Chronic Fatigue Syndrome Frequently Asked Questions

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 Diagnosis

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.