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19.07.2014

Treatments for chronic fatigue syndrome, insomnia health problems - Plans Download

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An evaluation of multidisciplinary intervention for chronic fatigue syndrome with long-term follow-up, and a comparison with untreated controls. Evidence for active Epstein-Barr virus infection in patients with persistent, unexplained illnesses: elevated anti-early antigen antibodies.
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. The top right quadrant shows the most popular and effective treatments, and the top left quadrant shows treatments that not many people have tried but that have above-average effectiveness, so they may be options to think about (e.g. Treatments in the lower right quadrant are ones that lots of people have tried but that have below-average effectiveness or, in the red section, actually make things worse (e.g. Given that the standard treatments prescribed by primary care doctors are generally exercise and anti-depressants, that chart paints a very good picture of why so many CFS sufferers have reasons to think their doctors are useless! For me, exercise – in moderation, has absolutely been key to reducing my achy sypmtoms and for keeping my mood upbeat. I have found out that these symptoms are likely due to HPA Axis dysfunction (Adrenal Fatigue) which I am now investigating.
Interesting but I’m wondering why there are no antivirals or antibiotics on the treatment list. As a holistic healthcare provider, I am unsurprised to see patients reporting the negative effects of the pharmaceutical treatments.
From my study of the condition since I have been affected by it, I have been greatly perplexed to see so many trying drugs as a treatment.
The inforgraphic will hopefully assist all of us in looking more broadly for a new place to research for specific answers.
Thanks to CureTogether for the site and to all the people who have taken the time to share their experiences. There is one set of supplements that can reverse the healing effects of methylb12, adnosylb12 and Metafolin, sometimes starting within hours and bring back symptoms rapidly, and that is glutathione and glutathione precursors, which include l-glutamine, NAC, undenatured whey and some other forms like Maxgxl that out it all together.
I would like to add another problem many of us have that has forced it’s way into my consciousness over the past couple of months, paradoxical folate deficiency. When a person experiences extreme tiredness that isn’t alleviated by rest or sleep, that person may very well have Chronic Fatigue Syndrome, or CFS. What distinguishes CFS from other disorders is that fatigue is present for a period of 6 months or longer, and the patient will report other symptoms such as headaches, muscle pain, memory problems and decreased mental concentration, multiple joint pain, inability to sleep well, a sore throat, and swollen lymph nodes.


Any mode of activity, whether physical or mental, that a patient undertakes is also known to prolong the incidence of fatigue for more than 24 hours at a time. Despite CFS research that has been ongoing for nearly 20 years, there is yet no evidence found of the causes of Chronic Fatigue Syndrome. Chronic Fatigue Syndrome usually affects four times more women than men, generally between the ages of 40 and 50, although it may also afflict individuals of all ages, genders, ethnicities, or socioeconomic groups.
Diagnosing Chronic Fatigue Syndrome has proved to be a very challenging dilemma for the medical community. There has been a huge amount of debate surrounding the issue of how to properly diagnose Chronic Fatigue Syndrome. Doctors who undertake to diagnose the presence of CFS will need to ascertain that for six months of more, the patient has been experiencing cognitive dysfunction that includes a marked lack of concentration as well as an impaired memory. The doctor will have to determine if the patient suffers from chronic insomnia, or barring that, constant non-restful sleep.
There is no definite cure or therapy for Chronic Fatigue Syndrome, and the best that the medical community can offer is to treat the various symptoms of this disorder, such as the all-encompassing fatigue and sleep problems, to enable patients to lead normal lives. Patients who suffer from CFS will need to accommodate certain lifestyle changes, as well as adopt a regimen of dietary restrictions, reducing the amount of stress they are exposed to, preventing themselves from any form of overexertion, be it mental or physical, and gentle stretching exercises in addition to various medications geared at treating the various physiological manifestations of the disorder.
The sooner Chronic Fatigue Syndrome is diagnosed and treated, the better the chances are of recovery.
Because fatigue is a common symptom in many diseases, a wide differential diagnosis (Table 2)3 needs to be excluded. Numerous clinical trials of pharmacologic agents have been conducted but no definitive therapeutic benefit has been identified.Tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs) are common therapy for patients with CFS.
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.
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It is such a poorly understood condition that the treatments reported to help most are predominantly lifestyle changes, while the medical treatments are predominantly reported to produce negative effects. It is of course great to find that my own knowledge is confirmed by CureTogether, but as somebody who’s had the CFS diagnosis for over 15 years[*] and been an active member of online support groups for almost that long, this is exactly what I would have predicted. This type of illness makes sufferers feel constantly fatigued on a day-to-day basis, despite periods of rest or sleep.
Both debilitating and complex, no amount of bed rest will improve the fatigue experienced by patients who have CFS. CFS is less common in children, although there have been cases of the syndrome reported in teenagers. People who have been diagnosed with Chronic Fatigue Syndrome will notice that the symptoms they experience are rather similar to that of various other disorders. Other symptoms that point toward a diagnosis of Chronic Fatigue Syndrome will usually include persistent muscle pain, multiple joint pain with the absence of redness or swelling, tender lymph nodes, a sore throat, and headaches that vary in length and severity. 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.
The nature of these various symptoms have often stymied doctors from distinguishing Chronic Fatigue Syndrome compared to a host of other ailments with similar symptoms.


People who suffer from Chronic Fatigue Syndrome are most often listless, unable to function properly, and perform everyday activities at a very low-key level compared to what they were able to accomplish before their illness. The symptom of unyielding fatigue is non-specific and often similar to hundreds of other ailments, making CFS a difficult disorder to diagnose.
Further, Chronic Fatigue Syndrome is a type of disorder that occurs intermittently, with patients frequently relapsing in no predictable manner. Despite the difficulty in diagnosing CFS, early intervention has been considered favorable for patients, as the longer the illness has been allowed to continue before diagnosis, the more complicated it will be to treat. 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. 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. Medical research continues to examine the many possible etiologic agents for CFS (infectious, immunologic, neurologic, and psychiatric), but the answer remains elusive. 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. Now when I start feeling exhausted I just take them both for a day or two and that seems to keep the fatigue away. 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. Despite intense medical research, there is no known cause for CFS, but it appears to be a heterogeneous disorder which affects multiple systems, including hormonal, neurologic, and immunologic. Because there are no specific diagnostic tests or physical findings for CFS, diagnosis requires knowledge of possible symptoms and a method of exclusion.
Alleviating allergy symptoms and stress may decrease the intensity and frequency of exacerbations, thereby improving the quality of life for persons with CFS.
CFS is likely a spectrum of illnesses sharing a common pathogenesis with varying degrees of fatigue and associated symptoms.
Therefore, it is reasonable to hypothesize that allergens, similar to infectious agents, could serve as a triggering event for the many symptoms specific to CFS. 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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