Category: General Health

An Overview Of Chronic Fatigue Syndrome

Chronic fatigue syndrome or CFS is the name given to a debilitating disorder characterized by conditions of extreme and lasting fatigue. Chronic fatigue syndrome is also commonly referred to as myalgic encephalomyelitis or ME. The name chronic fatigue can be somewhat confusing since chronic or persistent fatigue is also a symptom of several conditions such as rheumatoid arthritis and lupus. Fatigue is the feeling of exhaustion that results from exertion, lack of sleep and illnesses. However, ordinary fatigue is not extreme or persistent, and the patient generally gets better after getting some rest.

What is Chronic Fatigue?

Chronic fatigue happens when this sensation of extreme exhaustion and lack of energy persists for over six months. The exact cause of chronic fatigue is not known but it is believed that several factors play a role in its symptoms, such as stress, hormone levels and infection. Lack of sleep, insomnia and other sleep disturbances can also result to chronic fatigue. Other factors that contribute to the development of chronic fatigue are poor diet, lack of exercise and certain medications.

What is Chronic Fatigue Syndrome?

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases or NIAMS for a patient to be diagnosed as suffering from chronic fatigue syndrome, he must be having severe chronic fatigue for six months or longer. At the same time, the patient should also have four or more of the following symptoms:

Impaired short-term memory and concentration

Prolonged general malaise after physical exertion of any kind

Muscle pain

Pain, swelling and redness in multiple joints

Severe headache

Tender lymph nodes

Recurring sore throat

Un-refreshing sleep

Diagnosing Chronic Fatigue

Diagnosing chronic fatigue syndrome can be quite tricky since there are no physical signs that identify it. There are also no diagnostic laboratory tests that confirm chronic fatigue syndrome. A diagnosis of CFS is given if the symptoms recur for six consecutive months or more and there are no apparent explanations for the fatigue such as disease. However, it should be noted that there are other conditions that overlap and sometimes coexist with CFS and have similar symptoms.

A study of patients suffering from CFS revealed that only 38% of the patients were diagnosed solely with the syndrome. The rest had a diagnosis of a number of diseases such as fibromyalgia and multiple chemical sensitivity or both. Doctors are still unsure whether these conditions are direct causes or have common causes with CFS; or whether that have no relationship whatsoever with chronic fatigue syndrome.

Treatment and Medication

There is still no known cure for CFS so treatments are aimed at relieving the symptoms and improving the body’s functions. To achieve this, doctors usually recommend a combination of medications and non-drug therapies. Lifestyle changes, dietary restrictions, nutritional supplements are also recommended as an addition to drug therapy. Patients who suffer from CFS are also urged to have regular exercise to help reduce the symptoms of chronic fatigue.
However, the doctor should carefully supervise physical activity as this can exacerbate the symptoms of chronic fatigue.

It is important that the patient discuss his/her symptoms with the doctor. It is also important that doctors know what other medications the patient is taking since some medications can exaggerate the symptoms of CFS. Recovery rates from chronic fatigue syndrome are varied.

In a 2005 review of published studies on CFS, it was revealed that improvement rates varied from 8% to 63% with 40% of the patients improving during follow-up.

A Guide In Coping With Chronic Fatigue Syndrome

People who have been diagnosed with chronic fatigue syndrome are both blessed and cursed. For the most parts, they are relieved by an explanation regarding the sudden plunge in their health. However, they are also cursed by the fact that there is nothing much they can do about it because the cure for CFS is yet to be discovered. Nonetheless, there are medications, therapies and self-care techniques that a person can undergo which can help substantially in relieving the symptoms of chronic fatigue syndrome. Here are some suggestions.

Handle your sickness and do not let it handle you Chronic disorders and illnesses often demand a lot from patients in order for them to control the symptoms. However, the best course of action is to always take the hand in controlling the disorder. If you have spent months or years suffering from this syndrome, it is likely that you have developed a sense of helpless and defeat against the disorder. But this must not be the case. Gain back control and know how to handle the disorder.

Look for simple but effective solutions Not all CFS treatment may work for you. This is because while there is a general clinical definition of the disorder, there are various levels of severity whereby it occurs. So if you think your prescribed medications are not doing you much good, pass and try to look elsewhere for symptoms relief. There is a host of treatment and therapies you can use which oftentimes go beyond conventional medicine.

Try to look for those. Consult herbalists and alternative medicine therapists and seek treatments that will help your disorder. Ask your doctor about supplements instead of antibiotics and pain relievers. Go to a psychologist and ask whether there are therapies you can undergo to facilitate better coping with your illness. Dont be limited by pharmacological treatments, experiment on various options and pick some that provide you the most benefits.

Take lessons from each day With chronic fatigue, you are lucky if you don’t feel sick for one day. So for the most parts, you can take note of your symptoms and your responses to treatments and therapies. It is important to keep a journal of your daily experience as this can help guide you on how to better manage your disorder.

Take charge of your healthcare Take an active role in facilitating the delivery of healthcare services for yourself. If what your doctor gives you does not work, find someone else. Dont be afraid to get second or third opinion from doctors who are expert in immune system dysfunction. If you dont respond well to conventional medicine, find other treatments.

Move your body For most patients, the idea of doing some physical activities is not only impossible but unthinkable. Nonetheless, recent studies have shown that minor physical activities pick up one’s energy and health so try undergoing exercise programs. Try graded exercise therapy, for example. According to recent studies, this therapy improves the physical energy and capacity of an individual with chronic fatigue syndrome.

While it is of course hard for the first few months, first few years even, it is always worth the effort. Eventually, with a little activity done each day, the body will regain the strength and vigor that once were available prior to the onset of chronic fatigue.

The Damaging Nature Of Chronic Fatigue

At first glance, you would think that the term “chronic fatigue” says it all. In medicine, any disease, disorder or illness that has the word “chronic” attached to it means that they persist for more than 6 months, either recurring or not. However, chronic fatigue means more than that.

While it seems pretty straightforward, there is actually so much more to this disorder (or disorders) than what its name suggests. It could mean anywhere from persistent headaches, flu-like symptoms or fatigue that goes on for weeks and months. Some even have to suffer for over a few years. Some never really fully recovered.

Patients normally have to suffer from flu-like sickness that does not subside from medications or rest. Also, there is some degree of debilitating exhaustion that limits one from functioning well. Many patients describe this exhaustion as being worn out even before getting up in the morning. In fact, chronic fatigue is not resolved simply by taking a nap or a longer sleep.

The reverse is often true- the lesser activities a patient performs, the higher are the chances that the illness will get worse. With chronic fatigue, a person is also constantly plagued with foggy thoughts and unstable concentration. As if to make it much worse, the person also simultaneously feels joint and muscle pains, disturbed sleep, sore throat, and general sense of absurd health.

But that is not the end of it. For some, these symptoms develop psychological stress that in turn develops anxiety, depression and irritability. These conditions pose great risks of becoming full-blown disorders if appropriate interventions are not administered.

The sad fact is, people who are affected with chronic fatigue syndrome used to be very healthy, very active individuals. They used to lead very normal lives that were free from any of the aforementioned symptoms. This makes one wonder how a perfectly healthy person in fact one who probably had led a very active, if not exceptionally energetic life turn into someone who is perpetually sick? Good question, but one that is difficult to answer.

There are actually no clear answers as to why chronic fatigue syndrome develops in one person and not to another. Current studies and clinical evidence however suggests that chronic fatigue syndrome can develop after contracting a serious infection or after experiencing extreme levels of stress. Having said that, there are numerous medical cases that purport to these theories, so to speak.

There are, for example, valid estimates where 96% of people who develop chronic fatigue used to actively exercise prior to the onset of the disease. Majority of the patients were also at the prime of their lives when they developed the disease. It is not surprising therefore that this disorder is coined as the “yuppie disease”, because it occurs at the time when a person is supposedly healthy and full of life.

After the onset of the disease, the lives of these people are changed drastically. They get stuck in their beds and quit their jobs because it is very taxing to get up. They had to abandon their roles and obligations because they do not have even enough energy to take care of themselves. In fact, they had to live a very sedentary and weak life because they are exhausted all the time.

Indeed, life for Chronic Fatigue Syndrome sufferers is hard, oftentimes debilitating.

Symptoms Of Chronic Fatigue Syndrome

Women are 2 to 4 times more diagnosed with symptoms of chronic fatigue syndrome than men. However, it isn’t a factor to be considered for the condition. Experts believe that it could be that more women report their conditions more than men do to the doctor. The syndrome affects most people who are in their 40s or 50s, but chronic fatigue illness is a health problem that individuals of all ages can be affected with.

The problem with this syndrome is definite risk factors are yet to be determined and confirmed by the doctors as there is no exact cause known to trigger the illness. The most common condition that affects the patient is a flu-like illness, which, in most times, drains the energy and lasts for years. And another problem with it is even the people who are previously full of energy and healthy can be targets of various chronic fatigue syndrome symptoms.

The common signs and symptoms associated to CFS are similar to typical viral infections. However, unlike these infections, they can last longer than just a few days. The tricky part is the symptoms can appear and go as frequently without identifiable pattern. The persistent fatigue is accompanied by other primary symptoms and signs. These include:

Sore throat, expanded lymph nodes in the armpits or neck
Muscle soreness or pains, join pains, redness or swelling
New headache type
Sleep disturbance
Loss of concentration, and even memory
Extreme physical exhaustion that lasts 24 hours following mental or physical exercise.

Other signs and symptoms are abdominal pain, bloating, allergies, chest pain, diarrhea, chronic cough, dizziness, fainting, and balance problems, dry mouth, jaw pain, nausea, irregular heartbeat, earache, night sweats and chills, weight loss/gain, breath shortage, visual disturbances, and tingling sensations. There are also psychological problems added, such as irritability, panic attacks, anxiety disorders, and depression.

Chronic fatigue syndrome can also produce possible complications. They can be depression, adverse reactions and side effects from medical treatments or de-conditioning, lifestyle restrictions, social isolation, and missing work.

Most doctors, scientists, and researches believe that the patient can be diagnosed with the syndrome when a minimum of four symptoms or persistent fatigue have occurred for or over six months.

When to Ask for Medical Advice

It is time to seek medical advice when excessive fatigue or the symptoms, such as psychological disorders and infections, continue to persist. If the condition is preventing you from participating in normal daily activities, whether at home, at work or at school, you need to see a qualified doctor to give you medical attentions.

Emotional Support to the Patients

If you suffer with symptoms of chronic fatigue syndrome, they may peak early on and can become bothersome and then gradually decrease over time. To some other patients, recovering can occur completely while others go worse. Whatever the condition of the patient, it is advised that counseling and emotional support from family and friends know how to deal with restrictions and uncertainties resulting from chronic fatigue syndrome.

The patient is best to go if they can join any support group or meet people, depending on the case, to avoid worsening the condition. But in the case that the condition is different and support groups do not make the patient comfortable, it is better to leave them alone than add to the stress.