Chronic Fatigue syndrome -does anyone have this? Sometimes I wonder if I have it. No matter what I always feel tired and feel like I need atleast 12 hrs of sleep to feel some what awake when I do get up...


3 Answers

Kelly Latta Profile
Kelly Latta answered
Despite the name, Chronic Fatigue Syndrome also known as myalgic encephalomyelitis and post viral fatigue syndrome is so much more than being tired. It is a severe neuro immune disease. Below is the clinical definition your doctor should use to evaluate you for this disease. Even if you do not meet this criteria, you should see a doctor as fatigue is a symptom of over 30 different diseases, not just CFS.

The 2003 Canadian Clinical Case Definition is summarized as follows:

1.        POST-EXERTIONAL MALAISE AND FATIGUE: There is a loss of physical and mental stamina, rapid muscular and cognitive fatigability, post-exertional fatigue, malaise and/or pain, and a tendency for other symptoms to worsen.  A pathologically slow recovery period (it takes more than 24 hours to recover).  Symptoms exacerbated by stress of any kind.  Patient must have a marked degree of new onset, unexplained, persistent, or recurrent physical and mental fatigue that substantially reduces activity level.
2.      SLEEP DISORDER: Unrefreshing sleep or poor sleep quality; rhythm disturbance.
3.      PAIN:  Arthralgia and/or myalgia without clinical evidence of inflammatory responses of joint swelling or redness.  Pain can be experienced in the muscles, joints, or neck and is sometimes migratory in nature.  Often, there are significant headaches of new type, pattern, or severity.  Neuropathic pain is also a common symptom

4.        NEUROLOGICAL/COGNITIVE MANIFESTATIONS:  Two or more of the following difficulties should be present: Confusion, impairment of concentration and short-term memory consolidation, difficulty with information processing, categorizing, and word retrieval, intermittent dyslexia, perceptual/sensory disturbances, disorientation, and ataxia.  There may be overload phenomena: Informational, cognitive, and sensory overload -- e.g., photophobia and hypersensitivity to noise -- and/or emotional overload which may lead to relapses and/or anxiety.


A. AUTONOMIC MANIFESTATIONS: Orthostatic Intolerance: E.g., neurally mediated hypotension (NMH), postural orthostatic tachycardia syndrome (POTS), delayed postural hypotension, vertigo, light-headedness, extreme pallor, intestinal or bladder disturbances with or without irritable bowel syndrome (IBS) or bladder dysfunction, palpitations with or without cardiac arrhythmia, vasomotor instability, and respiratory irregularities.
C. NEUROENDOCRINE MANIFESTATIONS: Loss of thermostatic stability, heat/cold intolerance, anorexia or abnormal appetite, marked weight change, hypoglycemia, loss of adaptability and tolerance for stress, worsening of symptoms with stress and slow recovery, and emotional lability.
D. IMMUNE MANIFESTATIONS: Tender lymph nodes, sore throat, flu-like symptoms, general malaise, development of new allergies or changes in status of old ones, and hypersensitivity to medications and/or chemicals.

6.  The illness persists for at least 6 months.  It usually has an acute onset, but onset also may be gradual.  Preliminary diagnosis may be possible earlier.  The disturbances generally form symptom clusters that are often unique to a particular patient.  The manifestations may fluctuate and change over time.  Symptoms exacerbate with exertion or stress.

Good luck.
2 People thanked the writer.
Zzayla Grimm
Zzayla Grimm commented
Wow that's an awsome, very helpful load of information there, I've read a few things on the internet but that I say was probably the best info yet explaining everything i do have a lot of the sympyoms but not the sore throat/flu symptoms.. I am seeing a doctor and actually do have pain, they're still trying to figure out what is causing it... I don't know why I'm telling u all this lol! Anyway I stop now ... But thank u for the info I found it extreamly helpful! :)
Hannah Mishelin Profile
Hannah Mishelin answered
I have heard of these symptons before. I cannot remember what my doctor said as I took my younger sister to see them a few years back now because she felt the same. I think you should speak to a doctor personally. If you take sleeping tablets, they could be too strong or they have a strange affect on your body that doesnt ware off. Hope this is usefull.
koteswar Lal Profile
koteswar Lal , CFS Symptoms., answered

I have only heard about it. It is a complicated issue portrayed by compelling weakness that can't be clarified by any hidden medicinal condition. The weariness may be compounded with physical or mental action, yet doesn't enhance with rest. Some symptoms are:

  • Fatigue
  • Anxiety
  • Headache
  • Concentration Problems
  • Not feeling refresh even after a good sleep.

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