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Several symptoms must be present in order to confirm a fibromyalgia diagnosis. The first is widespread muscle and skeletal pain. Widespread is defined as pain occurring on the right and left sides of the body, above and below the waist, and along the spine. Localized pain also must occur in a majority of identified "tender points" all over the surface of the body. Other general, common symptoms include aching, disturbed sleep patterns, fatigue, morning stiffness, depression, recurrent headaches, tender lymph nodes, bowel or bladder disturbances, sensitivity to heat or cold, anxiety, gastrointestinal disturbances, dizziness, occasional racing heart beats, decreased coordination, and environmental allergies. The presence of certain diseases is also common with a fibromyalgia diagnosis. Three of the most common diseases are irritable bowel syndrome (IBS), Raynaud's disease, and temporal mandibular joint dysfunction (TMJ).
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