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Other Names For Chronic Fatigue Syndrome

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Symptoms Signs And Abnormal Clinical And Laboratory Findings Not Elsewhere Classifiednote

Chronic Fatigue Syndrome | Triggers, Symptoms, Diagnosis, Treatment
  • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated ‘not otherwise specified’, ‘unknown etiology’ or ‘transient’. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • The conditions and signs or symptoms included in categories R00R94 consist of:
  • cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated
  • signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined
  • provisional diagnosis in a patient who failed to return for further investigation or care
  • exhaustion and fatigue due to excessive exertion

    How Is Cfs Treated

    Theres currently no specific cure for CFS.

    Each person has different symptoms and therefore may require different types of treatment to manage the disorder and relieve their symptoms.

    Work with your team of healthcare providers to create the best treatment plan for you. They can go over the possible benefits and side effects of the therapies with you.

    Totally Disputed Tag Removal

    I will remove the totally disputed tag. The content is not totally disputed, it is also referenced good. People that think a tag should be on article can discuss here and add another tag, totally disputed is not right tho! Thx, RetroS1monetalk 04:11, 4 November 2008 Reply

    Well i made some changes, more references i think their good, more viewpoints. RetroS1monetalk 06:00, 4 November 2008 Reply
    Totally disputed still applies to this article. None of the terms listed are alternative names to CFS, they are alternative diagnoses. I.e., not only the name differs, but also the content. Guido den Broeder 09:46, 24 November 2008 Reply
    That is your opinion, even Jason says they are just different names. The diagnosis is the same, the names are different. RetroS1monetalk 22:58, 25 November 2008 Reply
    Please. Elsewhere, you claim that Jason isn’t that important because it suits you there. But yes, that is my – non-personal – opinion, based on my knowledge of the literature. Yours is different, which is fine. It means that we have a dispute, not that your opinion should by definition prevail. Are you willing to help find a solution that we both can live with, or will you keep reverting all my attempts? Guido den Broeder 01:11, 26 November 2008 Reply

    That would be an own synthesis, which we are not supposed to make. We should consider only sources that investigate the matter. Trying to clarify further:

  • People can therefore have ME yet not qualify for a given set of criteria of CFS.
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    Generally Accepted Criteria For Diagnosing Me/cfs And Me

    Diagnosis And Treatment For Me/cfs

    Chronic Fatigue #JointPainrelief

    Currently, there is no single test to diagnose ME/CFS. Doctors make a diagnosis by excluding all other illnesses that might be causing symptoms and following accepted diagnostic criteria. The persons results from routine medical tests will often be normal, but additional tests may show abnormalities.

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    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

    Chronic Fatigue Syndrome/myalgic Encephalomyelitis

    I’ve deleted this addition for a number of reasons. First, the MRC source clearly states ‘Chronic fatigue syndrome or myalgic encephalomyelitis’, i.e. CFS and ME are synonyms. Also the second sentence is clearly POV. And thirdly we already mention that the term CFS/ME is used in the UK. I will just expand that existing section to mention that the term CFS/ME is used by the UK government and health services. —sciencewatcher 15:55, 20 June 2010 Reply

    Nowhere does it say it is the ‘official term’. The MRC document uses both CFS and ME and says they are the same thing. —sciencewatcher 16:31, 20 June 2010 Reply
    But it is the official term, hence why it is used as the name of each expert group, or clinical guideline. As CFS is another name for ME in the UK, they used the term CFS/ME, so as to not leave out those who only have an ME diagnosis.UYBS 16:47, 20 June 2010 Reply
    A quote from the Parliamentry ‘Inquiry into the status of CFS/ME and research into causes and treatment’, “The Group feels the condition deserves a name that reflects its pathology but in view of the contentions surrounding it, it is probably wise not to be over restrictive hence we have used the term CFS/ME. We have used this term as it is the recognised term in the UK. It does not reflect the groups opinion on what the name should be.” UYBS 16:51, 20 June 2010 Reply
    I changed the ref format to plain link format in the paragraphs above so links are easier to follow. Ward20 23:45, 21 June 2010 Reply

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    Quotes From Whiting Et Al

    Guido reverts my edits based from Whiting et al, where i was trying to support him!! I was trying to show from real medrs some people think ME and CFS are different, and Guido reverted said it was not in source!

    I wrote at least one older report is said to suggest ME could be a distinct condition, but CFS and ME are usually used as synonyms”

    OK here is what Whiting et al says, “There are reports in the literature that myalgic encephalomyelitis is a syndrome separate from CFS that is characterized by muscle weaknessmore specifically, gross abnormal muscle fatigue after relatively mild activitypain, and a disturbed nervous system” and there source is the Acheson paper from 1959. That is the “older report” I guess i was wrong on saying at least one, they only give one, i changed it to A report from 1959.

    OK more “However, in the literature CFS is commonly referred to as being the same illness as ME, postviral fatigue syndrome , and all similar symptom complexes.” that is for the second part of sentence. RetroS1monetalk 11:01, 30 November 2008 Reply

    Caring For Someone With Me/cfs

    Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome

    Having a supportive community of family, friends, school, work, employers and health workers, who understand the potential seriousness of ME/CFS, can also help improve the quality of life of people living with ME/CFS.

    Everyone involved in supporting someone with ME/CFS needs to understand Post Exertional Malaise, which is an abnormal, biological response to exercise or activity. This means the patient will not be able to do all of the activities they used to be able to do, and will benefit from practical and emotional support. People with ME/CFS will each have different needs and preferences, so it is important to talk with them about how best to provide support. This may include help with daily routines, family life, accessing healthcare and other personal priorities.

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    Treatment Of Chronic Fatigue Syndrome

    • Acknowledgment of patient’s symptoms

    • Sometimes graded exercise, limited to avoid a setback

    • Drugs for depression, sleep, or pain if indicated

    To provide effective care to patients with CFS, physicians must acknowledge and accept the validity of patients’ symptoms. Whatever the underlying cause, these patients are not malingerers but are suffering and strongly desire a return to their previous state of health. For successful management patients need to accept and accommodate their disability, focusing on what they can still do instead of lamenting what they cannot do.

    If these measures are ineffective, hypnotic drugs and/or referral to a sleep specialist may be necessary. Patients with pain widespread tenderness of muscles, areas around… read more ) can be treated using a number of drugs such as pregabalin, duloxetine, amitriptyline, or gabapentin. Physical therapy is also often helpful. Treatment for orthostatic hypotension Treatment Orthostatic hypotension is an excessive fall in blood pressure when an upright position is assumed. The consensus definition is a drop of > 20 mm Hg systolic, > 10 mm Hg diastolic… read more may also be helpful.

    Unproven or disproven treatments, such as antivirals, immunosuppressants, elimination diets, and amalgam extractions, should be avoided.

    Fatigue Not Required In International Consensus Criteria For Me

    In the Myalgic Encephalomyelitis section, the paragraph on the International Consensus Criteria for ME, the following statement is made:

    ” criticized the primary emphasis on “fatigue” which is no longer a requirement.”

    I’ve seen this statement elsewhere too, but I cannot see how the paper can be interpreted as saying this. For one, fatigue is the very first entry in the document’s list of criteria. Second, it is listed as “compulsory.” So how can fatigue not be considered a requirement? Therefore I deleted that clause from the sentence. Preceding unsigned comment added by SDLarsen 08:16, 15 May 2013 Reply

    Well spotted! You’re right, fatigue is part of the ICC criteria . It looks like someone put their own interpretation on the paper. —sciencewatcher 14:25, 15 May 2013 Reply

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    How Is Myalgic Encephalomyelitis/chronic Fatigue Syndrome Diagnosed

    Your doctor diagnoses ME/CFS by performing a mental and physical examination. Doctors will ask about your medical history and order blood and urine tests to check for infection. In many cases, doctors refer people with suspected ME/CFS to other specialists to rule out other illnesses that could be causing symptoms.

    For your doctor to diagnose ME/CFS, you must have these 3 symptoms:

    • Severe fatigue lasting at least 6 months that does not improve with rest or sleep
    • Difficulty sleeping
    • Fatigue that gets worse after mental or physical exercise

    Additionally, you must have at least 1 of the following symptoms:

    • Orthostatic intolerance

    Me/cfs/seid: It Goes By Many Aliases But Its Blood

    Top 60 CFS (Chronic Fatigue Syndrome) Blogs and Websites in 2021

    It’s the disease that dare not speak its name without tripping over one of its other names. Call it what you will – chronic fatigue syndrome , myalgic encephalomyelitis or its latest, Institute of Medicine-sanctioned designation, systemic exertion intolerance disease . It’s very real, affecting between 1 million and 4 million people in the United States alone, according to Stanford infectious-disease sleuth Jose Montoya, MD, who has closely followed more than 200 SEID patients for several years and done extensive testing on these patients in an effort to find out what’s causing their condition.

    Different authorities have quoted different numbers regarding those with SEID. The name-calling and number-assigning squishiness stems from the fact that beyond its chief defining symptom – overwhelming, unremitting exhaustion lasting for six months or longer – it’s tough to pin down. Additional symptoms can range from joint and muscle pain, incapacitating headaches or food intolerance to sore throat, lymph-node enlargement, gastrointestinal problems, abnormal blood-pressure or hypersensitivity to light, noise or other sensations.

    Research into the hows and whys of SEID has been plagued by the inability to establish any characteristic biochemical or neuroanatomical underpinnings of the disorder. Although many viral suspects have been interrogated, no accused microbial culprit has been indicted. To this day, there are no valid laboratory tests for diagnosing SEID.

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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.

    Mental Health Support And Me/cfs

    ME/CFS is not a psychological disorder. However, living with a chronic illness is challenging, especially one that involves missing out on normal life activities, and this may lead to mental health problems like anxiety or depression.

    Speaking with a qualified mental health professional who understands the challenges of living with ME/CFS can be very helpful. They can help with things such as coping with changes to schooling, employment or social activities, and symptoms such as difficulty with sleep or pain. With the availability of Medicare rebates for telehealth, many mental health practitioners now offer remote consultations which makes healthcare more accessible for those who are housebound or bedbound with ME/CFS.

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    What Are The Symptoms Of Chronic Fatigue Syndrome

    Symptoms of CFS often mimic the flu. The following are the most common symptoms of CFS. However, each person may experience symptoms differently. Symptoms may include:

    • Sensitivity to light
    • Low-grade fever

    The symptoms of CFS may look like other medical conditions. Always talk with your healthcare provider for a diagnosis.

    Key Points About Chronic Fatigue Syndrome

    Scientists Discover Robust Evidence That Chronic Fatigue Syndrome (ME/CFS) Is a Biological Illness
    • 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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    Is There A Cure For Chronic Fatigue Syndrome

    Unfortunately, no. But there are methods for managing symptoms. As an article in The Atlantic eloquently explained in an interview with David Kaufman, the medical director of the Open Medicine Institute in Mountain View, California:

    Simple diseases work like a chain of dominoes, with a clear cause setting off a series of possible symptoms, which hint at a diagnosis, and, usually, a standard treatment. Click, click, click, youre cured. Chronic fatigue is more like a pile of pick-up sticks: a giant mess in which no one can see a beginning or end. Most patients begin their history by saying something like, I was totally fine, and I got mono at 19 and Ive never been the same since, said Kaufman, who later treated Vastag .I want to find a single, neat, nice packaged cause. Every day I think Im less and less likely to find that.’

    Some people who suffer from CFS are housebound or bedridden, long-term or for short periods of time. The majority of patients, however, are able to remain functional with a regime of different medications, therapies, exercise plans, or other interventions.

    To learn more about what treatment options are available to you, click the link below. There, youll find a doctor who can review your chronic fatigue syndrome symptoms and provide options for finding relief.

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