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17.02.2015

How to treat chronic fatigue syndrome, insomnia home remedies honey - For You

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An evaluation of multidisciplinary intervention for chronic fatigue syndrome with long-term follow-up, and a comparison with untreated controls. Serum levels of lymphokines and soluble cellular receptors in primary Epstein-Barr virus infection and in patients with chronic fatigue syndrome.
A preliminary placebo-controlled crossover trial of fludrocortisone for chronic fatigue syndrome.
Low-dose hydrocortisone for treatment of chronic fatigue syndrome: a randomized controlled trial.
Influence of exhaustive treadmill exercise on cognitive functioning in chronic fatigue syndrome. Effects of exercise on cognitive and motor function in chronic fatigue syndrome and depression. Chronic fatigue syndrome: identification of distinct subgroups on the basis of allergy and psychologic variables.
Therapeutic effects of oral NADH on the symptoms of patients with chronic fatigue syndrome. The effect of topical nasal corticosteroids in patients with chronic fatigue syndrome and rhinitis. Randomised double-blind, placebo-controlled study of fluoxetine in chronic fatigue syndrome.
Because fatigue is a common symptom in many diseases, a wide differential diagnosis (Table 2)3 needs to be excluded.


As the search for more effective treatment and, hopefully, a cure continues, future researchers may be drawn toward a holistic approach to CFS, specifically as an interaction among neural, endocrine, and immune systems. Some patients present with persistent and disabling fatigue, but show no abnormalities on physical examination or screening laboratory tests. Tricyclic antidepressants have proven to be effective in reducing clinical depression and improving sleep patterns and are reportedly beneficial for patients with chronic fatigue. Symptoms and treatment may differ from patient to patient depending on illness onset and genetic predisposition.
For example, serologic and neurologic analyses for Lyme disease or multiple sclerosis need only be conducted if the patient presents with appropriate symptoms.TABLE 1Current CDC Criteria for Diagnosis of Chronic Fatigue SyndromeThe rightsholder did not grant rights to reproduce this item in electronic media.
Treatment of concomitant disorders such as migraine headache, irritable bowel syndrome, depression, panic disorder, and fibromyalgia may significantly improve the quality of life of the affected patient.6 Future technologic advances in neuroimaging, genotype profiling, immune assays, and pharmacologic therapy may bring greater consistency to scientific research and the possibility of improved therapy for patients with CFS.
CFS is characterized by debilitating fatigue with associated myalgias, tender lymph nodes, arthralgias, chills, feverish feelings, and postex-ertional malaise. These findings, however, have been inconsistent among studies.17,19In a recent study,18 patients with CFS showed normal natural killer cell numbers but low natural killer activity.
The authors of this report34 stipulated that a decreased adenosine triphosphate level, when alleviated by NADH therapy, improves muscle atrophy and neuroen-docrine abnormalities.Reports of subtle hypocortisolism in patients with CFS has spurred interest in treatment with mineralocorticoids and corticosteroids.
Researchers suggested that this is a result of an inability to replenish activated natural killer cells.18 This hypothesis may explain how a triggering event, such as a viral infection, could produce a cascade of immune and neuroendocrine abnormalities. Fatigue was improved and disability was reduced without significant short-term adverse events.38Cognitive behavior therapy is a psychotherapeutic treatment postulating that patients with CFS may perceive their physical symptoms as insurmountable, thereby precluding any hope for recovery.


Similarities with fibromyalgia exist and concomitant illnesses include irritable bowel syndrome, depression, and headaches.
Patients with chronic fatigue syndrome present with cognitive deficits in concentration, attention, and short-term memory.
More specifically, persons with neurally mediated hypotension experience periods of light-headedness, syncope, and fatigue after periods of orthostatic stress (erect posture). Other psychologic treatments such as support groups and a positive physician-patient relationship have proven to be beneficial in the long-term management of CFS.39The role of exercise in treating patients with CFS has recently been emphasized. Chronic fatigue syndrome (CFS), also referred to as chronic fatigue immune deficiency syndrome, is a disabling illness characterized by persistent fatigue accompanied by rheumatologic, cognitive, and infectious-appearing symptoms. Studies19,20 investigating this phenomenon as a cause of CFS have not produced consistent results.When treatments specific to neurally mediated hypotension were administered to patients with CFS, the results were inconclusive.
CFS is likely a spectrum of illnesses sharing a common pathogenesis with varying degrees of fatigue and associated symptoms. Given the interactions among the hypothala-mic-pituitary-adrenal axis, neural and immune system, an allergen, similar to an infectious agent, can initiate a variety of symptoms along with severe fatigue, as is seen in patients with CFS.



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