Do you have Fibromyalgia/ or CFS??? Chronic Fatigue Syndrome/Fibromyalgia Symptom Checklist

I found this very detailed checklist of symptoms for Fibromyalgia and/or Chronic Fatigue Syndrome. If you have not been diagnosed or are new to Fibro and CFS, this checklist is for you. Even I went through the list and found some new symptoms I have always had, not realizing the were from the Fibromyalgia/ Chronic Fatigue Syndrome. Like dry eyes and changes in visual acuity (frequent changes in the ability to see well). I have had these problems for years, never relating them to my Fibromyalgia. So go through the checklist and see if you learn anything new about yourself. I would love to hear of your new discovery.

Chronic Fatigue Syndrome/Fibromyalgia Symptom Checklist

Katrina Berne PhD, Livingwithwellness.com

For ease in printing, this form is available PDF format.

Please indicate on a scale of 1 to 10, with 10 being the most severe, the severity of each symptom you experience (using the past month as a general guide). If you do not have the symptom, leave the space blank.

GENERAL
____ Fatigue, made worse by physical exertion or stress
____ Activity level decreased to less than 50% of pre-illness activity level
____ Recurrent flu-like illness
____ Sore throat
____ Hoarseness
____ Tender or swollen lymph nodes (glands), especially in neck and underarms
____ Shortness of breath (air hunger) with little or no exertion
____ Frequent sighing
____ Tremor or trembling
____ Severe nasal allergies (new allergies or worsening of previous allergies)
____ Cough
____ Night sweats
____ Low-grade fevers
____ Feeling cold often
____ Feeling hot often
____ Cold extremities (hands and feet)
____ Low body temperature (below 97.6)
____ Low blood pressure (below 110/70)
____ Heart palpitations
____ Dryness of eyes and/or mouth
____ Increased thirst
____ Symptoms worsened by temperature changes
____ Symptoms worsened by air travel
____ Symptoms worsened by stress

PAIN
____ Headache
____ Tender points or trigger points
____ Muscle pain
____ Muscle twitching
____ Muscle weakness
____ Paralysis or severe weakness of an arm or leg
____ Joint pain
____ TMJ syndrome
____ Chest pain

 GENERAL NEUROLOGICAL
____ Lightheadedness; feeling “spaced out”
____ Inability to think clearly (“brain fog”)
____ Seizures
____ Seizure-like episodes
____ Syncope (fainting) or blackouts
____ Sensation that you might faint
____ Vertigo or dizziness
____ Numbness or tingling sensations
____ Tinnitus (ringing in one or both ears)
____ Photophobia (sensitivity to light)
____ Noise intolerance

 EQUILIBRIUM/PERCEPTION
____ Feeling spatially disoriented
____ Dysequilibrium (balance difficulty)
____ Staggering gait (clumsy walking; bumping into things)
____ Dropping things frequently
____ Difficulty judging distances (e.g. when driving; placing objects on surfaces)
____ “Not quite seeing” what you are looking at

 SLEEP
____ Hypersomnia (excessive sleeping)
____ Sleep disturbance: unrefreshing or non-restorative sleep
____ Sleep disturbance: difficulty falling asleep
____ Sleep disturbance: difficulty staying asleep (frequent awakenings)
____ Sleep disturbance: vivid or disturbing dreams or nightmares
____ Altered sleep/wake schedule (alertness/energy best late at night)

 MOOD/EMOTIONS
____ Depressed mood
____ Suicidal thoughts
____ Suicide attempts
____ Feeling worthless
____ Frequent crying
____ Feeling helpless and/or hopeless
____ Inability to enjoy previously enjoyed activities
____ Increased appetite
____ Decreased appetite
____ Anxiety or fear when there is no obvious cause
____ Panic attacks
____ Irritability; overreaction
____ Rage attacks: anger outbursts with little or no cause
____ Abrupt, unpredictable mood swings
____ Phobias (irrational fears)
____ Personality changes

 EYES AND VISION
____ Eye pain
____ Changes in visual acuity (frequent changes in ability to see well)
____ Difficulty with accommodation (switching focus from one thing to another)
____ Blind spots in vision

 SENSITIVITIES
____ Sensitivities to medications (unable to tolerate “normal” dosage)
____ Sensitivities to odors (e.g., cleaning products, exhaust fumes, colognes, hair sprays)
____ Sensitivities to foods
____ Alcohol intolerance
____ Alteration of taste, smell, and/or hearing

 UROGENITAL
____ Frequent urination
____ Painful urination or bladder pain
____ Prostate pain
____ Impotence
____ Endometriosis
____ Worsening of premenstrual syndrome (PMS)
____ Decreased libido (sex drive)

 GASTROINTESTINAL
____ Stomach ache; abdominal cramps
____ Nausea
____ Vomiting
____ Esophageal reflux (heartburn)
____ Frequent diarrhea
____ Frequent constipation
____ Bloating; intestinal gas
____ Decreased appetite
____ Increased appetite
____ Food cravings
____ Weight gain (____ lbs)
____ Weight loss (____ lbs)

 SKIN
____ Rashes or sores
____ Eczema or psoriasis

 OTHER
____ Hair loss
____ Mitral valve prolapse
____ Cancer
____ Dental problems
____ Periodontal (gum) disease
____ Aphthous ulcers (canker sores)

 COGNITIVE
____ Difficulty with simple calculations (e.g., balancing checkbook)
____ Word-finding difficulty
____ Using the wrong word
____ Difficulty expressing ideas in words
____ Difficulty moving your mouth to speak
____ Slowed speech
____ Stuttering; stammering
____ Impaired ability to concentrate
____ Easily distracted during a task
____ Difficulty paying attention
____ Difficulty following a conversation when background noise is present
____ Losing your train of thought in the middle of a sentence
____ Difficulty putting tasks or things in proper sequence
____ Losing track in the middle of a task (remembering what to do next)
____ Difficulty with short-term memory
____ Difficulty with long-term memory
____ Forgetting how to do routine things
____ Difficulty understanding what you read
____ Switching left and right
____ Transposition (reversal) of numbers, words and/or letters when you speak
____ Transposition (reversal) of numbers, words and/or letters when you write
____ Difficulty remembering names of objects
____ Difficulty remembering names of people
____ Difficulty recognizing faces
____ Difficulty following simple written instructions
____ Difficulty following complicated written instructions
____ Difficulty following simple oral (spoken) instructions
____ Difficulty following complicated oral (spoken) instructions
____ Poor judgment
____ Difficulty making decisions
____ Difficulty integrating information (putting ideas together to form a complete picture or concept)
____ Difficulty following directions while driving
____ Becoming lost in familiar locations when driving
____ Feeling too disoriented to drive

 

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About The Author

aprilb

This is a blog for all Fibromyalgia sufferers. I have fibromyalgia myself. I blog about my fibro health and life. The problems I have with Fibromyalgia and how I solve them. I write about therapies, medications and the life itself, as a disabled person who wants to be thought of as normal. I have two children, they both live at home with me. Both boys they are 22 and 18 years of age. I also have at home three dogs and two cats. Yes, sometimes it’s like a zoo around here. I live in California. I am surviving on Social Security Disability Insurance and marketing online. It has been slow going but I am making it work. I am no longer able to work outside the home because of the fibromyalgia. I used to be a Loan Officer for a large mortgage company. I also have a Real Estate license. I use to be a very busy person. The fibromyalgia has taken a lot out of me. As I am sure it has for you too. So I write for you, the hurting and disabled with Fibromyalgia, Chronic Fatigue, IBS, and all the other symptoms we so boldly carry. My hope is that you’ll get some value out of this blog. Always feel as if you can comment on my views. I would love to hear some interaction from my readers. I have created the site to truly help people that are experiencing difficulty in their own lives with Fibromyalgia. Many people in America and all over the world are suffering from this disease. This site is dedicated to helping provide the most up to date information about living and coping with Fibromyalgia in your everyday life. I am not a doctor, nor am I licensed to give medical advice in any way. Any information you find on my blog is strictly an opinion and should not be taken as medical advice. You are responsible for any information you use from this site in your own life. Please talk with a licensed, medical professional before making any important decisions about your health or illness. Thank you. Sincerely, April Baldner (myfibrolife)