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Chronic Fatigue Symptoms
Chronic fatigue syndrome (CFS) is a complicated illness with an unknown cause.
Once called ”Yuppie Flu”, its prevalence is difficult to ascertain because
there are no specific laboratory tests or clinical signs for it. Though,
chronic fatigue itself is a ubiquitous symptom, occurring in as many as 20
percent of patients attending a general medical clinic, the chronic fatigue
syndrome is far less common. The center for disease control and prevention
(CDC) has estimated that there are as many as 500 000 people in the United
States, who either suffer from CFS or have CFS-like symptoms. Studies have
revealed that patients with CFS are twice as likely to be women as men and are
generally 25 to 45 years old, although cases in childhood and in middle age
have also been described.
An analysis of chronic fatigue symptoms
The most prominent symptom for chronic fatigue syndrome is debilitating
fatigue. Accompanying this unexplainable fatigue, are a variety of physical,
constitutional, and
| Symptom |
Percentage |
| Fatigue |
100 |
| Difficulty concentrating |
90 |
| Headache |
90 |
| Sore throat |
85 |
| Tender lymph node |
80 |
| Muscle aches |
80 |
| Joint aches |
75 |
| Feverishness |
75 |
| Difficulty sleeping |
70 |
| Psychiatric problems |
65 |
| Allergies |
55 |
| Abdominal cramps |
40 |
| Weight loss |
20 |
| Rash |
10 |
| Rapid pulse |
10 |
| Weight gain |
5 |
| Chest pain |
5 |
| Night sweats |
5 |
Table-1 Chronic fatigue symptoms and the approximate percentage of patients
reporting them
neuropsychological complaints. Typically, chronic fatigue symptoms arise
suddenly in a previously active person. The triggering event may be, either an
otherwise unremarkable flu-like illness or some acute stress. Unbearable
exhaustion is left in the wake of this incident. Other symptoms, which indicate
the persistence of infection and a need for medical assistance, are headache,
sore throat, tender lymph nodes, muscle and joint aches and frequent
feverishness. Over several weeks, other symptoms of the syndrome as disturbed
sleep, difficulty in concentration and depression, become evident.
| Major chronic fatigue symptoms |
1. Persistent or relapsing fatigue thata. Does not resolve with bed restb. Is
severe enough to reduce average daily activities by about 50 percent
2. Satisfactory exclusion of other chronic conditions, including pre-existing
psychiatric diseases
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| Minor chronic fatigue symptoms |
1. Mild fever (37.5-38.6 · C) or chills
2. Sore throat
3. Lymph node pain
4. Unexplained generalized muscle weakness
5. Prolonged generalized fatigue following previously tolerable levels of
exercise
6. New, generalized headaches
7. Neuropsychological symptoms as photophobia, forgetfulness, excessive
irritation, confusion, difficulty thinking, inability to concentrate or
depression
8. Sleep disturbance
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| Physical chronic fatigue symptoms |
Low-grade fever
Non-exudative pharyngitis
Palpable or tender anterior or posterior cervical or axillary lymph nodes |
Table-2 Segregation of chronic fatigue symptoms for working out the definition
of syndrome
At times, depending on the dominant symptoms and beliefs of the affected
individual, additional consultations may be sought from allergists,
rheumatologists, infectious disease specialists, psychiatrists, ecologic
therapists, homeopaths and other professionals, but these consultations
frequently provide unsatisfactory results. Once the patterns if the illness are
established, the symptoms may, somewhat fluctuate. Individuals suffering from
CFS commonly assert that excessive physical or emotional stress exacerbates the
chronic fatigue symptoms. The protracted course of illness may be marked by
isolation, frustration and pathetic resignation of the patient. When the impact
of reassurances by the physicians, proffered during the initial evaluation of
the disease gradually fades away, many patients begin to believe that the
physician does not have the capacity to either acknowledge or resolve their
plight,. Fortunately, chronic fatigue symptoms, usually recede with time and
many patients experience gradual improvement and eventual recovery.
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