How Will Me/cfs Affect My Quality Of Life
Not everyone will experience the same symptoms so itâs important not to compare people with ME/CFS. People with ME/CFS can have very different experiences of the condition and how long their symptoms last.
The impact of symptoms can be:
As symptoms change over time so does the impact they have on peopleâs lives.
Efficacy Of Modafinil On Fatigue And Excessive Daytime Sleepiness Associated With Neurological Disorders: A Systematic Review And Meta
- Ping Sheng ,
Contributed equally to this work with: Ping Sheng, Lijun Hou, Xiang Wang
Affiliation Department of Neurosurgery, Shanghai Institute of Neurosurgery, Military Institute of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
- Lijun Hou ,
Contributed equally to this work with: Ping Sheng, Lijun Hou, Xiang Wang
Affiliation Department of Neurosurgery, Shanghai Institute of Neurosurgery, Military Institute of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
- Xiang Wang ,
Contributed equally to this work with: Ping Sheng, Lijun Hou, Xiang Wang
Affiliation Department of Neurosurgery, Shanghai Institute of Neurosurgery, Military Institute of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
How Is Chronic Fatigue Syndrome Diagnosed
Before diagnosing chronic fatigue syndrome, a doctor examines a person and rules out other possible causes of their symptoms.
There is no specific test that conclusively proves the existence of chronic fatigue syndrome. Instead, testing may involve physical tests of blood, urine, thyroid function, muscle enzymes, gluten tolerance, and other analyses depending on the persons symptom profile.
The doctor also asks questions and may administer questionnaires, such as the Centers for Disease Control Symptom Inventory or the DePaul Symptom Questionnaire, for a better picture of the symptoms.
Symptoms of chronic fatigue syndrome can come and go, and they vary from person to person. This variability can make it difficult for diagnostic measures to capture how a person is affected by the disease, even if the effects are real and noticeable. Some experts argue that chronic fatigue syndrome should be further divided into different subtypes based on groups of symptoms.
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How Much Does Idiopathic Hypersomnia Overlap With Me/cfs
In everyday linguistic usage among non-specialists, sleepiness can blend together with tiredness and fatigue. Someone might feel tired after climbing a mountain or chopping down a tree, while sleepiness is different. Emory sleep scientists explore the pathological distinctions in a paper published in Journal of Sleep Research.
A team led by neurologists Lynn Marie Trotti and David Rye has been studying idiopathic hypersomnia for several years: people who experience excessive daytime sleepiness and sleep drunkenness, not explained by other medical conditions.
IHs symptoms dont usually include persistent muscle pain or a severe response to exertion. This separates the disorder from myalgic encephalomyelitis, also known as chronic fatigue syndrome . But there is some overlap, which is what neurology resident Caroline Maness, Trotti and colleagues report in the new paper. The authors use the official term SEID , which was recommended by an Institute of Medicine panel in 2015, but hasnt really stuck among those in the ME/CFS field.
ME/CFS has had a history of controversy. Despite its devastating impacts, some have viewed it as psychological or somehow unreal, and sufferers have felt neglected or maligned by mainstream medicine. The National Institutes of Health has made efforts to turn that situation around by investing in ME/CFS research, and there has been a surge of attention recently covering ME/CFS .
Editors note: thanks to advice from .
It Could Be Your Medication
If you take an SSRI, levodopa , a dopamine agonist or an MAO B inhibitor , morphine or methadone, Sleepline Chief Medical Officer Dr. Danielle Kelvas, MD, says that yawning could be one of the side effects you experience. The reason why certain medications can cause excessive yawning is that yawning is controlled by several neurotransmitters in the brain, which these medications can impact. Most people who take these medications dont experience excessive yawning, but it can happen, so its good to be aware of it.
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You Feel Totally Exhausted
If you feel a bit sleepy during the day, that might just be fatigue because EDS is about more than just sleepiness, it’s about feeling totally wiped out. “EDS is more like exhaustion,” Brantner says. “It’s a deep sleepiness and lack of energy that simply doesn’t go away, even after a full night of sleep. EDS often signifies an underlying sleep disorder. For example, you may be suffering from sleep apnea, which doesn’t allow you to get a full night’s rest, even though you think you’re sleeping through the night.”
What Are The Symptoms Of Me/cfs
The key symptom or feature of ME/CFS is called post-exertional malaise . This means that your symptoms get worse after exercise or mental effort and dont improve after sleep or rest. PEM can be very disabling and can reduce your ability to function during regular daily activities. PEM is also common if you have long COVID.
ME/CFS may start suddenly or gradually over months or years. The level of activity that triggers your PEM will vary from person to person and can depend on how severe your condition is. For example, if your ME/CFS is relatively mild, you may experience PEM after going for a walk or a jog, but if your ME/CFS is severe, just reading a book or brushing your teeth could bring on your PEM. Your PEM may appear immediately after activity or may sometimes be delayed by up to 3 days. It can last for 24 hours or for a few days. A more serious relapse can last for weeks or months.
A common misconception is that people with ME/CFS have ‘chronic fatigue and are just very tired. Persistent and profound fatigue is just one symptom of ME/CFS.
Other common symptoms of ME/CFS, that may also increase with PEM include:
- thinking problems, loss of memory or poor concentration
- gastrointestinal changes such as nausea, constipation or diarrhoea
- sensitivities to light or noise, food, medicines or chemicals
- problems with temperature regulation
Everyone is different, so you might experience only mild symptoms, or you might develop more severe symptoms.
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Multiple Dimensions Of Excessive Daytime Sleepiness
Sasha Smith1,2, Jennifer Rossdale2, Yaseen Serry1,2, Anisha Sekaran1,2, Panagis Drakatos2, Joerg Steier1,2
1Faculty of Life Sciences and Medicine, Kings College London 2Lane Fox Unit/Sleep Disorders Centre, Guys & St Thomas NHS Foundation Trust , , UK
Contributions: Conception and design: J Steier Administrative support: S Smith, J Steier Provision of study materials or patients: S Smith, A Sekaran, J Steier Collection and assembly of data: S Smith, Y Serry Data analysis and interpretation: S Smith, J Rossdale, P Drakatos, J Steier Manuscript writing: All authors Final approval of manuscript: All authors.
Correspondence to:
Background: In this study we investigated subjective measures of sleepiness and related our findings to dimensions of affect, fatigue, emotion, mood and quality of life based on a hypothetical multidimensional model of sleepiness.
Methods: Patients referred to a sleep clinic were assessed regarding their excessive daytime sleepiness , sleep complaints, routine and symptoms. Age, gender and body mass index , the Epworth Sleepiness Scale , the Stanford Sleepiness Scale , the Samn-Perelli fatigue Scale , the Global Vigor and Affect Scale , the Hospital Anxiety and Depression Scale , and the Positive and Negative Affect Schedule scores were recorded.
A model of sleepiness that assesses dimensions of fatigue and anxiety could explain the symptom of subjective sleepiness better than the isolated use of the ESS.
doi: 10.21037/jtd.2017.11.32
Causes Of Excessive Sleepiness
There are many possible causes of excessive daytime sleepiness. One of the most common reasons is a chronic lack of sleep Trusted SourceNational Library of Medicine, Biotech InformationThe National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.pubmed.ncbi.nlm.nih.gov, whether due to long work hours, an irregular schedule, insomnia Trusted SourceMedline PlusMedlinePlus is an online health information resource for patients and their families and friends.medlineplus.gov, or other reasons.
Excessive sleepiness can also be caused by getting fragmented or otherwise poor-quality sleep. Getting up multiple times a night to use the washroom Trusted SourceNational Library of Medicine, Biotech InformationThe National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.pubmed.ncbi.nlm.nih.gov, for example, disrupts the natural progression of the sleep stages and may reduce the proportion of restorative slow-wave sleep. Smoking, not exercising enough, and other lifestyle habits Trusted SourceNational Library of Medicine, Biotech InformationThe National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.pubmed.ncbi.nlm.nih.gov may also interfere with sleep quality and cause daytime sleepiness.
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Is Narcolepsy The Same As Hypersomnia
No, they arent the same condition, but they do share some of the same symptoms, especially excessive daytime sleepiness. One of the main differences is that narcolepsy is associated with abrupt sleep attacks. This isnt a symptom of hypersomnia. Also, naps in a person with hypersomnia often are longer than an hour and arent refreshing. A person with narcolepsy may feel refreshed after a short nap. Narcolepsy can be clearly diagnosed according to polysomnographic testing.
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What Is Daytime Fatigue
Fatigue is a continuous feeling of exhaustion that, according to Mayo Clinic, reduces your concentration, motivation, and energy. It can impact not only your body but also your emotional well-being.
As a Cleveland Clinic article explains, fatigue is different from just feeling sleepy. While sleepiness is usually a short-term thing that you can improve with more sleep, fatigue can last a long time and make you feel drained to the point where it disrupts your everyday life.
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What Is Excessive Daytime Sleepiness Sleepiness Vs Fatigue
Disclaimer: This article is for informational purposes only and should not be taken as medical advice. Please consult your doctor if you are experiencing these symptoms.
Sleep has a huge impact on our everyday lives. Yet, our State of Sleep in America study found that 1 in 3 adults describe their sleep the previous night as fair or poor.
Poor sleep or lack of sleep can make you feel drowsy and miserable during the day. However, the problem can be even worse for those with excessive daytime sleepiness.
If you suffer from excessive daytime sleepiness or daytime fatigue, tiredness and lack of energy during work, school, or other activities it can seriously affect your day-to-day life.
In this article, well explain the difference between daytime fatigue and excessive daytime sleepiness, as well as the symptoms and causes of both. Well also share tips on getting better sleep and when to see a sleep specialist for help.
Chronic Fatigue Syndrome And Sleep
Are people with CFS just tired?
People with CFS are more than just tired. They suffer from an intense fatigue and exhaustion that wont go away. Physical or mental activity can make their CFS symptoms worse. To recover, the person must rest for longer than usual. People with CFS have less energy to do everyday tasks. This can apply to both physical things , and mental things .
This is not the same as feeling sleepy during the day. People with CFS feel fatigue rather than sleepiness. People who feel as though they could fall asleep at any time may have different issues, see . This is not the same as CFS.
It is not uncommon for CFS patients to sleep for periods of 12 hours or longer. But even if they sleep for this long, they still don’t feel refreshed. Some have headaches when they wake up. For many people with CFS, it can help if they sleep in and nap during the day. This helps them to control their feelings of exhaustion and get back some of their energy. This assists in performing daily tasks.Can people with CFS also have sleep problems?
Sleep deprivation can be a big problem for people with CFS. It can make your symptoms worse and delay recovery from CFS. CFS sufferers should try to have at least 8 to 9 hours of sleep every day. If a late night is planned, a nap during the day is good preparation.How can you improve your sleep?
Where can I find out more?
Talk with your doctor if you are concerned about your sleep problems.
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How Tired Is Too Tired
Excessive sleepiness and sleep deprivation can have significant impacts on your health. They increase the risk of falling asleep while driving, increase chronic pain, throw off hormonal balance, and lead to weight gain. Quality of life can be significantly compromised by poor sleep. Symptoms of being sleep deprived can include:
- Desire to rest or sleep
- General weakness
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Symptoms Of Chronic Fatigue Syndrome
The main feature of ME/CFS is a type of exhaustion known as post-exertional malaise, crash or payback. This means having flu-like symptoms after exercise and not having enough energy for daily activities.
Research shows that people with ME/CFS have a different physiological response to activity or exercise from other people. This includes abnormal exhaustion after any form of exertion, and a worsening of other symptoms. The response may be delayed, perhaps after 24 hours. Depending on the amount and type of exercise, it may result in post-exertional malaise for a few days, or serious relapses lasting weeks, months or even years.
- problems with thinking, concentrating, memory loss, vision, clumsiness, muscle twitching or tingling
- disrupted sleep
- sore throat, tender lymph nodes and a flu-like feeling
- inability to cope with temperature changes.
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Quality Of Sleep Fatigue And Daytime Sleepiness In Migrainea Controlled Study
- The SAGE Encyclopedia of Abnormal and Clinical Psychology2017
- The SAGE Encyclopedia of Abnormal and Clinical Psychology2017
- The SAGE Encyclopedia of Abnormal and Clinical Psychology2017
- Encyclopedia of Health and Behavior2004
- Handbook of Mind-Body Medicine for Primary Care2003
- The SAGE Encyclopedia of Abnormal and Clinical Psychology2017
- Kenneth L. Lichstein and more…Treatment of Late-Life Insomnia
- The SAGE Encyclopedia of Abnormal and Clinical Psychology2017
- Paul C. McCabe and more…Pediatric Disorders: Current Topics and Interventions for Educators2010
Narcolepsy: Sleep Intruding On Your Days
Narcolepsy is a disorder of sleep-wake control sleep intrudes into wakefulness and wakefulness intrudes into sleep. There are specific signs that point to narcolepsy:
- Excessive daytime sleepiness. Many people with narcolepsy are unable to stay awake and alert during the day. There are times when they have an irrepressible need for sleep, or unintended lapses into sleep. This is more severe at times and is more likely to happen when youre sedentary or in a boring or monotonous situation, such as when youre watching TV or driving a vehicle.
- Hallucinations. Some people have vivid, often frightening visual, tactile, or auditory hallucinations as they fall asleep, referred to as hypnagogic hallucinations.
- Sleep paralysis. Some people are completely unable to move for one or two minutes after they wake up or just before they fall asleep.
- Sudden loss of muscle tone. Cataplexy is a sudden loss of muscle tone that leaves you weak in reaction to strong emotion, especially laughter and excitement. The muscle weakness often affects only parts of the body often the face, neck and knees. You likely will not lose consciousness, but often are temporarily unable to respond. Not everyone with narcolepsy has cataplexy.
- Most people wake up refreshed after sleeping, but begin to feel sleepy again prematurely. Staying active may help you fight the urge to sleep.
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Chronic Fatigue Syndrome And Similar Disorders
Chronic fatigue syndrome encompasses a wide range of symptoms that affect most systems in the body, so doctors may easily confuse it for another disorder. Examples of the many conditions that may cause similar symptoms include anemia, hypothyroidism, hyperthyroidism, diabetes, cancer, celiac disease, obstructive sleep apnea, and inflammatory bowel disease.
Chronic fatigue syndrome may look especially similar to hypersomnia, narcolepsy, fibromyalgia, depression, and obstructive sleep apnea.
Medical And Brain Conditions That Cause Excessive Sleepiness
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Uncontrollable yawning, heavy eyelids, and the powerful urge to doze off during the day are signs of excessive sleepiness. Struggling to stay awake can drag down performance at school and work, put strain on social and personal relationships, and create serious risks when driving.
If you experience persistent drowsiness, its normal to wonder, why am I always sleepy?
The most common causes of excessive sleepiness are sleep deprivation and disorders like sleep apnea and insomnia. Depression and other psychiatric problems, certain medications, and medical conditions affecting the brain and body can cause daytime drowsiness as well.
Recognizing excessive daytime sleepiness is a first step toward addressing the problem. Working with a doctor to identify its cause and improve sleep habits can enhance your daily productivity, mood, and overall health.
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When To Talk To Your Doctor
You should see a doctor if youâre feeling tired all the time, if excessive daytime sleepiness is affecting your day-to-day life, or if you believe it might be a sign of an underlying disorder.
Your doctor will run tests and ask questions about your sleep habits to attempt to pinpoint the reason for your sleepiness. They may also ask your bed partner whether you gasp, snore, or move your legs during the night. If they suspect a sleep disorder, they may refer you to a sleep specialist to run more tests.
Treatment methods for daytime sleepiness depend on the cause. The doctor will likely start by recommending sleep hygiene tips and encourage you to get more sleep. They may adjust the medications you take, and they will also work with you to develop a treatment plan for underlying disorders, which need to be treated in their own right.
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