Treatments For Chronic Fatigue Syndrome
Since researchers do not yet fully understand the cause of chronic fatigue syndrome/myalgic encephalomyelitis and people with the illness can experience a wide variety of symptoms, multiple treatments exist. Treatments are aimed at managing and reducing the severity of CFS/ME symptoms, rather than at curing the illness.
Talking With Your Doctor About Chronic Fatigue Syndrome
If you are experiencing fatigue on an ongoing basis despite getting adequate sleep, talk to your doctor. While you could be facing chronic fatigue syndrome, many illnesses ranging from obstructive sleep apnea to iron-deficiency anemia can cause fatigue. Your doctor will need to ask questions and order tests to determine what is causing fatigue in your personal situation. Preparing for your appointment can help it go more smoothly.
Why Dnrs Worked For Jenna
After taking the DNRS program, it all made sense to Jenna why she suffered for years with a snowballing cascade of chronic illness symptoms. It was because her brains limbic system was stuck in a maladapted fight, flight, freeze response and her body was following the brains signals: that she was constantly under attack, even when the initial threat was no longer present. Under stress or during a trauma your brain can get stuck in this chronic illness cycle like a broken record.
This limbic system impairment is commonly found in people who have long battled with a chronic illness that has not been responsive to the myriad of treatments they have tried.
The DNRS program helps you understand how brain function is involved in your illness, how to rewire your brain and move into a rest and digest state creating the right environment for your body to heal. This self-directed, online program that you can do from home has helped thousands of people like Jenna regain their health and reclaim their lives.
Ive heard people call it a miracle. To me, it feels like a miracle, but its science. Jenna
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Symptoms Of Chronic Fatigue Syndrome
Doctors have narrowed down some of the triggers for chronic fatigue syndrome. Everyone is different, though, and may experience symptoms of chronic fatigue syndrome differently, but theCenters for Disease Control and doctors classifychronic fatigue syndrome as having at least four of the following physical symptoms for at least six months:
- Post-exertional malaise
- Unrefreshing sleep
Chronic fatigue syndrome can only be diagnosed when other diseases have been ruled out, but thats the problem: You may experience fatigue as a symptom of other health conditions.
Activate Your Lifestyle Again
The human body is designed to move, and if it sits too long, everything stagnates. Staying in motion increases blood flow, which washes out toxins, stimulates healing, and increases oxygen delivery to tissues. It also stimulates endorphins, the natural feel-good chemicals that reduce pain and stimulate immune functions, as well as stem cells, which are necessary to repair damaged tissues.
That said, experts warn that if you have chronic fatigue and overdo it, theres a risk of setback and post-exertional malaise , which is a worsening of symptoms such as fatigue, sleeplessness, cognitive issues, pain, dizziness, and more. So keep in mind that becoming active again must be a delicate balance between moving enough to gain benefit, but not so much that it aggravates inflamed tissues and causes further damage. Try these suggestions for starting slow and easy:
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Organize Your Medical Information
Having a handle on your medical information will make you a more powerful advocate for yourself.
I am a congenitally disorganized person. So, after years of papers flying all over the place, a friend helped me create a physical notebook, with tabs for Articles, Notes from Medical Appointments, Medical History, Current Medications, and Lab Results.
I had all of my lab results sent to me, and I alphabetized them with tabs, like Lupus, Lyme, Parvovirus, and Parasites. That made every appointment more productive for me and my providers.
Impact And Prognosis Of Me/cfs
- Lacerda E.M.
Pharmacoecon Open.
- Campion P.
BMC Public Health.J Chronic Fatigue Syndr.
- Findley L.J.
Br J Occup Ther.
- Mild: mobile and self-caring may continue working but will have reduced other activities
- Moderate: reduced mobility, restricted in instrumental activities of daily living, needs frequent periods of rest usually not working
- Severe: mostly housebound limited to minimal activities of daily living severe cognitive difficulties may be wheelchair dependent
- Very severe: mostly bedridden unable to independently carry out most activities of daily living often experience extreme sensitivity to light, sound, and other sensory input
Am J Epidemiol.Chronic Illn.
Qual Life Res.Disabil Rehabil.Occup Med .
Rehabil Psychol.Front Pediatr.Fatigue.
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What We Know Now
As I discussed in a recent article in the journal JAMA, research has documented underlying biological abnormalities involving many organ systems in people with ME/CFS, compared with healthy controls. Heres an overview of what the current science suggests.
The brain. Tests of brain hormones, formal tests of thinking, magnetic resonance imaging , and positron emission tomography scans of the brain are abnormal in a substantial fraction of patients with ME/CFS. Tests of the autonomic nervous system, which controls vital functions including body temperature, blood pressure, heart rate, breathing rate, and movement of the intestines and bladder, also are abnormal. Not all of these abnormalities of the brain are present in every person with ME/CFS, and they appear to come and go.
Energy metabolism. We are alive because the cells of our body are alive. And theyre alive because they can make energy, and use that energy to do their jobs and remain alive. Our cells make energy out of the oxygen in the air we breathe, and out of the sugars, fats, and proteins we eat. In ME/CFS, research has shown that the cells have trouble both making and using energy. That is, people with ME/CFS feel they dont have enough energy because their cells are not making enough, nor using what they make efficiently. The ability of cells to extract oxygen from the blood and use it to make energy appears particularly defective after physical and mental exertion.
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Support Your Immune System
Chronic infections may be an underlying cause of chronic fatigue, but they are widely undiagnosed.
What to do: In addition to getting tested for underlying infections, consider blends of Siberian ginseng, samento, sarsaparilla, guaiacum, astragalus, resveratrol, and cat’s claw for their immune-strengthening properties.
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What Must Be Gotten Rid Of To Unleash Vital Energy
This question leads us to consider the large array of potential irritants, toxins, allergens, or infectious agents that can lead to BTAM energy operating system dysfunction and symptoms of chronic fatigue syndrome. Some of these are robust and virulent and can, by themselves, cause severe fatigue and complex illness. Others are less damaging by themselves but when combined can lead to severe energy impairment.
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Before Dnrs: Many Symptoms More Doctors No Answers
Jennas symptoms started gradually over a period of several years. In 2007, she reached her tipping point after burning out with work and an adrenaline-based lifestyle.
She started feeling fatigue all the time, when prior to this she had always been very active and fit. Jenna also started getting sick a lot. Being an overachiever, she pushed herself even harder through it all, with a suck it up attitude.
Jenna explains how her symptoms continued to worsen:
In 2013 it all hit the fan, with overwhelming mysterious symptoms cascading one after another and leading me to an endless series of doctors and diagnoses.Those diagnoses included chronic pain, food sensitivities, multiple chemical sensitivity, breast implant illness, chronic inflammatory response syndrome, vertigo, chronic fatigue syndrome, and anxiety.
Jenna saw multiple doctors and specialists, including a cardiologist, rheumatologist, and a neurologist. They tested her for everything from Multiple Sclerosis, to brain tumors, to various auto-immune disorders. Her doctors had no real answers or solutions for her.
She then turned her sights to natural medicine and holistic doctors. After months of detoxes, alternative treatments, and various elimination diet protocols, she found herself struggling with the same chronic symptoms and weighing 25 pounds lighter.
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Fresh Evidence Points To A Cause And Possible Treatments For Chronic Fatigue Syndrome
Chronic fatigue syndrome, or myalgic encephalomyelitis, has been largely dismissed as psychological. But recent trials of antiviral and immunosuppressant drugs have yielded encouraging results, suggesting a complex disease mechanism at play that researchers are hopeful they might be able to treat.
Drug research
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Anna suffered severe symptoms of chronic fatigue syndrome , a mysterious disease also known as myalgic encephalomyelitis , from the age of 21 years. The disease forced her to abandon her masters degree and leave her job as a teacher. She became increasingly confined to her apartment, removed from the life she once knew. Any time I tried to do something that I didnt have the energy for, I felt nauseous and dizzy, with fever and pains in my joints and muscles, she says.
After a couple of years she sought help from a physiotherapist for her wasting muscles. mentioned this study and asked if she could give my name to the researchers, she says. So in 2008, Anna was enrolled in a phase II double-blind placebo-controlled trial testing a radical new treatment for CFS/ME. The research group, from Norways Helse Bergen University, administered intravenous drips to Anna but she showed no improvement and, after 12 months, discovered she was in the placebo arm of the trial. She was then eligible to receive the real medicine.
For the first time in my life I felt restless because I wanted to do things
Housebound Or Bedbound With Me/cfs
About 25% of people with ME/CFS are housebound or bedbound. Those who are housebound may be able to undertake minimal daily tasks for themselves, such as brushing teeth, cooking or using a computer for short periods of time, but they have to pace their activity and often use aids to help them . They are unable to leave the house, often because this requires more energy than they have available. When they do leave the house, they often need mobility aids such as a wheelchair or mobility scooter, or other assistance . Recovery from a trip out of the house can take days, or longer.
Some people are so severely unwell that they are bedbound some or all of the time. The most severely unwell may be unable to undertake even simple tasks, like eating or going to the toilet by themselves. They may require additional medical devices, such as feeding tubes, to help them get enough nutrition and fluids, and can be totally dependent on carers.
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Get 7 9 Hours Of Sleep Nightly
The National Sleep Foundation recommends adults get seven to nine hours of sleep per night. Some questions you can ask yourself to see if you are not sleeping enough include: Does it take me a long time to fall asleep? Do I wake up often or am I restless? Do I feel sleepy when driving? Do I need caffeine to get through the day? Answer, yes, to any of these indicates you may not be getting enough quality sleep.
Moving Beyond Diagnosis To Find The Causes
I learned firsthand the struggle to understand fatigue-related disorders when a personal encounter with debilitating fatigue around age 50 forced me to see them differently than most physicians. After years of intense night call as an OB/GYN and keeping some pretty poor health habits, I was gradually propelled into chronic misery and had to give up my practice as a result.
I experienced the full range of symptoms common to chronic fatigue syndrome. And like most sufferers, I struggled between a diagnosis of CFS and fibromyalgia, but ultimately chose fibromyalgia because of pain issues. Later, after a tick bite with a bulls eye rash, I concluded that I had been suffering from chronic Lyme disease all along.
Now, after more than a decade of research and trial and error with nearly every possible conventional and alternative treatment, Im finally well again. In the process, Ive also come to the conclusion that all three of these illnesses chronic fatigue syndrome, fibromyalgia, and chronic Lyme are variations of the same fundamental problem: Loss of energy that can be sourced to mitochondrial dysfunction and disrupted communications within the body.
The list of possible coinfections includes mycoplasma, bartonella, babesia, anaplasma, ehrlichia, and rickettsia, but new microbes are being added to the list on a regular basis. In addition, most everyone with chronic Lyme disease is also found to have reactivation of EBV and a variety of other viruses.
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Psychological Issues And Fatigue
Studies suggest that between 50 and 80 per cent of fatigue cases are mainly due to psychological factors. Suggestions include:
- Talk about it Theres some evidence that talking therapies such as counselling or cognitive behavioural therapy might help to fight fatigue. See your doctor for a referral for talking treatment.
- Reduce stress Stress uses up a lot of energy. Try to introduce relaxing activities into your day. This could be working out at the gym, or a gentler option such as meditation, yoga, listening to music, reading or spending time with friends. Whatever relaxes you will improve your energy.
- Assess your lifestyle for example, are you putting yourself under unnecessary stress? Are there ongoing problems in your life that may be causing prolonged anxiety or depression? It may help to seek professional counselling to work out family, career or personal issues.
- Learn to do nothing one of the drawbacks of modern life is the pressure to drive ourselves to bigger and better heights. A hectic lifestyle is exhausting. Try to carve out a few more hours in your week to simply relax and hang out. If you cant find a few more hours, it may be time to rethink your priorities and commitments.
- Have more fun maybe youre so preoccupied with commitments and pressures that you dont give yourself enough time for fun. Laughter is one of the best energy boosters around.
Coenzyme Q10 Plus Nadh And Mitochondrial Dysfunction
Coenzyme Q10 and NADH are common antioxidant supplements that have been used for several decades as dietary supplements for general maintenanceof health. The benefits of their administration have been extensively evaluated in several conditions . However, several studies have shown that there is a mitochondrial dysfunction, which reduces the ATP production, as an immediate effect primary or secondary to symptoms in most CFS/ME patients .
In the UK, Myhill et al. highlighted the power and usefulness of the ATP profile test as a diagnostic tool for differentiating between patients who have CFS/ME and other symptoms as a result of energy wastage due to stress and psychological factors and those who have insufficient energy due to cellular respiration dysfunction. The biochemical tests should be performed in CFS/ME patients before and after appropriate interventions, and possibly in other disabling fatigue conditions as well .
Relatively few pharmacological or other therapies for CFS/ME have been tested in large RCTs. Overall, a report commissioned by the AHRQ based on a systematic review for a US NIH Pathways to Prevention Workshop concluded that no available pharmacotherapy is of proven benefit in CFS/ME. Table 1 summarizes the current drug therapeutic strategies for CFS/ME.
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How To Treat Chronic Fatigue Syndrome
This article was co-authored by Chris M. Matsko, MD. Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017. This article has been viewed 60,943 times.
Chronic Fatigue Syndrome, or CFS, is a debilitating condition which leaves the afflicted individual with an ongoing feeling of exhaustion. Persons with CFS may be unable to perform even mundane activities which under normal circumstances present no problem. There is no cure for CFS, and there are no medications developed specifically for the condition. Fortunately, there are a number of treatment options available which can alleviate the symptoms associated with CFS.
S To Overcoming Chronic Fatigue Syndrome Naturally
Getting well requires undoing the things that contributed to your misery in the first place. Once you minimize or eliminate the root causes , amazing things happen. Cells are reenergized. Normal communication pathways become re-established. Immune system functions rebound. Adrenal and thyroid functions normalize. Nerves and neurotransmitters calm, and the brain starts functioning again.
Healing can take place, and symptoms, including fatigue, gradually resolve.
But to get well, you must want to be well more deeply than anything you have ever wanted. Ultimately, becoming well is your responsibility, and you alone must put the effort forward to make your recovery happen. This doesnt exclude having positive relationships with healthcare providers, family, and friends, which are all much to your benefit. But when you leave behind a total dependence on others to rescue you from misery, and take a stand to regain wellness that is rightfully yours to enjoy, you become a new person with a renewed purpose in life. That renewed purpose will carry you back to wellness and beyond.
Even with renewed spirit, however, youll need a plan to follow. The following guidelines provide the basic outline for the strategy I used personally to recover wellness, and that Ive since shared to successfully help thousands of others. You can follow in their footsteps.
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