Hi i get a lot of tingling numbness and pins and needles inmy hands and fingers and face Yes it is Fibromyalga from Dotpot
It is common for ANA's to change with the course of the illness. One thing about fibromyalgia patients is that 29% of them have a positive ANA titer. The vertigo, sore gums and ringing in the ears are all symptoms that many people w/ fibro experience. ...including the predominant symptom: pain.
However, the other poster is also on the ball. You may want to see another rheumatologist and rule out both conditions.
First of all, don't feel like a hypochondiac. You know your body and whether or not somethng is not right.
Would you be able to see a different rheumetologist if you are not comfortable seing the old one? What you descibe in your hands does sound like Raynaud's but there are two types of Raynuad's, primary and secondary. Given your newest symptoms, perhaps you should consider seeing someone. Things like Lupus can take years to diagnose (not saying that is what you have), and if your current doctor is ignoring a pattern that should be investigated, it is time to find a new one.
Hope this help you somewhat. I cannot speak to the fluctuating ANA and many doctors seem to interpret ANA in different ways.
Wishing you well,
Wanna