back soreness, nausea and fatigue

[trc1962]

Hi, hoping someone can give input to what I am dealing with. For the past few weeks life has been too busy. Im a teacher, Christmas and everything piled on and I just kept pushing. I have felt this weird exhaustion that sets in late in the day, usually after dinner and I feel nauseas, chilled and achy, when I go to bed I feel better and somewhat rejuvenated by morning. I am now on Winter break and it has worsened, I also have a tender area on my spine between my shoulder blades and it feels warm and again the weird nausea, muscle pain and fatigue. I have been awakening at 5 am sometimes, which is frustrating as I can sleep in some. Today I woke up because the sore area on my spine was bugging me. Any ideas?

[trc1962]

I have done some reading myself and I think it might be myofascial pain syndrome. It helped when I took a hot shower. Hopefully it improves in the next couple of days. The discomfort can be bad and I will need to not get over tired and stressed or it may move in long term.

[Linda196]

I do have a couple of questions for you, and remember we aren't able to diagnose, just make a few suggestions based on personal experience.

Do you have any history of gastric issues like reflux or gall bladder?
Are you taking any "stomach meds" like antacids or acid blockers?
What's your caffeine intake like?
Do you have any cardiac history (symptoms like this can be caused by cardiac problems but are usually more sudden and intense, but can be "nagging" in the case of previous heart problems)

Also, remember that women with heart disease present differently than men, and the symptoms can often be almost interchangable with those of gastric problems and should probably be checked out with your doctor.

[trc1962]

Hi, I do have reflux that comes and goes and when it is active I usually OTC to help, but occasionally take a preventative that is a prescription. I do not have heart issues, but I realize that back pain can mimic heart issues so I will see my primary to rule that out. I do not do much caffeine, no coffee and only herbal tea usually. I think too I take nortriptyline in a small dose and I was off it a few days while it was refilled, and the pharmacy screwed up and it was delayed. Nortriptyline helps with pain and perhaps not having it ramped up my pain some. Thank for the input!