|
|
|
Chronic FatigueWe all get tired. Many of us at times have felt depressed. But the mystery known as chronic fatigue syndrome (CFS) is not like the normal ups and downs we experience in everyday life. The early sign of this illness is a strong and noticeable fatigue that comes on suddenly and often comes and goes or never stops. You feel too tired to do normal activities or are easily exhausted with no apparent reason. Unlike the mind fog of a serious hangover, to which researchers have compared chronic fatigue syndrome, the profound weakness of chronic fatigue syndrome does not go away with a few good nights of sleep. Instead, it slyly steals your energy and vigour over months and sometimes years. How does chronic fatigue syndrome begin, and what are chronic fatigue syndrome symptoms? For many people, chronic fatigue syndrome begins after a bout with a cold, bronchitis, hepatitis, or an intestinal bug. For some, it follows a bout of infectious mononucleosis, or mono, which temporarily saps the energy of many teenagers and young adults. Often, people say that their illnesses started during a period of high stress. In others, chronic fatigue syndrome develops more gradually, with no clear illness or other event starting it. Unlike flu symptoms, which usually go away in a few days or weeks, chronic fatigue syndrome symptoms either hang on or come and go frequently for more than six months. Chronic fatigue syndrome symptoms include:
Chronic fatigue syndrome seems to involve interactions between the immune and central nervous systems, interactions about which scientists know relatively little. Scientists' concerted efforts to penetrate the complex nervous system and immune system events in chronic fatigue syndrome have created a challenging new concept of the pathology of this and other illnesses. Chronic fatigue syndrome was once stereotyped as a new "yuppie flu" because those who sought help for and caused scientific interest in chronic fatigue syndrome in the early 1980s were mainly well-educated, well-off women in their thirties and forties. Similar illnesses, known by different names, however, date back at least to the late 1800s. The modern stereotype arose. Since then, doctors have seen the syndrome in people of all ages, races, and social and economic classes from several countries around the world. Still, chronic fatigue syndrome is diagnosed two to four times more often in women than in men, possibly because of biological, psychological, and social influences. For example,
How many people have chronic fatigue syndrome? Because there is no specific laboratory test or clinical sign for chronic fatigue syndrome, no one knows how many people this illness affects. CDC estimates, however, that as many as 500,000 people in the United States have a chronic fatigue syndrome-like condition. What causes chronic fatigue syndrome? While no one knows what causes chronic fatigue syndrome, for more than a century, doctors have reported seeing illnesses similar to it. In the l860s, Dr. George Beard named the syndrome neurasthenia because he thought it was a nervous disorder with weakness and fatigue. Since then, health experts have suggested other explanations for this baffling illness.
In the mid-1980s, the illness became labelled "chronic EBV" when laboratory clues led scientists to wonder whether the Epstein-Barr virus (EBV) might be causing this group of symptoms. New evidence soon cast doubt on the theory that EBV could be the only thing causing chronic fatigue syndrome. High levels of EBV antibodies (disease-fighting proteins) have now been found in some healthy people as well as in some people with chronic fatigue syndrome. Likewise, some people who don't have EBV antibodies, and who thus have never been infected with the virus, can show chronic fatigue syndrome symptoms. How is chronic fatigue syndrome diagnosed? Doctors find it difficult to diagnose chronic fatigue syndrome because it has the same symptoms as many other diseases. When talking with and examining you, your doctor must first rule out diseases that look similar, such as multiple sclerosis and systemic lupus erythematosus in which symptoms can take years to develop. In follow-up visits, you and your doctor need to be alert to any new cues or symptoms that might show that the problem is something other than chronic fatigue syndrome. When other diseases are ruled out and if your illness meets other criteria as well, your doctor can diagnose you with chronic fatigue syndrome (see below) The chronic fatigue syndrome case definition The EBV work sparked new interest in the syndrome among a small group of medical researchers. They realized they needed a standard way to describe chronic fatigue syndrome so that they could more easily compare research results. In the late 1980s, CDC brought together a group of chronic fatigue syndrome experts to tackle this problem. Based on the best information available at the time, this group published in the March 1988 issue of the scientific journal, Annals of Internal Medicine, strict symptom and physical criteria -- the first case definition -- by which scientists could evaluate chronic fatigue syndrome study patients. Not knowing the cause or a specific sign for the disease, the group agreed to call the illness "chronic fatigue syndrome" after its primary symptom. "Syndrome" means a group of symptoms that occur together but can result from different causes. (Today, chronic fatigue syndrome also is known as myalgic encephalomyelitis, postviral fatigue syndrome, and chronic fatigue and immune dysfunction syndrome.) After using this definition for several years, chronic fatigue syndrome researchers realized some criteria were unclear or redundant. An international group of chronic fatigue syndrome experts reviewed the criteria for CDC, which led to the first changes in the case definition. This new definition was published in the same journal in December 1994. Besides revising the chronic fatigue syndrome case criteria -- which reduced the required minimum number of symptoms to four out of a list of eight possible symptoms -- the newer report also proposed a conceptual outline for studying the syndrome. This outline recognizes chronic fatigue syndrome as part of a range of illnesses that have fatigue as a major symptom. Although primarily intended for researchers, these guidelines should help doctors better diagnose chronic fatigue syndrome. How can I cope with and manage the chronic fatigue syndrome? There is no effective treatment for chronic fatigue syndrome. Even though there is no specific treatment for chronic fatigue syndrome itself, you may find it quite helpful to treat your symptoms. Nonsteroidal anti-inflammatory drugs, such as ibuprofen, may help get rid of any body aches or fever, and nonsedating antihistamines may help relieve any prominent allergic symptoms, such as runny nose. Learning how to manage your fatigue may help you improve the level at which you can function and your quality of life despite your symptoms. A rehabilitation medicine specialist can evaluate and teach you how to plan activities to take advantage of times when you usually feel better. The lack of any proven effective treatment can be frustrating to both you and your doctors. If you have chronic fatigue syndrome, health experts recommend that you try to maintain good health by:
For most people, chronic fatigue syndrome symptoms plateau early in the course of illness and thereafter wax and wane. Some people get better completely, but it is not clear how frequently this happens. Emotional support and counselling can help you and your loved ones cope with the uncertain outlook and the ups and downs of this illness. New studies seem to show that cognitive behavioral therapy and graduated exercise programs can greatly help many. Others are helped by antidepressants. Because well-designed clinical studies have found that patients with fibromyalgia (an illness similar to chronic fatigue syndrome) benefit from low-dose tricyclic antidepressants, doctors often prescribe these drugs for people with chronic fatigue syndrome with generally positive results. Some researchers believe that these drugs improve the quality of sleep. Patients also have benefited from other kinds of antidepressants, including the newer serotonin reuptake inhibitors. Therapeutic doses of antidepressants often increase fatigue in chronic fatigue syndrome, so doctors may have to increase the dosage very slowly, or prescribe more active antidepressants. In addition, some people with chronic fatigue syndrome benefit from the benzodiazepines, a class of drugs used to treat acute anxiety and sleep problems. Patients often try more than one drug before finding one that works and can be tolerated. Aromatherapy can sometimes help in chronic fatigue and many essential oils have benefits in terms of relaxing and also stimulating the person. A massage using Basil, Geranium, Marjoram, Nutmeg, Pine, Rosemary or Thyme essential oils or a blend of any of these essential oils would help to restore tone to the body and clear the mind giving renewed energy. An aromatic bath using 6 drops of Geranium, Marjoram, Rosemary or Thyme essential oils can be very invigorating. Alternatively try any of the above with 2 drops of Clove or Nutmeg essential oils. Also try using oils which are calming, soothing and enhance sleep such as Chamomile Roman and Lavender essential oils. It is important with this condition that the person is able to get quality rest and these oils can assist with this. Abnormal fatigue can be a symptom of depression or stress so oils which are deeply relaxing can sometimes be beneficial. It is also important to review the diet as foods lacking in vitamins and minerals can create undue fatigue. |
|
| Copyright © Think Aromatherapy 2008 | Web design by 7Soft.co.uk |
