMS) and painful periods, chest pain, morning stiffness, cognitive or memory impairment, numbness and tingling sensations, muscle twitching, difficulty with swallowing, bowel and bladder abnormalities, swollen hands and feet, skin sensitivities, dry eyes and mouth, palpitations, dizziness, reduced exercise tolerance, and impaired coordination. Fibromyalgia patients are often sensitive to odors, loud noises, bright lights, and sometimes even the medications they are prescribed.
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