Fibromyalgia Support Group
You're not alone in your pain. Fibromyalgia is a condition that can be difficult to diagnose and manage. If you're trying to cope with pain throughout your body, sleep problems, general fatigue, or other common fibromyalgia symptoms, you're in the right place. The community is here for you to talk about therapies and share your challenges.

I am gluten and dairy intolerant and can have no cane sugar, add a few other allergies and I am limited. Can't even enjoy a glass of wine. I make a cold pressed coffee which is low acid and put rice milk in it. I feel it is one of the pleasures I can have and I am not giving it up.
lalaB
However, I absolutely, positively, will never, ever, give up my one cup of instant coffee with non-dairy hazelnut creamer no matter what any doctor tells me!
No alcohol, no cigarettes, and now no coffee? To heck with that!
Coffee is my last vice and I'm holding on tight to it :)
Like what LuLu said, I (we all) have already given up so much for this disease, there are things I refuse to give up, like my morning tea. :)
This question was answered by Richard Podell, M.D., M.P.H., an experienced fibro clinician in NJ.
I don't suspect that caffeine is generally bad, unless it triggers anxiety and/or muscle tension, which it can in susceptible people. In that case, it would increase muscle pain. Of course, caffeine stimulation can also disrupt sleep quality and cause GI upset.
Caffeine may cause a partial withdrawal response in people who consume a lot of it in their coffee to jump-start their day. The body's withdrawal response later in the day can produce headaches, muscle aches, fatigue, and other symptoms. Most people who are addicted to caffeine are drinking 3+ cups of coffee a day, but I've seen withdrawal symptoms on just one cup a day.
To determine if the caffeine is causing or exacerbating the symptoms of fibro and CFS, I have the patient (if they are willing) taper off caffeine and stay off of it for four weeks. A fair number develop increased symptoms within 24-48 hours--usually increased fatigue, headaches, and muscle aches. If so, this is a good sign. Within one week, they will be at least as well as before they stopped, and within a few weeks they will almost always feel improved. This maneuver is particularly important for those people who do not have FM/CFS, but who think they do because their chronic caffeine partial withdrawal can mimic these conditions. Those who have FM and CFS will also find an improvement in their symptoms, but the underlying disease remains.
I love my coffee so I'm grateful it's not a factor.
I don't drink pop except for a Vernor's maybe once every six months.
What I do do, however, is take one little solitary caffeine tablet every morning. It's 200 mg, the equivalent of one cup of coffee. It keeps my migraines away.
I've not tried discontinuing my caffeine intake, so I don't know whether it would make a difference in my pain level, but I can't imagine that little bit would wreak so much havoc in my body!
Oh, and I don't consume caffeine other ways either--no chocolate, for example. Talk about getting migraines!
Lamb