Friday, April 26, 2024

Me Or Chronic Fatigue Syndrome

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How To Get Rid Of Chronic Fatigue Syndrome

ME/Chronic Fatigue Syndrome: Not Just Tired All The Time! – Dr Alistair Miller

Unfortunately, those diagnosed with CFS have to learn to live with the condition. However, symptoms can come and go in waves or cycles, so you may have periods where you feel a lot better, followed by a spell where your symptoms return, and you feel worse. Some CFS patients experience periods of remission but still have to be careful not to trigger a relapse. CFS is a health condition that can be managed and minimised with specialist help but not altogether cured.

Some Of The Areas That Are Being Studied As Possible Causes Of Me/cfs Are:

People with ME/CFS often have their illness begin in a way that reminds them of getting the flu. This has made researchers suspect an infection may trigger ME/CFS. In addition, about one in ten people who become infected with Epstein-Barr virus, Ross River virus, or Coxiella burnetti will develop a set of symptoms that meet the criteria for ME/CFS. People with these infections who had severe symptoms are more likely than those with mild symptoms to later develop ME/CFS symptoms. But not all people with ME/CFS have had these infections.

Other infections that have been studied in connection with ME/CFS are human herpesvirus 6, enterovirus, rubella, Candida albicans, bornaviruses, mycoplasma, and human immunodeficiency virus . However, these infections have not been found to cause ME/CFS.

It is possible that ME/CFS is caused by a change in the persons immune system and the way it responds to infection or stress. ME/CFS shares some features of autoimmune illnesses . For example, both ME/CFS and most autoimmune diseases are more common in women and both are characterized by increased inflammation. However, other signs of autoimmune disease, like tissue damage, are not found in patients with ME/CFS.

Scientists think that the immune system might be contributing to ME/CFS in other ways, including:

What Is The Outlook For Someone With Chronic Fatigue Syndrome

The long-term outlook varies quite a bit. There may be times when your symptoms are not too bad and other times when they flare up and become worse. However, many people improve over time and some recover well. Children and younger people have a better rate of full recovery. Early diagnosis and treatment may lessen the impact of the illness. The important thing to remember is that this is not a progressive or life-threatening disease and that for many people full recovery is possible.

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Herbal Remedies For Chronic Fatigue Syndrome

Planet Ayurveda offers effective herbal remedies such as Ashwagandha Capsules, Chanderprabha Vati, Atirasadi Churna, Gandhak Rasayan & Shilajit Capsules for ayurvedic treatment of chronic fatigue syndrome. These herbal remedies are prepared from using best quality herbs and strictly follow the principles of Ayurveda. All these herbal remedies of Planet Ayurveda are 100 percent pure, natural and vegetarian. These are free from chemicals, additives and preservatives. These are safe to use as these are free from side effects.

These are herbal tablets which are made from Shuddh Gandhak . The word rasayan means rejuvenation. Its natural property is to rejuvenate the body without any side effects. It helps to remove toxins from body.

DOSE: 2 tablets twice in a day with plain water after meals.

These are pure natural herbal capsules which are made from shilajit herb . It is natural herb which is used to relieve any kind of physical and mental stress. It contains numerous vitamins and nutrients which provide stamina to body. It has positive effect on mind and also improves body metabolism.

DOSE: 2 capsules twice in a day with milk or water after meals.

Characterization Of Study Population

Chronic Fatigue Syndrome: Symptoms and Complications

Our sample population was selected from three areas, which were quite distinct, but which covered a broad range of characteristics. These included East Anglia, a largely rural area with numerous small to medium-sized market towns and few large population centres East Yorkshire, with one large city manifesting many of the features of industrial decline and inner city deprivation and a large rural hinterland and London, with a large non-indigenous and highly mobile population, and marked economic polarization, with very affluent and significantly deprived populations living in close proximity . The practices in London come from areas where the proportion of people from Black and Ethnic Minorities is around 40%, with up to a third born outside the UK, large numbers of whom were from south Asia and sub-Saharan Africa . The proportion of individuals under five years of age was in most places between 6% and 6.5%, while the proportion of those aged over 65 years varied between 7% and 15%. Between 20% and 25% of the adults had no formal qualifications .

Table 1 Demographic data on GP practices and study population in the three studied regions

The Canadian group had higher pain scores than the CDC-1994 group and 5 P = 0.003). The group classified as non-cases had lower fatigue and pain scores and 2 and in relation to the CDC-1994 group .

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Home Remedies And Lifestyle

Making lifestyle changes may greatly impact how you feel, and the specific changes you need can depend on the severity of your illness and whether certain activities exacerbate your symptoms. While some people may see the tremendous benefit just from making changes to the way they eat, for example, others may find that more sweeping changessuch as a job changemay be necessary.

Problems With Thinking Memory And Concentration

If you have ME/CFS, it’s also common to have:

  • problems remembering certain words, names or numbers
  • difficulty concentrating or difficulty focusing on more than one thing at a time
  • problems remembering things that happened recently
  • being slow to speak or react to things

These problems are sometimes described “brain fog”.

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Comparison With Existing Literature

CFS/ME was seen as a contentious illness by many of the GPs in this study, viewing the condition of CFS/ME with scepticism, similar to descriptions in previous research , where GPs did not consider CFS/ME to be a genuine illness. This qualitative study confirms findings from previous quantitative work suggesting that GPs are unconfident in the diagnosis of CFS/ME .

Most GPs dont see enough patients with CFS/ME to become experienced in the diagnosis of this condition, and it has been shown that GPs can change their attitudes towards CFS/ME when a person who they know developed it . The NICE guidelines suggest that negative attitudes and uncertainty about the condition make it difficult for GPs to establish a relationship with patients and that healthcare professionals should acknowledge the reality and impact of the condition and its symptoms . The NICE guidelines also recognise the need for a supportive and collaborative relationship with patients with CFS/ME to facilitate their effective management and other guidelines stress that where possible CFS/ME should be managed locally . GPs in this study reported lack of confidence in confirming the diagnosis of CFS/ME themselves, and that there were limited referral options locally. In addition, they expressed scepticism about the value of referral, having had previous negative experiences.

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How Is Myalgic Encephalomyelitis/chronic Fatigue Syndrome Treated

Myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) | NHS

There is no cure for ME/CFS. Treatment goals include managing symptoms and returning you to a higher quality of life. Some people arenât able to regain the level of health and function they had before their diagnosis.

First, your doctor works with you to determine which symptoms cause the most difficulty. Together, you will address those symptoms immediately.

Counseling is helpful for many people with ME/CFS. This type of treatment helps people better tolerate symptoms by changing thoughts and behaviors. Your doctor may prescribe medications, like antidepressants or sleep aids, if your symptoms are especially severe. These medications can relieve symptoms like unrestful sleep for some people living with ME/CFS.

Before prescribing sleep aids, however, your doctor may provide suggestions for improving sleep without drugs. For instance, he or she might suggest that you visit a sleep specialist. Other tips include:

  • Develop a regular bedtime routineâgo to bed and wake up at the same time each day.
  • Do not nap for more than 30 minutes total during the day.
  • Use your bed and bedroom only for sleeping and sex. Take out all electronics.
  • Avoid eating large meals before you go to bed also avoid alcohol and caffeine.
  • Do your exercising at least 4 hours before you go to sleep.

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What Are The Symptoms Of Myalgic Encephalomyelitis/chronic Fatigue Syndrome

For many people, the symptoms of ME/CFS resemble other diseases, like influenza. Symptoms may come and go over time and may increase or decrease in severity. ME/CFS symptoms vary widely from person to person.

Many of the symptoms of ME/CFS make daily life difficult. These symptoms include:

  • Severe fatigue lasting at least 6 months that does not improve with rest or sleep
  • Difficulty sleeping
  • Flu-like symptoms, including swollen lymph nodes , headaches, and joint pain
  • Cognitive difficulties, including attention and memory problems

Less common symptoms of ME/CFS include:

  • Problems with vision
  • Irritable bowel, an intestinal condition causing painful bloating, gas, constipation and diarrhea
  • Psychological issues, including mood swings, irritability and anxiety
  • Tingling or numbness in the feet, hands or face

For many people, ME/CFS symptoms get worse following physical exercise or strenuous mental exertion. In some cases, orthostatic intolerance causes dizziness, weakness, and fainting.

Tips For Exercising Safely With Me/cfs

If you feel you can tolerate some exercise, be guided by your doctor or specialist, but general suggestions include:

  • Experiment to find the type of exercise that works best for you. Choose from a range of gentle activities such as stretching, yoga, tai chi, walking and light weight training. Often, people find exercises lying down use less energy.
  • Keep an activity diary so you have a long-term picture of your performance levels and factors that might impact on your symptoms. Some people with ME/CFS find they feel good straight after exercise, but then crash later on, so make sure you monitor how you feel, hours to days after exercise.
  • Stop the physical activity well before you feel any symptom flare. Pacing yourself is very important.
  • Remember that the amount of exercise you can do will change from one day to the next.
  • Listen to your body if you dont feel up to exercising on a particular day, dont.
  • Find out as much as you can about your ME/CFS. Make sure you consult with health professionals who fully understand ME/CFS as a biomedical disease

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Questions To Ask Your Doctor

  • Im always tired. Is there something wrong with me?
  • Do I need any tests to help determine why Im so tired all the time?
  • What is the likely cause of my fatigue?
  • Will alternative therapies such as yoga or acupuncture help?
  • Do I need to make any diet or lifestyle changes?
  • Is it safe for me to exercise? What kind of exercise should I do?
  • How do I convince people that my fatigue is real?

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Diagnostic Criteria For Me/cfs Using The National Academy Of Medicine Clinical Criteria

Chronic Fatigue Syndrome

For a diagnosis of ME/CFS, the person must have the following three symptoms:

  • Substantial reduction in functioning and persistent and profound fatigue for at least 6 months. The person is unable to undertake the same level of activity before they became ill. Their fatigue is not the result of significant exertion and is not substantially alleviated by rest.
  • Post-exertional malaise.
  • Diagnosis also requires at least one of the following two symptoms:

  • Cognitive impairment .
  • Orthostatic intolerance .
  • It is important to note that these are not the only symptoms of ME/CFS, just the minimum needed to meet the diagnostic criteria.

    While diagnosis requires that a person has had symptoms continually for six months, early intervention with pacing and rest can help reduce symptoms, improve quality of life and reduce the risk of exacerbating the disease. Research suggests that patients who are able to pace their activity and not push themselves tend to do better in the long term. Pacing and rest can start even prior to an official diagnosis.

    While there is currently no cure and no evidence-based treatments, it is important to find a doctor who is not only sympathetic to ME/CFS, but can work with you to help manage your symptoms.

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    Viral And Other Infections

    Post-viral fatigue syndrome or post-viral syndrome describes a type of chronic fatigue syndrome that occurs following a viral infection. A recent review found EpsteinâBarr virus antibody activity to be higher in patients with CFS, and that a subset of patients with CFS were likely to have increased EBV activity compared to controls. Viral infection is a significant risk factor for CFS, with one study finding 22% of people with EBV experience fatigue six months later, and 9% having strictly defined CFS. A systematic review found that fatigue severity was the main predictor of prognosis in CFS, and did not identify psychological factors linked to prognosis.

    Another review found that risk factors for developing CFS after mononucleosis, dengue fever, or Q-fever included longer bed-rest during the illness, poorer pre-illness physical fitness, attributing symptoms to physical illness, belief that a long recovery time is needed, as well as pre-infection distress and fatigue. The same review found biological factors such as CD4 and CD8 activation and liver inflammation are predictors of sub-acute fatigue but not CFS.

    A study comparing diagnostic labels found that people labelled with ME had the worst prognosis, while those with PVFS had the best. Whether this is due to those with more severe or longer-lasting symptoms results in a label with the description of ME, or if being labelled with ME adversely causes a more severe or prolonged illness is unclear.

    Key Points About Chronic Fatigue Syndrome

    • Chronic fatigue syndrome is characterized by profound tiredness.
    • Symptoms often worsen with physical or mental activity.
    • In addition to severe fatigue, symptoms include light sensitivity, headache, muscle and joint pain, difficulty concentrating, mood swings, and depression.
    • Treatments may include medicines, exercise, supplements, and counseling.

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    How Is Cfs Diagnosed

    CFS is a very challenging condition to diagnose.

    According to the Institute of Medicine, as of 2015, CFS occurs in about 836,000 to 2.5 million Americans. Its estimated, however, that 84 to 91 percent have yet to receive a diagnosis.

    There are no medical tests to screen for CFS. Its symptoms are similar to many other conditions. Many people with CFS dont look sick, so doctors may not recognize that they indeed have a health condition.

    In order to receive a CFS diagnosis, your doctor will rule out other potential causes and review your medical history with you.

    Theyll confirm that you at least have the core symptoms previously mentioned. Theyll also ask about the duration and severity of your unexplained fatigue.

    Ruling out other potential causes of your fatigue is a key part of the diagnosis process. Some conditions with symptoms that resemble those of CFS include:

    • sleep disorders

    The side effects of certain drugs, such as antihistamines and alcohol, can mimic symptoms of CFS as well.

    Because of the similarities between symptoms of CFS and many other conditions, its important to not self-diagnose. Talk to your doctor about your symptoms. They can work with you to get relief.

    Treatment Plans For Me/cfs

    Scientists Discover Robust Evidence That Chronic Fatigue Syndrome (ME/CFS) Is a Biological Illness

    There’s no single way of managing ME/CFS that works for everyone, but there are a number of treatment options.

    The National Institute for Health and Care Excellence says you should be offered a treatment plan tailored to your symptoms.

    Your doctor should discuss all of the options with you, and explain the benefits and risks of any treatment.

    They should work with you to develop a treatment plan that suits you and takes into account your circumstances and preferences.

    You may need advice about making lifestyle changes, specialist treatments, or a combination of both.

    If your symptoms are severe, your doctor should ask a specialist for advice.

    Your treatment plan should be reviewed regularly.

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    What Is Myalgic Encephalomyelitis/chronic Fatigue Syndrome

    Myalgic encephalomyelitis/chronic fatigue syndrome is persistent and crippling fatigue lasting 6 months or longer. People living with ME/CFS often experience other symptoms, like unrefreshing sleep and muscle aches. The condition is also sometimes called chronic fatigue syndrome.

    Doctors do not know what causes ME/CFS, and there is no cure. You may be able to manage symptoms with cognitive-behavioral therapy, exercise, and medications, like antidepressants and sleep aids. The goal of treatment is to make symptoms as manageable as possible to increase your quality of life.

    How Does Me/cfs Affect People

    ME/CFS affects different people in different ways, some more severely than others. There are four levels of severity of ME/CFS, which give an indication of the level of disability ME/CFS can create:

    • mild: 50% reduction in pre-illness activity
    • moderate: mostly housebound
    • severe: mostly bedridden
    • very severe: totally bedridden and need help with basic activities including nutrition and hydration.

    The severity of ME/CFS can vary over time. A person living with ME/CFS could be at one level of severity now, then their disease could either improve or deteriorate over time. For some patients, their disease can worsen significantly with no known cause. Other patients have a fluctuating illness where they have better and worse periods, which last for months or years. It is unclear why this happens.

    For most people, ME/CFS is a lifelong disease. Full recovery is rare and estimated at less than 10%. For some people with ME/CFS, as time passes and their disease improves, they will find they can do more, but it is a slow and gradual process. However, this is not the case for everyone. Some people find their disease worsens over time, others may remain somewhat stable. With support and pacing, people can often improve their quality of life.

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