Fibromyalgia ME

Overlapping Syndromes

Image shows overlapping circles for overlapping syndromes“PWCs are several times more likely to have concomitant medical problems or comorbidities than unaffected individuals.  The most common is Irritable Bowel Syndrome, experienced by up to 60% of PWCs. The next most common is irritable bladder or interstitial cystitis.  There are at least 30 more comorbidities, of which endometriosis is one.  The entire list is:

  • Irritable Bowel Syndrome
  • Overactive bladder or Interstitial Cystitis
  • Acne rosacea (butterfly redness and acne on the face)
  • Temperomandibular Dysfunction
  • HPGA Axis suppression
    • Hypogonadism
    • Premature menopause
  • Sleep disorders (sleep apnea, myoclonus / PLMS, non-restorative sleep)
  • Restless Leg Syndrome / Periodic Leg Movement syndrome (PLMS)
  • Multiple Chemical Sensitivities
  • Hypersensitivities to light, sound, smell, touch, chemicals or odors
  • Sacroiliac joint tenderness
  • Hypoglycemia
  • Mitral valve prolapse
  • Premenstrual Syndrome or Premenstural Dysphoric Disorder
  • Allergies
  • Vasomotor (autonomic or non-allergic) rhinitis
  • B12 deficiency
  • Gut motility disorder with dysphagia, early satiety, nausea, and/or constipation
  • Celiac- or sprue-like disorders with sensitivity to wheat, grains, or gluten
  • Autonomic dysfunction with low blood pressure, orthostatic symptoms or syncope (NMH)
  • Sicca complex or Sjogren’s syndrome
  • Bronchostriction (reactive airways or asthma)
  • Macrocytosis (large red cells, causes low sedimentation rate)
  • Abdomino-pelvic pain
  • Vulvodynia  or vulvar vestibulitis
  • Joint hyperlaxity with or without hyperelasticity (Ehlers-Danlos Stigmata)
  • Bruisability
  • Visual midline shift syndrome with imbalance and listing to one side
  • Milk protein intolerance
  • Costochondritis
  • Endometriosis
  • Metabolic Syndrome”

Dr. Charles Lapp

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