Until about 1983, doctors knew next to nothing about chronic fatigue syndrome. Its exact cause is still unknown. Some researchers used to think it was caused by the Epstein-Barr virus. Others suggest its cause could be a virus that has not yet been found. Most experts now lean toward a theory of multiple causes.
Signs and Symptoms
Symptoms of chronic fatigue syndrome are:
Fatigue for at least 6 months
Sore throat
Swollen glands
Low-grade fever
Headaches
Depression
Muscle aches
Mild weight loss
Short-term memory problems
Sleep disturbances (insomnia or
hypersomnia)
Confusion, difficulty thinking, inability
to concentrate
These symptoms can signal a number of health conditions. Chronic fatigue syndrome can be diagnosed, therefore, only after other illnesses, such as HIV/AIDS, tuberculosis, chronic inflammatory diseases, autoimmune diseases (such as lupus), Lyme disease or psychiatric illnesses have been ruled out. As yet, no specific laboratory tests can diagnose the syndrome.
For some, the symptoms are so debilitating that a normal working life is impossible. Yet others experience only a vague sense of feeling ill. In some cases, symptoms never let up, while in others they come and go.
Treatment and Care
Until more is known, people with chronic fatigue syndrome are encouraged to do the
following:
Get plenty of rest.
Learn to manage stress.
Take good care of their general health.
Try to lead as normal a life as possible.
Join a support group of others who have
this problem.
Medicines may be prescribed to relieve pain and muscle aches and to control fever. These include over-the-counter medicines such as acetaminophen, aspirin, ibuprofen, naproxen sodium, or prescription, nonsteroidal, anti-inflammatory drugs (NSAIDs). Antidepressant medicine may also be prescribed. A gradual exercise program, if tolerated, may also be beneficial.
HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine.
Date updated 02/01/99