Chronic Fatigue Syndrome

Chronic fatigue syndrome: Description, Causes and Risk Factors:Abbreviation: CFS.Alternative Name: Immune dysfunction syndrome, myalgic encephalomyelitis.CFS Facts:Chronic fatigue syndromeMore than 1 million Americans have chronic fatigue syndrome.
  • More than 80% people with CFS have not been diagnosed.
  • Four times more women have CFS than men.
  • CFS is most common in Americans ages 40 to 59, but people of all ages can develop CFS.
A number of experts believe that chronic fatigue syndrome develops from a convergence of conditions that may include the following:Genetic factors.
  • Brain abnormalities.
  • A hyper-reactive immune system.
  • Viral or other infectious agents.
  • Psychiatric or emotional conditions.
The exact etiology of chronic fatigue syndrome is unknown. The possible causes of CFS may include:Immune system activation, particularly by viruses. CFS patients may be found to have elevated levels of antibodies to many organisms that cause fatigue and other CFS symptoms. Such organisms include those that cause Lyme disease, candida ("yeast infection"), herpesvirus type 6 (HHV-6), human T cell lymphotropic virus (HTLV), Epstein-Barr, measles, coxsackie B, cytomegalovirus, or parvovirus. Many of these infectious agents are very common, however, and none has emerged as a significant cause of chronic fatigue syndrome.
  • Oxidative stress, glutathione deficiency.
  • Endocrine dysfunction, including adrenal fatigue, thyroid deficiency and hypothalamic-pituitary axis abnormalities.
  • Neurotransmitter deficiencies.
  • Drug-induced fatigue.
Symptoms:People with chronic fatigue syndrome suffer an array of unexplained symptoms. Eight of the following mustpersist or recur over six months.Low-grace fever and chills.
  • Extreme fatigue.
  • Headaches.
  • Joint pain.
  • Muscle pain.
  • Muscle weakness.
  • Sore throat.
  • Tender lymph nodes.
  • Neurological problems such as confusion, memory loss, visual disturbance, anxiety, and sleep disorder.
Diagnosis:Doctors usually perform the following labs when attempting to diagnose a patient with chronic fatigue syndrome:Complete blood count (CBC) with differential.
  • Chemistry panel.
  • Erythrocyte Sedimentation Rate (ESR), a marker of inflammation.
  • Urinalysis.
Optional tests include:Anti-nuclear antibodies (ANA) and rheumatoid factor (RF). These are tests forrheumatoid arthritis and systemic lupus erythematous (SLE).
  • Thyroid tests (T3, T4, TSH).
  • Adrenal tests (AM and PM cortisol levels).
  • Lyme titers and HIV serology.
Treatment:There is no proven or reliable cure for chronic fatigue syndrome, and no drug has been developed specifically for this disorder. Because CFS remains poorly understood, many patients have problems finding good care. Overall, the recommended strategy for treatment includes a combination of the following:A healthy diet.
  • Cognitive behavior therapy.
  • Treatment of depression.
  • Treatment of existing pain.
  • Treatment of sleep problems.
  • Treatment of allergy like symptoms.
  • Treatment of problems of the nervous systems.
For patients with severe chronic fatigue syndrome that cannot be managed with lifestyle changes and standard medications, asking the physician about enrolling in any available clinical trials may be helpful.Ayurvedic Treatment: The Ayurvedic treatment of CFS is aimed at treating the presenting signs and symptoms.Medicines like Laxmi-Vilas-Ras and Shrung-Bhasma are used to treat depression.
  • Iron deficiency anemia can be treated using medicines like Punarnava-Mandur and Tapyadi-Loh.
  • Loss of memory or concentration can be treated using medicines like Brahmi (Bacopa monnieri), Mandukparni (Centella asiatica), Shankhpushpi (Convolvulus pluricaulis) and Vacha (Acorus calamus).
  • Painful and enlarged lymph nodes are treated using medicines like Kachnaar-Guggulu, Medohar-Guggulu and Panch-Tikta-Ghrut-Guggulu.
  • Pain in the muscles and joints is treated using medicines like Yograj-Guggulu, Triphala-Guggulu, Kaishor-Guggulu, Maha-Vat-Vidhwans-Ras and Vat-Gajankush-Ras.
  • Chronic and persistent headache can be treated using medicines like Godanti-Bhasma and Pathyadi-Qadha.
  • Sleep disturbance can be treated using medicines like Jatamansi (Nardostachys jatamansi) and Sarpagandha (Raulwofia serpentina).
  • Herbal medicines like Yashtimadhuk (Glycyrrhiza glabra), Bhumiamalaki (Phyllanthus niruri), Tulsi (Ocimum sanctum) and Bhrungraj (Eclipta alba) can be used to overcome the effects of viral infection.
  • Extreme exhaustion, which is the hallmark of this condition, can be treated using medicines like Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Behada (Terminalia bellerica), Vishwa (Zinziber officinalis), Marich (Piper nigrum), Pippali (Piper longum), Chitrak (Plumbago zeylanica), Suvarna-Bhasma, Shatavari (Asparagus racemosus), Ashwagandha (Withania somnifera), Bala (Sida cordifolia), Arjun (Terminalia arjuna), Suvarna-Parpati and Suvarna-Malini-Vasant.
It is important to maintain a healthy lifestyle and follow a sensible, balanced diet. It is also important to get sufficient sleep and regular exercise. Yogic asanas and pranayam can be used to reduce stress and improve the immune status of the body. In addition to other medicines, cognitive behavior therapy can also help considerably in treating this condition.Disclaimer: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


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