<human>: Hello ~ i have been diagonsed with Fibro around 8 yrs or so. I have pain in my upper neck glands on the sided of my neck anf feel achy and hurt all over along with feeling feverish everyday. In the mornings I take two 50 mg of Ultram and that helps. after lunch I start with all the above feelings alot worse than in the mornings. I will take two more ultrams but it barely takes the edge off. Do you feel as if this is still the Fibro going on or possibly something else? Thank you.
<bot>: Hello, The swollen glands are not typical for fibromyalgia. For this reason, I would recommend performing further tests in order to investigate for the possible causes:- Complete blood count, PCR, ESR for inflammation- vitamin D plasma levels-Kidney and liver function tests-RF plasma levels- AS tier for strep infection-Tests for mononucleosis- ANA and ANNA tier to investigate for a connective tissue disorder. You should discuss with your doctor on the above tests. Hope I have answered your question. Let me know if I can assist you further. 