Tag: Chronic Fatigue Syndrome

Chronic Fatigue Syndrome Overview

With no known definite cause, Chronic Fatigue Syndrome is a popular name for a disorder or group of disorders with varying debilitating effects on the individual which persist for at least 6 months. According to some sources, the syndrome results from an infection. As of yet though, the syndrome is not yet fully understood although it is quite a common disorder.

Onset
The onset of CFS is usually characterized by sudden occurrence of symptoms which are somewhat similar to the symptoms accompanying flu. It is believed to begin with an infection caused by non-viral and viral pathogens which trigger subsequent symptoms. In a smaller fraction of patients, the onset begins after exposure to prolonged extreme levels of stress. Thus, it is believed that CFS can begin either from high levels of stress or infection. Current studies are focused on investigating on these causation models.

Causes
Although there are no definite causes to chronic fatigue syndrome, there are however, known conditions that are closely related to the development of the syndrome. They are as follows:

1. Chlamydia pneumoniae, a bacterium which causes pneumonia and related illness.

2. EBV or Epstein-Barr virus which causes mononucleosis or the kissing disease, a very common respiratory disease that has symptoms resembling flu.

3. Onset of serious case of bronchitis and diarrhea.

4. Continuous subjection to stress, both physical and mental.

Symptoms
There are two criteria in determining the presence of Chronic Fatigue Syndrome. They are as follows:

1. Unexplainable chronic fatigue is experienced for more than 6 months and all other diseases and disorders that can lead to long term experience of fatigue have been ruled out by your health care provider. This fatigue does not root from physical exertion and cannot be relieved by rest.

2. The presence of four of the following symptoms: a) decreased cognitive function or chronic impairment of short-term memory, b) fatigue that is not relieved through rest, c) muscle pains or myalgia, d) severe headaches, e) prolonged sickness and exhaustion, f) recurring and frequent sore throat, g) joint pains without redness or inflammation, and f) abnormal lymph nodes with notable tenderness.

Treatment Options
There are several ways of managing the disorder but there is no one universal treatment option that is recommended for all patients. For some patients, dietary changes, changes in lifestyle, use of pain killers, physiotherapy, medications and Complementary and Alternative Medicine work. The most common unconventional treatment modalities are CBT or Cognitive Behavioral Therapy and Graded Exercise Therapy.

Prognosis
The average recovery rate of untreated patients is pegged at 5%. On the other hand, those patients who have received a number of treatments are 40% more likely to benefit from full recovery.

Occurrence
Due to the absence of concrete and definite parameters for identifying people with CFS, it is quite hard to determine the exact number of people who are affected by this disorder. Estimates range from 75-420 people in every 100,000 people have this disorder. Women are more susceptible to developing this disorder by 20% although there are strong indications that this disparity is due to unreported cases among men.

The syndrome occurs across all ages but is more common among people aged 40 to 59 years old. It is found across genders and ethnic backgrounds. It is also seen to run in the family.

Chronic Fatigue Syndrome Frequently Asked Questions

What is the difference between normal fatigue and Chronic Fatigue Syndrome?
Nothing much on the first few days. Normal fatigue is the feeling of exhaustion which is usually caused by physical exertion, mental stress and sickness.

Chronic Fatigue Syndrome, on the other hand, is a group of symptoms or conditions that result to various other symptoms such as decreased mental acuity and flu-like illness and excessive fatigue. A type that will not afford its sufferers with enough energy to move freely. The difference between the two is demonstrated once full-blown symptoms occur and when they last for at least 6 months, that’s when it becomes chronic.

What are the symptoms of Chronic Fatigue Syndrome?

There are various symptoms of Chronic Fatigue Syndrome and in order to determine the presence of this condition, a patient must possess at least four of the following: post-exertional malaise which persists for more than 24 hours, muscle pains, joint pain, sleep difficulties or sleep that does not lend energy to the individual, frequent severe headaches, sore throat that is persistent and recurring, decreased mental clarity, poor memory and impaired concentration, and tenderness of the lymph nodes that are located in the neck and armpit.

What are the causes of Chronic Fatigue Syndrome?

While the exact causes of CFS are not yet identified, there are strong indications that cause can be divided into three types: immune system-related, viral and non-viral pathogens and stress-related. There are also indications that CFS is triggered by the combination of these causes. For some people, the onset of the condition begins after contracting an infection; for others it begins after a prolonged period of exposure to stress.

There are also some patients who had weakened immune system which made it easier for the symptoms to develop and progress to worse conditions. Current studies are trying to find out whether genetics, emotional distress and immunological conditions are related with the disorder.

Is there a cure for Chronic Fatigue Syndrome?

As of yet, cures for CFS are still being developed. Thus, treatment for the condition is basically focused on alleviating the symptoms.

What are the treatment options?

There are several types of treatment options available for patients of CFS which are roughly divided into four categories: medical treatments, alternative treatments, supportive treatments and lifestyle alterations. Under medical treatments are the medications and drugs that are prescribed to alleviate symptoms such as pains, headaches and psychological stress caused by CFS. These include pain relievers, NSAIDs or Non-Steroidal Anti-Inflammatory Drugs, Anxiolyticagents, Autonomic nervous system stimulants and antidepressants.

Natural, herbal and hormone supplements are commonly used under alternative medicine. Relaxation techniques and behavioral techniques are used in supportive treatments while lifestyle alterations basically help patients change some aspects of their lives to establish relief from debilitating symptoms.

How is diagnosis made?

Since there are no laboratory, diagnostic and medical examinations and tests that are used in the diagnosis of CFS, health care providers use the principle of exclusion in determining the presence of the condition. Through this method, all diseases, illnesses and conditions that are known to have symptoms similar with CFS are ruled out. Diagnosis is only made once the symptoms of the patients match with the case definition.

Where can I get help?

You can get help from health care providers who are knowledgeable in diagnosing and treating CFS are the best people patients could go to. Support groups for patients of CFS are also available.

Chronic Fatigue Syndrome: Coping Techniques

Chronic Fatigue Syndrome, like all chronic illnesses, poses a host of stresses that patients have to suffer from. Among the most common are the loss of life roles, ongoing medical expenses, loss of job or source of income, confusing symptoms, and constant medical check-ups with healthcare professionals who sometimes do not fully understand the condition.

With these stresses, it is very important for patients to know how to cope. Coping is integral to the management of the disorder and to some extent recovery from the syndrome. Presented below are some coping techniques that may not only help you deal with the disorder better but can also free you from some of the discomforts it could give.

Establish a positive understanding of the disease. It is not only important to know the nature of the fatigue and its accompanying symptoms but it is also vital that the patient knows how to positively deal with them. Establishing a positive concept regarding CFS is known to help patients respond to the symptoms better and facilitate self-regulatory techniques much more effectively. This is the crux of Cognitive Behavioral Therapy, a psychological therapy that brings about relief from symptoms by way of establishing a good outlook with respect to the condition.

Avoid excessive resting It is natural to rest whenever one feels extremely fatigued. However, the reverse is often the more effective technique. Stop the urge of resting as this could debilitate your condition further. Instead, try to incorporate minor activities into your daily life which may include low levels of activities at first.

Then, progress to higher intensity activities, according to what level your body can afford. Do not overexert yourself though as this can also have damaging effects. When in doubt, consult your health care professional, he can recommend therapy options like graded exercise therapy.

Manage your daily activities Limit your activities according to a well-defined plan. Most patients limit their activities according to the particular activities they can perform in a day. This is counter-productive and should not be done at all costs. The key is to have a consistent pattern of activities that progresses according to the levels of difficulty and required physical exertion. Try to attain a balance between stress, physical exertion and rest.

Dont focus on the symptoms It is not uncommon for people to nurse the symptoms of their disease. Despite the fact that this is not helpful, patients still persist with this attitude. Among people who suffer from chronic fatigue syndrome, nursing their pains and aches only lead to higher sensitivities to both as well as to disengagement. Disengagement is an attitude of surrendering in the face of inconvenient experiences (stressors) when they seem too overwhelming.

Hence, disengagement is a poor coping mechanism. Patients of CFS are advised not to give too much emphasis on the pains instead, they are recommended to live with them and conquer the urge of giving up.

Avoid the pitfalls of coping Most patients fail not because the treatment and therapy they have undergone are not effective but because they try to rush back to their lives prior to the onset of the condition. It is important to understand that chronic fatigue syndrome is a disorder that cannot be remedied immediately.

It takes time and patience to progress from one stage of the disorder to another. Most patients who try to achieve immediate relief from symptoms often find themselves rebounding to square one, that is to the stage where the syndrome is most severe.

Chronic Fatigue Diagnosis

Myalgic Encephalomyelitis, more commonly known as Chronic Fatigue Syndrome is a disorder or groups of disorders that is characterized by the onset of fatigue that persists for more than 6 months. It is characterized by a host of symptoms that range from muscle and joint pains to decreased ability to perform even the least demanding activities.

This syndrome is diagnosed by examining the symptoms of an individual against two groups of symptoms which are commonly demonstrated by CFS patients.

The first sign that healthcare professionals look for is the persisting chronic fatigue that is not related to any other condition that results to exhaustion. Tolerance to fatigue among CFS patients is very low, thus they get severely exhausted after performing even the simplest and least demanding of tasks. In fact, it is not uncommon for CFS patients to move from one place to another without feeling drained.

Most of them also get sick for several days to several weeks after performing minor activities. Most of them also exhibit flu-like symptoms after performing low intensity tasks.

The second criteria for establishing the presence of Chronic Fatigue Syndrome is the onset of four of any of the following symptoms: myalgia or muscle pains, arthralgia or joint pains in multiple locations, head aches of more serious severity, persistent soar throat which recurs, tenderness of the cervical and axillary lymph nodes, impaired short-term memory and concentration, malaise which is experienced after physical exertion, and sleep disturbance.

Other symptoms that healthcare professionals look for are abdominal pain, bloating, dizziness, nausea, chronic cough, chest pains, shortness of breath, dryness of the mouth and eyes, weight loss, onset of minor and major psychological problems such as depression, anxiety, irritability and panic attacks, diarrhea, alcohol intolerance and skin and tingling sensations.

Diagnosis is facilitated only after all conditions that are known to produce the aforementioned symptoms are ruled out. In general, healthcare professionals encounter difficulty in diagnosing chronic fatigue syndromes due to the similarities and generality of symptoms it presents. Apart from the fact that fatigue is a common result of many diseases, it is also a very common sign of most chronic conditions. CFS also presents no symptoms that are visible and obvious enough for easy identification.

On top of these, there are also no diagnostic and laboratory tests that can help in establishing the presence of the disorder. Patients of CFS also display varying symptoms and level of severity which makes most patient experience differences in symptoms and severity. However through exclusion of the following factors, most doctors can arrive at a diagnosis:

1. The presentation of identifiable conditions that result to fatigue and decreased level of activities. Most doctors look for symptoms of hypothyroidism, a condition wherein the thyroid produces lower levels of thyroid hormones. Other notable conditions that may exhibit symptoms similar with CFS are lupus, Lyme disease, multiple sclerosis, bipolar disorder, mononucleosis or kissing disease, depression and diabetes.

2. The usage of medications that result to fatigue. Obviously, there are a number of medications, drugs and substances that can cause physical exhaustion.

3. Recurrence of previous diseases, disorders and illness that can produce extreme exhaustion such as cancer.

4. Substance abuse, more specifically excessive alcohol consumption.

5. Obesity which is defined as having a Body Mass Index (BMI) or more than 45.