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What Is Chronic Fatigue Syndrome?Chronic fatigue syndrome (CFS) is a complex illness involving debilitating fatigue along with other symptoms. The fatigue is severe enough to interfere with daily activities and is not relieved by bed rest.
It is intended for general informational purposes only and does not address individual circumstances. Although a standard treatment for CFS has yet to be developed, many people improve through individualized exercise and stress management programs. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Chronic Fatigue: Symptoms, PuzzlesCFS can now be diagnosed by looking for a pattern of specific symptoms -- physical and brain-related. Most people with CFS experience symptoms that worsen after strenuous physical or mental activity. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Possible culprits include a faulty immune system, nutritional deficiency, or a viral infection that somehow triggers CFS. Treatment Options for CFSThere is no cure for CFS, and no prescription drugs have been developed specifically for its treatment.
Scientists are also exploring a possible connection to sleep disorders, anemia, low blood pressure, or other metabolic abnormalities. Work with your health care team to develop coping strategies, such as managing your activity level and taking medications to control symptoms. Focus on feeling better rather than feeling "normal." Graded Exercise TherapyStudies indicate gradual, guided physical activity is helpful for people with CFS.
The difference with CFS is that the fatigue is overwhelming and lasts for at least 6 months. Graded exercise therapy starts slowly and gradually increases the duration of exercise over time. It may get worse after physical or mental exertion, and a full night's sleep provides no relief.

The goal is to avoid overdoing it and experiencing a "crash." It's important not to avoid all physical activity, or the muscles can become deconditioned. Graded exercise therapy can help you adapt your activity level to the fluctuations in your condition.
CFS Symptoms: Recurring PainMany people with CFS develop recurring pain, including headaches, sore throat, muscle pain, and joint pain. MedicationsMedications are primarily used to relieve symptoms, such as sleep problems and chronic pain. Some medications, such as tricyclic antidepressants, can reduce pain and improve sleep with just one pill. The cause of these symptoms is not well understood, but the pain can often be managed through medication or physical therapy. Be sure to ask your doctor about the benefits and side effects of any drugs you take, even if they are over the counter.
CounselingA counselor can help you develop coping skills that will decrease anxiety, depression, anger, and guilt.
Although people of any age can get CFS, it occurs most frequently in people in their 40s and 50s. Cognitive behavioral therapy (CBT) aims to enhance coping by changing dysfunctional thinking and behavior. CFS in Children and TeensCFS is very rare in children and only slightly more common in teenagers. Recent studies show this form of therapy is a helpful component of CFS treatment.  Complementary TherapiesComplementary treatments -- sometimes called alternative therapies -- can aid in pain management.
These include stretching therapies, toning exercises, massage, hydrotherapy, and relaxation techniques. If your child is diagnosed with CFS, consult a specialist to create an individualized exercise and management program. Diagnosing CFSThere are no blood tests or brain scans for CFS, but your health care team may run tests to rule out other conditions. Herbs and SupplementsTalk with your doctor about which supplements, if any, are helpful and safe for you.

Remember that supplements may interact negatively with prescribed medications.  Scam AlertMany nutritional supplements and vitamins are targeted toward people with CFS.
These products are not regulated to the same degree as prescription medications, and most have not gone through extensive testing in people. CFS and DietDoctors recommend a well-balanced diet for people with CFS, but no specific dietary strategy has been widely accepted. Some people with CFS notice their symptoms are triggered by certain foods or chemicals, including refined sugar, caffeine, and alcohol.
This may include difficulty falling asleep, restless legs, vivid dreaming, and frequent awakening. To create healthy sleep habits, establish a regular bedtime routine and engage in light exercise and stretching at least four hours before bedtime.
However, up to half of people with CFS become depressed during the course of their illness.
This may be the result of the difficulty in adjusting to life with a debilitating, chronic condition. Depression generally responds well to treatment, and getting it under control can make CFS easier to cope with.
Consult with a mental health professional to learn how to cope with changes in family dynamics. But many people enjoy long periods of remission, especially by learning to manage their activity levels. Early treatment with stress reduction and graded exercise therapy may increase the chances for improvement.

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