The Nitty Gritty Important
Issues Surrounding CFS
Chronic Fatigue Syndrome or CFS is
a poorly understood ailment. Annals of Internal Medicine in
December of 1994 published a definition for Chronic Fatigue
Syndrome under the guidance of the Center For Disease
Control(CDC). Here is a shortened outline of that
definition:
To be diagnosed with CFS the patient must present with new,
unexplained fatigue that has been of 6 month duration or longer
that can not be attributed to physical exertion, cannot be
relieved by rest and limits or reduces the patients activity
level.
Four or more of the following symptoms must occur at the same
time and have been occurring for a minimum of 6 months and must
not have started before the symptom of fatigue.
- Self-noticed short-term memory loss or decreased
ability to concentrate that results in a noticeable decease
in the person's ability to perform activities.
- Sore throat.
- Tender cervical or axillary lymph nodes.
- Muscle pain.
- Multiple joint pain without redness or without being
swollen.
- Sleep disturbance.
- Extreme fatigue following physical exertion.
There is a difference between "Chronic Fatigue" and "Chronic
Fatigue Syndrome". Chronic Fatigue is where someone experiences
the state of being tired, frequently. Chronic Fatigue Syndrome
(CFS) is a systemic (more than one body system) organic disease
that manifests itself in a wide array of symptoms. The fatigue
that is experienced by CFS patients is so extreme that the
symptom of fatigue is one of the defining elements of the
disease.
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Fibromyalgia Syndrome is not the same as CFS. Fibromyalgia
Syndrome is a painful, inflammatory disease that affects the
connective tissues. The diagnosis can be overlapping, in other
words a patient can have both diseases but they are not one in
the same disease.
There is no one single test, not even a blood test that can
be used to determine if a patient has CFS. A physician will
take a detailed medical history from the patient, complete a
physical examination and then conduct a series of tests in
order to exclude all other causes for a patient's symptoms.
When all other diseases and causes for the symptoms have been
ruled out, then and only then can a doctor make the diagnosis
of CFS.
The symptoms of CFS can increase or decrease in intensity and
can even improve over the years. There are patients that have
had CFS for 20 years. Chronic Fatigue Syndrome is not related
to Aids. The two diseases differ greatly in respect to the
immune system. In patients who have CFS their immune systems
are overactive. Patients who have Aids have suppressed immune
systems. Chronic Fatigue Syndrome is not a contagious disease.
Others who live with or who are in contact with CFS patients
have not been known to contract the disease from exposure to
the CFS patients they have associations with. There is no
"cure" for CFS, there is only treatments and medications that
relieve or reduce the symptoms that CFS patients experience. It
is most beneficial for patients with CFS to become educated
about the disease and to surround themselves with support in
terms of professionals, persons who care about them and support
groups.
For More Information:
Centers for Disease Control: Chronic Fatigue Syndrome
Hotline-(404) 332-4555. This hotline has been established to
answer questions about the illness.
National Institute of Allergy and Infectious Diseases(NIAID) of
the National Institutes of Health-(301) 402-1663.
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