A Walking Talking Aching Conundrum

Confusion mounts but, is it the result of tiredness or of excruciating pain, does it stem from extreme exhaustion or intense nauseating discomfort. The evidence is difficult to decipher, in fact the evidence posits itself as the dilemma! Quite frequently the sundry pain and discomforts, especially those in the limbs, seemed to attack just at the point when a temporary exhaustion sets in but, on closer observation I have realised that the exhaustion, or a sudden loss of stamina, follows from my struggling with both aching discomfort as well as more acute pain.

There seems to be an obvious correlation between pain and tiredness but, it also tends to be a classic chicken or egg type dilemma. Recently, what I seem to have been experiencing is an excruciating (pain of) tiredness which may precede or follow bouts of the following kind. The experience, rather than pain, is as if, feet, legs, arms don’t belong to the torso but produce a kind of nauseating discomfort/dis-ease! For longer than I care to remember, my reaction to a randomly occurring hollow ache in the armpits has been one of nausea.

The armpit discomfort, at times, seemed to ease when I discarded my fleece or cardigan, donning a poncho in their place. At other times, an almost contradictory process brought temporary alleviation of the symptoms, namely donning a shoulder support which seated itself firmly in the armpit. So, a freeing up of pressure or applying additional pressure to the aching area, at different times provided relief from the same symptom.

A sudden onset acute pain, in feet, knees, wrists and/or elbows may occur during the day, immediately diminishing my concentration on whatever minor task I’ve been involved in. These symptoms may also occur as I lie in bed at night although, at those times restless legs become the major problem. A combination of low dose amitriptyline (30mg) with 50 or 100 mg of tramadol seems to prevent the restless legs kicking in but, I have no desire to become reliant on the tramadol dosage. In the case of joint pain, a combination of applying elastic supports to the affected points preceded by a generous smearing with ibuprofen gel, gradually diminishes the more acute discomfort.

By this point, you may well think that I’m a physical wreck and, I’d be tempted to agree with you. I still feel blessed that I have access to lots of good music on vinyl, CDs, and airwaves, and movies on DVD, which enable me to enjoy life, pushing the chronic aches and pains away from their dominance of my mindset. It’s strange how a sudden sharp sound, a pan lid falling, a door slammed shut etc. can produce a chest crushing bodily response, I am still able to take musical climaxes in my stride.

All Strapped Up and Still it Won’t Go

Some days, when everything’s apparently going smoothly, a familiar recurring symptom comes almost as a surprise. Quite what causes the symptom is a bit of a puzzle but, that doesn’t make it any less real or disconcerting. What I’m really talking about is a cluster of inter-related aches, pains and intense discomfort.

After using a tablet PC, laptop, or even holding a newspaper whilst I surf / read for just a few minutes, a nagging hollow-ache or tenderness in the armpits develops. That discomfort in itself induces a sensation of nausea. Sometimes applying elasticated supports to my elbows alleviates the immediate nausea but, far too frequently, the armpit ache is followed by pains in the wrist which may respond to the application of wrist supports. Normal, over the counter, analgesics don’t touch the pain or acute discomfort and, I often rely on a discomforted time of rest with upper-arms clamped tightly to the torso whilst forearms are stretched behind my back. Other times a 100mg dose of tramadol has proved efficacious.

                          shoulders, wrists & elbows all strapped up but still it won't go 

I only wish I could find a way to pre-empt this acute discomfort but, the only way to play it safe would be to never attempt to hold a book, paper, tablet, use a laptop, or write anything down on paper. That I will not yield to!

ACHES and GAINS

Just when you think you’ve recovered from the roller-coaster ride, a sudden smack of reality makes you realize that you’ve stepped onto the ferris wheel and this time it’s supercharged. Stomach and oesophagus have never felt so close, a moderate underlying nausea takes on a more prominent role. The head feels giddy as if too much time has been spent on the ‘waltzer’, and knees, ankles and elbows throb as if stray balls from the coconut shy have found fresh targets.

You’ve maybe guessed it, I’m talking payback; a reasonable period of (partial) remission had almost persuaded me that life had been restored to normality. As I’m now into the fifteenth year since my collapse, succumbing to ME (myalgic encephalomyelitis), one would think I’d know better than to miscalculate my reserves of stamina. I’m not talking of any undue exertion, just twenty minutes of mowing the lawn with an electric powered mower seems to have knocked me back. Mind you, this additional exertion came at a time when I’m just coming to the end of a course of antibiotics and antimicrobials.

These additional medications had been prescribed as a result of a visit to A&E at the district hospital last Thursday evening, following a flare-up of diverticulitis (and probably gall bladder as well). There have been many occasions recently when I’ve felt as if my moderate ME had turned to a milder form but then, brainfog, alongside excruciating discomfort in upper and lower limbs, and nagging pains variably dispersed around the torso, randomly exert their authority.

Putting those ailments aside, I am fortunate that I am still able to enjoy listening to a wide range of music (via CD, radio and vinyl sources) and am generally able to accompany Piper (our beagle – podenco  rescue dog) and my beloved OH Helen on short evening walks. A few years ago there were occasions when it seemed / felt like an effort too far]just to walk the few yards to the corner of our road. I really miss it when I’m not able to manage these short walks but the love and attention, received and given, by Piper compensates more than a little, and I’m still amazed at the therapeutic value of this charismatic canine.

An additional source of joy is provided by not infrequent visits from our grandson Alexander, now in his ninth month of bringing and receiving an abundance of smiles to the house. Piper is intrigued by Alexander, even though he’s never sure of how to take the infant’s reciprocal interest; the boy stretches out to feel / stroke Piper but has already managed to grab his tail on one occasion as well as being drawn to his ears (always a sensitive part of the pooch’s anatomy).

Night and Day and ... on and on

A night, plagued by both restless legs and a kind of strangulated tenderness emanating from the axillary lymph nodes, found me more exhausted on arising from the duvet realm, shortly after 10.00am, than I had been when I got myself into the bed 11 hours earlier. This did not bode well for the ensuing cold and damp morning and afternoon; that sense of foreboding proved quite apt.

Aches in wrists and elbows forced me to lay both laptop and tablet pc’s aside as a nausea inducing hollow ache in the armpits took control. I removed my outer garments and applied elbow and wrist supports in an attempt to alleviate the symptoms. The discomfort intensified ….

Anyway, the following poem resulted from this experience.

Poem and illustration both by yours truly

attempted exorcism by written word

It’s almost as if the legions of gremlins are on the warpath again, some kind of vendetta against me. Sometimes I’ve found that expressing my hopes, aches, pains and fears in a quite open way, laying myself vulnerable, affects an amelioration of the conditions which drive me to this confessional mode.

Now, having opened up about my wimpish nature (see previous post), it seems as if my upper limbs are once again veering into nausea-inducing aches and pains, alternating between wrists, elbows and armpits. The armpit aching discomfort / tenderness seems to be the nausea inducing quotient so, in an attempt to alleviate this, I’ve removed all garments from my torso and applied tubular bandage and elastic supports to my elbows, along with wrist and palm supports.

I admit that typing on laptop pc is made more awkward by simultaneously having to press and hold my upper arms tightly against the torso’s sides but, it’s almost as if by some kind of magic I hope to drive these hellish aches and torments away. A kind of exorcism.

The weakness of my faith in this kind of exorcism is demonstrated by the fact that I’m also awaiting the ameliorating effect of 100 ml of tramadol taken some forty minutes ago.

DISTURBANCES

Today has been one of those where sundry, apparently minor, ailments decided to stamp their cumulative presence at the forefront of my consciousness. Earlier in the day, after an all too familiar restless and discomforting night abed, nothing troubled me more than my familiar nagging aches in limbs and torso but, by mid afternoon, cold-like symptoms in palate, sinus and gravelly throat moved dramatically to the fore. Quite early in the afternoon I’d felt rather light-headed, as the room became giddyingly hazy, moving in and out of focus, and I felt rather nauseous; although the experience was reminiscent of when I suffered with labyrinthitis, on this occasion it dispersed rather swiftly.

Unfortunately, a couple of hours later, as I prepared to take Piper for his evening walk, the light-headedness returned with a vengeance and I had to reach out to the hall wall to prevent myself falling. Strangely, I’d been considering whether I should once again resort to use of a walking stick, to support me on my gentle perambulations. My OH helped me back to the lounge where I rested on the sofa feeling pitifully sorry for myself and indescribably fearful. It seems that too many consecutive nights of un-refreshing sleep aren’t too good for one’s sense of well-being. Never mind though, I should by now be more accepting of the state of unwell-being that has accompanied me for the past thirteen years.

The persistent detonation of fireworks, by persons known and unknown, preceding and subsequent to both Bonfire Night and New Year’s Eve / Day have at times turned our outgoing rescue dog, Piper, into a quivering heap seeking sanctuary in corners, under cushions and, squeezing into previously non-negotiable spaces, besides, between, and behind the seated forms of ma belle and myself. On New Years Eve he, meaning Piper, ran up to the bedroom and snuggled into the bed behind my beloved, and as the erratic explosions continued well into the early hours, eventually burrowed under the duvet to settle down between the recumbent forms of his people.

Fortunately for ma belle, very little disturbs her slumbers and, even after the aforementioned disruption of the nights’ more usual routine, she still emerged bright and early to give Piper his morning walk before going out to lead worship and preach at Harlow Moor chapel. As for me, my fitfully erratic sleep pattern was only marginally more disrupted than is the norm.

Dis-Arming Dis-Ease

Being tickled so hard that hysterical laughter turns into a painful scream, I wonder if you know that feeling, because that’s how I feel now except without the laughter! Suddenly the newspaper felt too heavy, or at least too awkward to hold; the wrists succumb to a pounding tympanic throb, so I apply the necessary strappings. Next the inevitable discomfort in the armpits, suddenly the skin feels at least two sizes too small for the torso it embraces; that aching laughter sensation, referred to earlier, holds both inner upper arms in thrall. I try, with only a modicum of success, to dampen the nausea response by clasping the upper arms almost tourniquet tight against my body.

To an onlooker it must seem as if I’ve been suddenly shocked into a     distorted catatonic state.  

It takes some time before I pluck up courage to extend my forearms away from the upper-arm locked torso. A sigh of relief murmurs forth, as I release myself from this temporary stasis; it’s almost as if I’d been holding my breath alongside clasping the upper arms to torso.

It’s proving difficult to catch up on some much needed rest, last night had been one of intense dis-ease best summed up by my posting on facebook at 3.30AM:

Once I stop feeling
my skin's being flayed
whilst discomfort dances
leadenly

over joints
and muscles
then

I may get
some much needed
sleep

Night night folks!

I’m afraid the “Night night folks” was a little too optimistic. I finally managed a little, scarcely refreshing, shut-eye from around 6.00AM.

from the frontline

Sometimes it’s difficult, if not impossible, to describe the exhausting ache of self-questioning, veering towards a sense of guilt for being ill and hence, a burden or embarrassment to those who you really care about. I must be honest that even this preludium to a post doesn’t really express the underlying frustration that prompts it; at root, the knowledge that even the best of days carries a stamina rating of perhaps 20 - 30% of my pre-illness norm.

 

What I was really wanting to say is that the relative paucity of postings, arising from a desire to communicate (with and for whom I know not), bears little distinct correlation to my present levels of pain, discomfort, joy or plain normality. There are times when I wish to write but simply lack the necessary energy to place the written words in any meaningful order; at other times I am positively glowing with the enjoyment of spending time with my beloved, excited by the variety of avian visitors to our sundry garden feeding stations, or even the refreshing joy of a brief brisk venture out into the bracing air, can fill me with such glorious images which, were I to write them down, would sound like an overblown description of some utopian paradise.

 

An evening cocktail of tramadol and amitriptylene tends to curb the night pains, even though sleep is invariably of a restlessly intermittent unrefreshing variety. In the morning I continue to take a low dose of sertraline which seems to control the reactive depression which this disease can so frequently carry in it’s wake. Currently I am also taking mebeverine (3 x daily) and lansoprazole (2 x daily) in an attempt to ease my IBS and gastro-oesophageal reflux problems.

 

I am extremely fortunate to experience a fair number of days where pains and muscular spasms are quite simply a faint background hum, futilely struggling against my enjoyment of the day. Unfortunately, at night, as my body strives for rest the fitful pattern of sleep leaves one more vulnerable to these pernicious nauseating pains and spasms.

 

This afternoon, my far too familiar nausea-inducing nagging pains, emanating from the armpit and apparently gnawing through bone and muscle down through biceps to wrist, vengefully returned. A combination of painkillers and splint type wrist supports eventually alleviated this as I rested on the sofa. And so I come to post this, in the hope that at least some of my words convey their intended meaning.

 

Communique ends.

utilized day but what a night

And yesterday I was gifted with a little extra stamina and, I also felt capable of correctly pacing my utilisation of this resource.  Took advantage of this little power surge to top-up and refill the sundry avian feeding stations in our garden; meal worms, sunflower hearts, black sunflower seeds, suet treats etc. most of which swiftly attracted a miscellany of birds ranging from starlings, blackbirds, finches, blue, coal and great tits, collared doves and the odd wood pigeon were all ready for some superior dining experience. I swiftly realised that all the birds’ watering stations needed de-icing so heated up some water.

Already my halo was shining and, I felt totally in control of my physical stamina resource. Mid-afternoon was time to sort out the main aquarium, changing 30 litres (out of the tanks 180litres) and changing nitrate removal filter and a couple of others. Proud of my achievement I relaxed a little before par-boiling a few potatoes, ready for roasting alongside the already simmering casserole which I’d prepared on Sunday.

That’s when the tiredness hit but, fortunately, not uncomfortably so. Come bedtime, I started to feel that I was being punished for the day’s moderate exertions. Perhaps I’m not handling my pacing all that well. Tenderness of the glands under my chin and in the armpits seemed to be sufficiently calmed by a fairly light dose of painkillers but, obviously I’d been deceived again!

Having joined my beloved au lit, decided to watch a diverting little sitcom on TV before snuggling down.  Within about ten minutes of attempting to settle down, the peripatetic clog dancers decided my lower limbs were an ideal place to practice. The duvet felt as if it was scrubbing the skin off my toes as a nausea inducing bruised aching feeling ambled from calf to thigh and back again. Whatever angle I positioned my legs bent or straight, stretched over the end of the bed, hung out over the bed side, the disconcerting ache continued. At one stage I half fell from the bed, my right calf resting on the rug whilst my left lower limb remained in bed, a real groin stretching experience. I can assure you that this posture wasn’t the result of any voluntary action.

Next thing, the old familiar nauseating aches in both arms began to do their darnedest; applying wrist support splints initially seemed to make little difference. I found myself unwittingly whispering, and occasionally screaming, profanities against the Gethsemane night, alongside whimpering like a lonely puppy. Many hours later I started to enjoy a little post-dawn sleep.

Reluctantly, I emerged from the duvet lair, and returned morning greetings to the bright shiny sun!

of bugs and fishy business

Nausea, dizziness, diarrhoea are sadly all too frequently experienced by yours truly; as a result the symptoms have to reach some crisis point before I’ll seek medical help. Such was the case towards the end of last week when a bug really did lay me low. On the Wednesday I’d felt giddily disorientated from the moment I first attempted to raise myself from the bed and get dressed; for most of the day I rested on the sofa and, by mid-afternoon, managed to eat a small portion of poached smoked haddock in spite of the onset of nausea.

 

Later that day I was due to carry out the second treatment of my aquarium for white spot disease but, reluctantly had to delegate this task to ma belle OH. It really is quite a rigmarole changing 36 – 40 litres of water every five days, vacuuming the gravel before renewing the treatment dosage. Fortunately, today, I felt up to the task that being my primary workload!

 

By Thursday morning even sipping water made me feel like retching and just the thought of food was enough to make me feel queasy. My beloved, from her workplace, had ‘phoned my GP practice to see if she could make an emergency appointment. The duty doctor called her back and said that it could be a reaction to the sertraline, which had been prescribed for me on the 17^th October [the day I wrote my “Breach of Composure” post], at first suggesting that I should maybe try half a tablet, but then arranged for me to see a doctor later that day.

 

Having been chauffeured and hand-delivered to the surgery door by ma belle, the doctor I saw thought it unlikely that the reaction to the medication would have been so delayed. Having checked my temperature, blood pressure, and examined my acutely sensitive abdominal area, she surmised that I’d caught a bug and prescribed rest and plenty of fluids. She was more concerned about my lack of fluid intake rather than my lack of appetite (for food), she prescribed domperidone to help counter the nausea. It feels really great to have much of my appetite restored, even though my stamina reserves are even more depleted than usual.

 

 

 

of flight and storm clouds

Yesterday ma belle et moi spent six swiftly fleeting hours, 14.30 onwards, at my freshly re-discovered friend Kay’s apartment, where we enjoyed much conversation and a wonderful array of refreshments. Before venturing out I’d already had to resort to sundry medicaments, having experienced a considerable degree of discomfort, but during those socializing hours I, thankfully, only experienced the most moderate discomfort.

The subsequent restless night came as little surprise and, as per my norm, I re-emerged from the duvet realm, this morning, feeling more than a degree under refreshed! Early afternoon found me still in reasonably good spirits, considering the previous day’s exertions, but no sooner had my optimism (in matters of health) begun to take flight than the storm clouds rolled in.

A sudden throbbing ache in both biceps necessitated an urgent squeezing of the upper arms against the torso. Shortly afterwards the all too familiar intense gnawing discomfort in the armpits took hold. A painful ache in the wrists, alternating between dull bruise-like and sharp burning throbs, was somewhat alleviated by the application of splints, as I awaited the relief proffered by an additional dose of tramadol.

The disposition of my upper limbs underwent a most flamboyant choreography as I shifted them from an extended posture behind the back, to clamping them tightly by my side whilst I sat on my splinted hands. The armpits continued to feel tortuously tickled, hollowly crumbling, provoking an intense sensation of dis-ease and nausea.

Having recovered sufficiently from that earlier dis-ease, I am now settled down with my beloved, to enjoy Prokofiev’s ‘Cinderella’ ballet [BBC4].  This festive season, the Beeb have already treated us to The Nutcracker Ballet as well as a ballet based upon Alice's Adventures in Wonderland - how's that for pampering!

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my New Year Greetings have been posted on 'Mal's Murmurings'

tasting the air - thwarting the robber barons

For once, I’m thankful for the thieving profiteering utility companies. Being reluctant to put on the fire, hence supporting their practice of extortion, I discover that it’s a more pleasantly comfortable temperature outside and, a walk in the rain (hand in hand with my beloved) provides me with a little long overdue exercise. For the past few days sundry ailments, of both very and less familiar varieties, had prevented me from

tackling little more than a walk up to the garden pond to feed the fish.

Its strange how often dull damp days have the effect of making the houses interior feel extra cold; it feels so much warmer once outside, embracing the elements, on such days as this.

The preceding lines were written yesterday, before I ran out of the necessary stamina / powers of concentration to proceed further. Today, once again, it began to feel almost intolerably cold sat in the house but, having donned an appropriate lightweight waterproof to wander up the garden and feed the fish, the external temperature proved sufficiently comfortable for me to enjoy a garden snapshot session.

Prior to this little venture into the great outdoors, I’d been feeling totally ill at ease inside my own skin; the pain emanating from armpits, upper arm, elbows, wrists and, spasmodically, the rib-cage served to sustain a nagging sense of nausea. For an hour or so it seemed impossible to find a position / posture that would permit me to either listen to the radio or read a few pages of a book without, most disconcertingly, hurting! So, once again, my reluctance to further support the robber barons, encouraged me to take to the open air, as an exercise in distraction from the prevailing dis-ease.