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

### input:
Ok. I woke up Monday night with extreme pain in my back, arms, legs, and feet. I took 4 Advil and it helped the pain. But I was told I cannot continue the Advil so I was given Tylenol with coding. I get chills when the pain is bad, and it just throbs constantly. So my doctor dosent know what I have. I also get cramps in my thighs and calfs. I am in a lot of pain.

### output:

Dear patient thank you for your question. I am sorry you are in so much pain. What I am interested in knowing is why the doctor told you not to take Advil. Also, it seems strange that he/she has not indicated what condition you might be suffering within any case I feel you may have a condition called fibromyalgiaFibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is believed that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. Symptoms of fibromyalgia:Pain areas: in the muscles, abdomen, back, elbow, or necktie types: can be chronic, diffuse, sharp, throbbing, or Severin circumstances: can occur at sightseer: difficulty falling asleep, sleep disturbances, or sleepinessGastrointestinal: constipation, nausea, or passing excessive amounts of gasohol body: fatigue, feeling tired, or malaiseMuscular: muscle tenderness, delayed onset muscle soreness, or muscle spasmsSensory: pins and needles, sensitivity to cold, or sensitivity to precognitive: forgetfulness or lack of concentrationMood: anxiety or mood wingspan: sensation of coldness or tinglings common: depression, flare, headache, irritability, joint stiffness, nervousness, painful menstruation, or tingling overtreatment of fibromyalgia:Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Alive, others) may be helpfulAntidepressants. Duloxetine (Cymbal ta) and milnacipran (Novella) may help ease the pain and fatigue associated with fibromyalgia. Anti-seizure Chat Doctor.  Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrics) was the first 