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Article discusses home visits of doctors of various specialties for those bed bound..

“Approximately 250,000 people in the United Kingdom (0.2% to 0.4%) have ME/CFS ― where it's called "ME." As many as 2.5 million in the United States have it. Those numbers are expected to dramatically increase with the addition of people with long COVID. An estimated 25% of patients with the condition are so severely impaired that they are housebound or bedbound to the point where they're unable to attend… read more

March 23 (edited)
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How can clinicians help people with severe fibromyalgia who are homebound?

For those with severe fibromyalgia who are bedbound or homebound, home visits from healthcare providers can make a significant difference in accessing care. This approach recognizes that some people are too ill to travel to appointments.

Clinicians Show Full Answer

How can clinicians help people with severe fibromyalgia who are homebound?

For those with severe fibromyalgia who are bedbound or homebound, home visits from healthcare providers can make a significant difference in accessing care. This approach recognizes that some people are too ill to travel to appointments.

Clinicians can address several treatable issues that commonly occur with fibromyalgia:

- Orthostatic intolerance - feeling faint when standing or sitting upright due to insufficient blood flow to the brain and heart
- Pain management - through various treatment approaches
- Sleep difficulties - which can worsen other symptoms
- Gastrointestinal problems - including pain, bloating, and diarrhea

For those experiencing digestive symptoms like pain, bloating, and diarrhea, investigating mast cell activation disorder (MCAD) may be worthwhile. This is a comorbidity that can occur alongside fibromyalgia. If MCAD is identified, sodium cromoglicate may be tried as a treatment option.

The key is that even when someone can't leave their home, there are still medical problems that can be identified and treated to improve quality of life.

March 23

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