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chronic fatigue syndrome / m.e

Overview
common questions
further reading and resources

common questions

what is chronic fatigue syndrome?
what causes chronic fatigue syndrome?
what are the symptoms of chronic fatigue syndrome?
how is chronic fatigue syndrome diagnosed?

What is chronic fatigue syndrome?
Chronic fatigue syndrome is a condition involving extreme fatigue and numerous other symptoms that is of undetermined origin. It is considered to be an autoimmune disorder. It was originally called ME (myalgic encephalomyelitis) in the United Kingdom. It is sometimes referred to as 'yuppie flu'. It can also be referred to as Chronic Epstein-Barr Virus or post viral fatigue syndrome.

In order to be diagnosed with chronic fatigue syndrome you have to be suffering from extreme unexplained fatigue for at least six months. It cannot be the result of ongoing exertion. This tiredness will not be relieved by rest and inhibits your activity levels. Some of the following symptoms must also be present:

• impaired memory/concentration
• sore throat
• muscle pain
• unrefreshed sleep
• swollen lymph nodes
• stiff neck
• headaches
• muscle pain
• pain in mutiple joints
• relapse of symptoms after exercise

However these are even more symptoms that may be not always be diagnosed as part of the same problem:

• Sensitivity or intolerance to alcohol
• Eye/vision problems
• Constipation or diarrhea
• Nausea, indigestion
• Hypoglycemia, low blood sugar
• Dizziness
• Low blood pressure
• Recurrent low-grade fever
• Heart palpitations
• Weight changes not associated with change in eating habits
• Muscle, joint pain, stiffness, burning, soreness, spasms, cramps
• Carpal tunnel syndrome-like pains
• Painful menstrual periods
• Extreme exhaustion
• Sleep Disturbances
• Shortness of breath
• Brain fog
• Impaired attention span
• Mood swings
• Anxiety
• Depression
• Panic attacks
• Numbness or tingling sensations
• Sensitivity to temperature changes
• Chemical sensitivities, allergies
• Sensitivity to medicines



What causes chronic fatigue syndrome?
There does not appear to be one particular factor. However stress appears to play an important part in aggravating what could be normally an easily recoverable symptom. These are possible triggers:

• Viral infections
• Bacterial infection
• Food bacterial infection
• Parasitic infections
• Yeast or fungus infections
• Allergies
• Hypothalamic-pituitary-adrenal disfunction
• Chemical imbalances
• Autonomic nervous system dysfunctions
• Heart problems
• Chemical insensitivity
• Nutritional Imbalances or Deficiencies
• Musculoskeletal Imbalance
• Sleep Disorders
• Stress



What are the symptoms of chronic fatigue syndrome?
symptoms vary enormously in each individual but these appear to be some of the common most apparent

• prolonged fatigue after physical activity, known as a post exertional malaise usually lasting more than twenty four hours
• low grade fever
• general muscle weakness and pain
• headaches of a new type pattern of severity
• more frequent illness
• tender lymph nodes in neck or armpits
• night sweats
• frequent sore throats
• increased sensitivity to chemicals like perfumes, newsprint, cleaning sprays
• worsening allergies
• fatigue with or after your normal daily routine
• awakening from sleep unrefreshed
• forgetfulness
• difficulty in remembering or finding the correct word to say
• excessive irritability
• unable to concentrate
• foggy brain
• over sensitive to temperature both hot and cold
• hypersensitivity to light
• hypersensitivity to sounds
• stomach disorders
• food intolerances



How is chronic fatigue syndrome diagnosed?
There is no one test to diagnose chronic fatigue syndrome. Many tests will be performed and all other illnesses are ruled out. It is a diagnosis of exclusion.

Doctors will generally perform standard blood and urine tests to rule out other possible diseases. Illnesses including lupus, multiple sclerosis, Lyme disease, adrenal disorders, HIV or AIDS, thyroid disease, rheumatoid arthritis, depression, cancer, and other conditions have to be eliminated first. If the doctor can identify no cause for the symptoms and other symptoms persist that are on the official criteria list then a diagnosis may be made.

 
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