Chronic Fatigue Syndrome (CFS)

The causes of Chronic Fatigue Syndrome (CFS) or Myalgic Encephalomyelitis (ME), are relatively unknown although it often follows an infection. Diagnosis tends not to take place until other possibilities have been ruled out.

Signs and Symptoms

Fatigue is an obvious key symptom in CFS, however, the fatigue must have been present for at least 6 months, must be either severe or long lasting, it must not have been present for the life of the patient and the patient should be able to pinpoint a starting period for the fatigue.  The fatigue is debilitating, is not relieved by rest and may force people to reduce activity or work loads.

Symptoms

• impaired memory or concentration 
• sore throat 
• tender lymph nodes, or "glands", in the armpit or neck 
• muscle pain 
• joint pain affecting multiple joints 
• new headaches, meaning the headache did not occur before the person started to have severe fatigue 
• unrefreshing sleep 
• feeling bad or having discomfort after any type of exertion

Many sufferers may end up feeling depressed as a result of experiencing debilitating chronic tiredness, which may result in reduced capacity for work, relationships, hobbies and recreation.

Treatments

Behaviour Therapy:

• moderate exercise, being careful to avoid overexertion, which can make symptoms worse 
• eating a balanced diet and avoiding caffeine and alcohol 
• relaxation methods, such as meditation and hypnosis 

Drug Therapy:

• nonsteroidal anti-inflammatory drugs 
• antidepressants 
• attending support group meetings or receiving regular, individual counselling 

Side Effects Of Medications:

• stomach upset 
• allergic reactions 
• sleeping problems 
• headaches

References and Resources:

Better Health Channel

The ME/Chronic Fatigue Syndrome Association of Australia Limited (ME/CFS Australia)