### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
thank you I am diagnosed with fm and rheumatoid spec twenty years ago in newmarket and dr bykerk Mississauga I am desparetly in need of something for pain I thought I could get along without the med walk in clinic dr sent in blood work to a pain spec in barrie do not knowhow and have not heard anything for a month thanks Helen jarvi

### output:

The basic region of fibromyalgia is stress, anxiety, improper sleep, and disturb lifestyle with mental stress. There are three Chat Doctor.  Pregabalin : helps to reduce anxiety and sleep disturbance.2. Cymbal ta and 3. Novella: both these are anti-depressant.  For permanent good relief I suggest my patient to improve their lifestyle have good balance diet, proper sleep and rest, keep positive attitude towards anything, and exercise regularly. Here for fibromyalgia regular exercise like stretching of pain full muscles and progressing towards strengthening the same muscles also help a lot for pain relief. But here the exercise has to be started on a gradual mode. Apart from this, regular body warm up exercise like cycling and walking also helps for fibromyalgia patient. Your next question was for treatment on rheumatoid: here understand what happens with patient who are rheumatoid positive. There will be autoimmune inflammation in body which will damage not only the harmful cells but also the normal body cells and so that patient will have complained of pain and inflammation, swelling etc. Here again the best treatment I suggest my patient is keep your self active. Do different joints and muscles mobility and flexibility exercise it will help a lot to reduce the inflammation and so that the condition will not progress. Here for both fibromyalgia as well rheumatoid also there is anti-inflammatory diet available. Talk to your dietician to have more idea on it. For detail exercise program. You can again check with your physiotherapist. And for medication do not start on your own but check with your doctor. They will suggest you best since they have seen all your report. Take care.