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

### input:
I have been diagnosed with fibromyalgia for many years but I am seeing my symptoms changing. I know longer have the fatigue and joint pains but now I find myself feeling nauseous all the time, if I eat or not eat. constantly thirsty and have no energy to do much after I get home from work. I have had to take a day last week off work because I could barely get out of bed. I ended up sleeping until after 12 and after I got up and ate something I did not feel much better. I have tried lyrica before and all it has done is depress me. I have a metaling challenging job but not physically. I find I have gain more weight and have no strength at the end of the day to exercise. I have seen two Rheumatologist, one told me to avoid bread and the other was just concern that I could have sleep apnea. I am suppose to see my regular doctor tomorrow and I am tired of her not understanding how seriously ill I feel. I take 30 mg of paxil for anxiety, Diazide and HCTZ for meniares disease and ranitadine. I also take a baby aspirin and when I can t sleep I take embien, which all of this medicines I have taken for many years. I am taken care of my elderly parents and also my husband has had several open heart surgery and his health is not well but I know this is not in my head and i just relax it would go away like I am being told.

### output:

helloNausea may be due to side effect of the oral meds you are on, while fatigue and weakness are also symptoms of fibromyalgia, and you have consulted rheumatologists already, so do not worry, consult your regular doctor, and he may change medicine causing nausea. Sometimes, Amitriptyline is a good choice along with pregabalin for fibromyalgia, if your doctor agrees or thinks necessary may advise these, Try to do exercises despite weakness and engage a physical therapist-it really helps with PT thanks