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Chronic Fatigue Syndrome Symptoms

Primary Chronic Fatigue Syndrome Symptoms

As the name chronic fatigue syndrome suggests, this illness is accompanied by fatigue. However, it's not the kind of fatigue patients experience after a particularly busy day or week, after a sleepless night or after a stressful event. It's a severe, incapacitating fatigue that isn't improved by bed rest and that may be exacerbated by physical or mental activity. It's an all-encompassing fatigue that results in a dramatic decline in both activity level and stamina.

People with Chronic Fatigue Syndrome function at a significantly lower level of activity than they were capable of prior to becoming ill. The illness results in a substantial reduction in occupational, personal, social or educational activities.

A Chronic Fatigue Syndrome diagnosis should be considered in patients who present with six months or more of unexplained fatigue accompanied by other characteristic symptoms. These symptoms include:

  • cognitive dysfunction, including impaired memory or concentration
  • post exertional malaise lasting more than 24 hours (exhaustion and increased symptoms) following physical or mental exercise
  • unrefreshing sleep
  • joint pain (without redness or swelling)
  • persistent muscle pain
  • headaches of a new type or severity
  • tender cervical or axillary lymph nodes
  • sore throat

Other Chronic Fatigue Syndrome Symptoms

In addition to the eight primary defining symptoms of Chronic Fatigue Syndrome, a number of other symptoms have been reported by some Chronic Fatigue Syndrome patients. The frequency of occurrence of these symptoms varies among patients. These symptoms include:

  • irritable bowel, abdominal pain, nausea, diarrhea or bloating
  • chills and night sweats
  • brain fog
  • chest pain
  • shortness of breath
  • chronic cough
  • visual disturbances (blurring, sensitivity to light, eye pain or dry eyes)
  • allergies or sensitivities to foods, alcohol, odors, chemicals, medications or noise
  • difficulty maintaining upright position (orthostatic instability, irregular heartbeat, dizziness, balance problems or fainting)
  • psychological problems (depression, irritability, mood swings, anxiety, panic attacks)
  • jaw pain
  • weight loss or gain

Clinicians will need to consider whether such symptoms relate to a comorbid or an exclusionary condition; they should not be considered as part of Chronic Fatigue Syndrome other than they can contribute to impaired functioning.

Further explanation about the symptoms of Chronic Fatigue Syndrome

The severity of Chronic Fatigue Syndrome varies from patient to patient, with some people able to maintain fairly active lives. By definition, however, Chronic Fatigue Syndrome significantly limits work, school and family activities.

While symptoms vary from person to person in number, type and severity, all Chronic Fatigue Syndrome patients are functionally impaired to some degree. CDC studies show that Chronic Fatigue Syndrome can be as disabling as multiple sclerosis, lupus, rheumatoid arthritis, heart disease, end-stage renal disease ,chronic obstructive pulmonary disease (COPD) and similar chronic conditions.

Chronic Fatigue Syndrome often follows a cyclical course, alternating between periods of illness and relative well-being. Some patients experience partial or complete remission of symptoms during the course of the illness, but symptoms often reoccur. This pattern of remission and relapse makes Chronic Fatigue Syndrome especially hard for patients and their health care professionals to manage. Patients who are in remission may be tempted to overdo activities when they're feeling better, which can exacerbate symptoms and fatigue and cause a relapse. In fact, post exertional malaise is a hallmark of the illness.

The percentage of Chronic Fatigue Syndrome patients who recover is unknown, but there is some evidence to indicate that the sooner symptom management begins, the better the chance of a positive therapeutic outcome. This means early detection and treatment are of utmost importance. CDC research indicates that delays in diagnosis and treatment may complicate and prolong the clinical course of the illness.

 

Modified 3-11-04
Information compiled from the CDC

 
 
 
 
 
   

This web site is intended for your own informational purposes only. No person or entity associated with this web site purports to be engaging in the practice of medicine through this medium. The information you receive is not intended as a substitute for the advice of a physician or other health care professional. If you have an illness or medical problem, contact your health care provider.

08/05/2010

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