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Up to around 10 years ago, Chronic Fatigue Syndrome (CFS) was effectively dismissed as a "wastebasket diagnosis," meaning it's a diagnosis "Low bat," even with just minimal physical or mental exertion.
A middle-aged female patient was referred to me by a family physician. This is usually aggravated by stress and would be a last chance, then the patient would feel right back to the next episode.
"Parang walang kalakas-lakas ang katawan ko (It's like my whole body just feels so weak) , "She told me.
History and a physical examination. She was not the type prone to psychosomatic problems.
When all laboratory work-ups are unremarkable, I suggest that it be considered that CFS be considered.
Real disease
Though many considered CFS as just a benign psychological problem or something caused by a career burnout, doctors now (19659002) The symptoms vary: fatigue that lasts several days even after rest; poor memory or concentration; headaches or dizziness, muscle gold joint loaves; and still feeling tired after a long sleep.
Some may remember having a febrile condition preceding the onset of symptoms, with sore throat. In scientific literatures, it is now called systemic exertion intolerance disease (SEID) or myalgic encephalomyelitis (ME). Some labels it is ME / CFS.
Health experts are now convinced that CFS is not a mere feigned excuse by malingerers. It can be as real as any medical problem. However, the jury is still out to its real cause.
There are many theories and hypotheses, ranging from viral infection to immunologic or hormonal disorders, or a combination of factors
Diagnosis by Exclusion ]
To this date, it remains a diagnosis by exclusion. All other medical conditions, such as heart, lung, thyroid and other hormonal problems, are ruled out before considering CFS.
The treatment of main goal is to relieve symptoms and make the afflicted patients more functional.
When should one If one experiences extreme exhaustion and other symptoms even after normal activities of daily living, then one should have a checkup. People with chronic fatigue syndrome appear to be hypersensitive to even normal amounts of exercise and activity.
I remember the late Sen. Miriam Defensor-Santiago, who was diagnosed with CFS, causes her to miss sessions at the Senate from time to time.
CFS may occur at any age,
CFS may occur at any age, but may peak in middle age when one is in his / her 40s and 50s. Although reports suggest that there are more females affected than males, it may be a distortion because they are relatively more health-conscious and are more likely to see their doctor for any unusual symptom. CFS
Rehabilitation exercises
Because of their symptoms, CFS patients are frequently absent in their work;
A few could even have suicidal tendencies. This is the reason I refer some patients I suspect to have CFS for rehabilitation exercises.
The patient is given a graded exercise program which may initially consist of simple range-of-motion and stretching exercises, the increase in the extent of the patient's tolerance.
The exercises may help increase the body's secretion of endorphins which are "happy hormones," alleviating the depression
I also prescribe vitamin C and B complex which are anti-stress vitamins; a big dose of coenzyme Q 10 (Cardiozyme), which can help improve their muscular strength; meditation and breathing exercises, and a 30-minute dose of Mozart daily
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