Chronic Fatigue Syndrome - Medtick

Chronic Fatigue Syndrome

What is it?

Chronic fatigue syndrome is a complex illness known by at least six months of extreme fatigue that is not relieved by rest (even after sleep) and a group of other symptoms that also are constant for at least six month and is not normally explained by another underlying medical condition.

  • This condition is also referred as Myalgic encephalomyelitis (ME), chronic fatigue syndrome (CFS) and/or systemic exertion intolerance disease (SEID).

Diagnosis test

  • Routine diagnostic tests are recommended for all patients with suspected ME/CFS:
    • Complete blood count with differential
    • Rheumatoid factor
    • Comprehensive metabolic panel
    • Four-point salivary cortisol (i.e. upon waking, at noon, at 4:00 PM, and at bedtime)
    • Morning cortisol
    • Antinuclear antibody
    • Thyroid-stimulating hormone, free thyroxine
    • C-reactive protein
    • Vitamin B12
    • Erythrocyte sedimentation rate
    • 25-dihydroxy vitamin D
    • Ferritin
    • Urinalysis

Cause

  • Abnormalities in the brain, particularly in the hypothalamus (a part of the brain that regulates hormones and vital functions) and the pituitary gland.
  • Abnormalities in the part of the nervous system called the autonomic nervous system, which controls blood pressure, heart rate, body temperature and other vital body functions.
  • Defects in the ability of cells in their bodies to make energy. Some studies indicate that certain genes are built differently, and that the activity of genes in white blood cells is different.
  • Sleep disorders
  • Infection:
  • Surgery
  • Stress
  • Depression
  • Traumatic accident
  • Bereavement
  • Overworked (for long periods)

Syndromes

Symptoms

  • Fast/rapid heartbeat?
  • Heart palpitations and/or irregular heartbeats?
  • Diagnosed with low blood pressure?
  • Lack of energy?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Confusion?
  • Loss of memory or concentration?
  • Sore throat longer than seven days?
  • Enlarged lymph nodes in your neck or armpits?
  • Aching, painful muscles, muscle cramps/spasms/stiffness?
  • Joint pain and stiffness?
  • Headache which is on and off or a constant headache longer than 24 hours?
  • Feeling of not having a good night sleep/Unrefreshing sleep?
  • ‘Brain fog’?
    • Short-term memory or concentration problems (These include losing one’s train of thought, forgetting what you were doing, or being unable to remember things you have heard or read)?
    • Word use and recall problems (this can include difficulty finding the right word or remembering the names of things or people. one might also have impaired speech)?
    • Impaired math and number ability (one may have a hard time calculating numbers or remembering number sequences or dates, for example)?
    • Spatial disorientation (this may involve becoming lost easily or not remembering how to get somewhere familiar)?
    • Difficulty multitasking not previously experienced?
  • Extreme exhaustion and/or impaired concentration or short-term memory lasting more than 24 hours after physical or mental exercise and/or severe enough to affect routine activities at home, work, school or social functions?
  • Unrefreshed sleep?

Complications /Information to beware of/General tips:

Treatments

Recommended non-pharmacologic approaches to conserve energy and to minimise post exertional malaise (tiredness) include:

  • Pacing of physical and cognitive activity (meditation and relaxation exercises)
  • Use of assistive devices, such as motorised scooters, handicap parking stickers, and shower chairs to conserve energy
  • Use of home health aides for those who are more severely ill
  • Use of ear plugs, eye masks, and perfume-free environments to decrease sensory stimulation
  •  Light therapy and/or blue light filters
  • School or work accommodations, such as flexible hours and shortened days

Medscape


This condition may show similar symptoms to (though it can vary from one person to another):

This condition may show similar symptoms to and maybe present with:

Medscape

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Chronic Fatigue Syndrome in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).