Treatment FAQ

what is the treatment for chronic fatigue syndrome

by Eda Mueller III Published 2 years ago Updated 2 years ago
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Medication

  • Nicotinamide adenine dinucleotide hydride (NADH)
  • Probiotics
  • CoQ10
  • Polyphenols (especially from chocolate with a high cocoa content)

Therapy

To re-cap:

  1. Decide, today, that your health is your new #1 priority above all else.
  2. Reach out for help to friends and family.
  3. Build a team of helpers and professional healers to help you along in your journey.
  4. Regularly do nothing. Simply rest.

Self-care

  • Sleep Problems – Valerian Supplements
  • Lack of Energy – L-Carnitine or CoQ10
  • Mood Problems – Lysine and Folic Acid
  • Joint Pain or Muscle Pain – Vitamin D, Omega-3 Supplements

Nutrition

Natural Treatment Options for Chronic Fatigue Syndrome

  • Essential Fatty Acids. ...
  • Vitamin B12 and Folic Acid. ...
  • Coenzyme Q10. ...
  • Nicotinamide Adenine Dinucleotide (NADH) NADH is a naturally occurring molecule formed from vitamin B3 (niacin) that plays an essential role in cellular energy production.

More items...

What helped you with chronic fatigue syndrome?

How can I recover from chronic fatigue syndrome?

What is the best medicine for chronic fatigue?

What are some natural remedies for chronic fatigue?

See more

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What is the best treatment for chronic fatigue syndrome?

There's no specific medicine for treating ME/CFS, but medicine can be used to relieve some of the symptoms. Over-the-counter painkillers can help ease headaches, as well as muscle and joint pain. A GP can prescribe stronger painkillers, although they should only be used on a short-term basis.

Does chronic fatigue go away?

There is no cure or approved treatment for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). However, some symptoms can be treated or managed. Treating these symptoms might provide relief for some patients with ME/CFS but not others.

What is the root cause of chronic fatigue?

The cause of chronic fatigue syndrome is unknown, although there are many theories — ranging from viral infections to psychological stress. Some experts believe chronic fatigue syndrome might be triggered by a combination of factors. There's no single test to confirm a diagnosis of chronic fatigue syndrome.

What type of doctor manages chronic fatigue syndrome?

Doctors might refer patients to see a specialist, like a neurologist, rheumatologist, or a sleep specialist, to check for other conditions that can cause similar symptoms. These specialists might find other conditions that could be treated. Patients can have other conditions and still have ME/CFS.

Does CFS get worse with age?

It is possible that individuals with CFS may lose vitality over time due to worse physical functioning as it becomes more challenging for them to do functional tasks as the illness progresses.

Does chronic fatigue syndrome show up in blood tests?

With blood samples from 40 people — 20 with chronic fatigue syndrome and 20 without — the test yielded precise results, accurately flagging all chronic fatigue syndrome patients and none of the healthy individuals. The diagnostic platform could even help identify possible drugs to treat chronic fatigue syndrome.

Is there a test for chronic fatigue syndrome?

There's no test for myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS), but there are clear guidelines to help doctors diagnose the condition. A GP should ask you about your medical history and give you a physical examination.

Can Covid cause chronic fatigue syndrome?

TUESDAY, Nov. 30, 2021 (HealthDay News) -- The often debilitating condition known as chronic fatigue syndrome appears to be common among COVID-19 long-haulers.

What does a CFS crash feel like?

People with ME/CFS often describe this experience as a “crash,” “relapse,” or “collapse.” During PEM, any ME/CFS symptoms may get worse or first appear, including difficulty thinking, problems sleeping, sore throat, headaches, feeling dizzy, or severe tiredness.

What organ system does chronic fatigue syndrome affect?

Myalgic Encephalomyelitis (my*al*gic + en*ceph*a*lo*my*eli*tis) (ME), commonly referred to as chronic fatigue syndrome, is a serious, debilitating, chronic disease that affects multiple body systems, including the nervous system, the immune system, and the body's production of energy.

What are the two criteria that must be met for a diagnosis of chronic fatigue syndrome?

There exist two specific criteria that must be met for a diagnosis of CFS: (1) severe fatigue lasting six months or longer and (2) the coexistence of any four of a number of characteristic symptoms, defined as mild fever, sore throat, tender lymph nodes, muscle pain and weakness, joint pain, headache, sleep disorders, ...

What is chronic fatigue syndrome called now?

Myalgic encephalomyelitis, also called chronic fatigue syndrome or ME/CFS, is a long-term condition with a wide range of symptoms. The most common symptom is extreme tiredness. ME/CFS can affect anyone, including children.

How to treat fatigue syndrome?

For example, focus on your most pressing errands each day instead of trying to fit in every task, which can help prevent a sudden crash. You should also try to exercise for at least 30 minutes every day to gradually build up your endurance. However, since exercise will tire you out, make sure you're getting between 8 and 10 hours of sleep every night to avoid exhaustion. For advice from our Medical co-author, like how to use supplements to treat chronic fatigue syndrome , keep reading.

What is group therapy for CFS?

Like CBT, group therapy offers the opportunity to share your experience with someone who cares. The difference is that you can listen to and learn from the experiences of others who are also suffering from CFS. This will help normalize the experience, and provide insight into other ways to deal with the illness.

How many people have CFS?

CFS has a low diagnosis rate, but approximately 1 in 250 people are afflicted with it. Doctors without a thorough understanding of CFS may misdiagnose it as depression, general anxiety disorder, or a psychosomatic illness.

What is the condition that leaves you exhausted?

Chronic Fatigue Syndrome, or CFS, is a debilitating condition which leaves the afflicted individual with an ongoing feeling of exhaustion. Persons with CFS may be unable to perform even mundane activities which under normal circumstances present no problem.

How to overcome CFS?

1. Rebuild your ability to concentrate. A common characteristic of CFS is an inability to concentrate on verbal, written, or visual information. Following directions, multitasking, or performing an action which requires a series of steps may become difficult or impossible.

What is cognitive behavioral therapy?

The goal of cognitive behavioral therapy is to help you better cope with CFS. By talking through the experience, giving it meaning, and discovering what may have triggered your CFS, you may be able to mitigate or better manage your CFS symptoms.

How to treat a swollen thigh?

These can help relax muscles and ease pain. Cold treatments include applying ice packs or bags of frozen vegetables to areas causing pain. Do not apply cold treatments for more than 15–20 minutes to a single location.

What is ME/CFS?

Also called myalgic encephalomyelitis (ME/CFS), the symptoms vary from one person to the next. While fatigue and muscle pain might be your worst, constantly awakening unrested and memory loss might be the biggest problems for someone else.

What is the best medicine for muscle pain?

If ME/CFS gives you muscle and joint pain, your doctor might suggest over-the-counter pain relievers, such as ibuprofen, aspirin, or acetaminophen.

Can sleep aids help you sleep?

This means you could feel drowsy throughout the day, which is exactly what you’re trying to avoid. But not all sleep aids affect everyone in the same way. Talk to your doctor about which type would be best for you and how to take it.

Can you take sleeping pills long term?

The goal with these drugs is to get your sleep on track at the lowest possible dose in the shortest amount of time. You aren’t supposed to take them long term.

Can chronic fatigue syndrome cause depression?

If you and your doctor decide that an antidepressant is right for you, your doctor will choose one that’s least likely to cause side effects that could worsen your chronic fatigue syndrome. They may also recommend that you go to a counselor for talk therapy.

What antidepressants are prescribed for chronic fatigue syndrome?

The most common types of antidepressants prescribed for ME/CFS are SSRI/SNRIs and tricyclic agents. 8 .

What is the best way to reduce fatigue?

People also use it to attempt to reduce fatigue and increase energy. Massage, Reiki, and other bodywork: Gentle massage may help with relaxation, lowering anxiety and improving sleep. Qigong: This is a traditional Chinese practice to improve the movement of energy (qi or chi) through the body.

How to help someone with chronic illness?

You may benefit by seeking psychological counseling to help address the emotions and stress that come with having a chronic illness that greatly impacts your lifestyle. In addition to seeing a therapist, you may find attending a support group beneficial.

Is chronic fatigue syndrome FDA approved?

While healthcare providers prescribe medications for chronic fatigue syndrome, none of them is FDA-approved for treating the condition. Usually, these drugs are intended to manage symptoms.

Is there a treatment for chronic fatigue syndrome?

There is no standard treatment for chronic fatigue syndrome, clinically known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). However, there are many options for managing symptoms and improve quality of life, including lifestyle changes, stress management, therapy, and medications. With the help of a doctor ...

What are some ways to help with ME/CFS?

Some people with ME/CFS might benefit from trying techniques like deep breathing and muscle relaxation, massage, and movement therapies (such as stretching, yoga, and tai chi). These can reduce stress and anxiety, and promote a sense of well-being. Top of Page.

How to cope with ME/CFS?

Being mindful of personal limits could prove to be a helpful coping skill for people living with ME/CFS. This enables them the ability to find balance between activities and rest, giving them a sense of managing the illness rather than the illness controlling them. People living with ME/CFS may find that everyday activities such as buying groceries, brushing their teeth, or interacting with others may be enough to cause a relapse or “crash”. It may not be possible to entirely avoid these situations, but people living with ME/CFS need to be aware of monitoring their own activity limits. When having a good day, it is tempting to try and “push” (increasing activity beyond what would normally attempt) to make up for lost time. However, this can then lead to a “crash” (worsening of ME/CFS symptoms); the cycle can then repeat itself after people start recovering from the crash.

How to help a patient with chronic illness?

Strategies that do not involve use of medications and might be helpful to some patients are: 1 Professional counseling: Talking with a therapist to help find strategies to cope with the illness and its impact on daily life and relationships. 2 Balanced diet. A balanced diet is important for everyone’s good health and would benefit a person with or without any chronic illness. 3 Nutritional supplements. Doctors might run tests to see if patients lack any important nutrients and might suggest supplements to try. Doctors and patients should talk about any risks and benefits of supplements, and consider any possible interactions that may occur with prescription medications. Follow-up tests to see if nutrient levels improve can help with treatment planning. 4 Complementary therapies. Therapies, like meditation, gentle massage, deep breathing, or relaxation therapy, might be helpful.

What are the problems that can be caused by ME/CFS?

Depression, Stress, and Anxiety. Adjusting to a chronic, debilitating illness sometimes leads to other problems, including depression, stress, and anxiety. Many patients with ME/CFS develop depression during their illness. When present, depression or anxiety should be treated.

What to do if you have chronic pain?

Doctors may first recommend trying over-the-counter pain-relievers, like aceta minophen, aspirin, or ibuprofen. If these do not provide enough pain relief, patients may need to see a pain specialist. People with chronic pain, including those with ME/CFS, can benefit from counseling to learn new ways to deal with pain.

What does ME/CFS feel like?

People with ME/CFS often have deep pain in their muscles and joints. They might also have headaches (typically pressure-like) and soreness of their skin when touched.

Can ME/CFS patients do aerobic exercise?

Any activity or exercise plan for people with ME/CFS needs to be carefully designed with input from each patient. While vigorous aerobic exercise can be beneficial for many chronic illnesses, patients with ME/CFS do not tolerate such exercise routines.

What is the best treatment for chronic fatigue syndrome?

Some of the more commonly proposed chronic fatigue syndrome treatment plans via conventional medicine include: ( 2) Antivirals. Pain killers (analgesics)

What is chronic fatigue syndrome?

Steroids. It’s long been thought that chronic fatigue syndrome results from improper functioning of your hypothalamic-pituitary-adrenal (HPA) axis. ( 18) You’re probably more familiar with HPA axis issues when they’re referenced as adrenal fatigue. Adrenal fatigue describes a condition of lowered cortisol levels.

What is the unrefreshing sleep symptom?

Sleeping pills. What’s known as unrefreshing sleep is a common symptom in chronic fatigue syndrome. Some of the other sleep-related symptoms tied to CFS include difficulty falling or staying asleep, extreme sleepiness, intense and vivid dreaming, restless legs, and nighttime muscle spasms.

What pain killers are used for chronic fatigue?

Pain killers (analgesics) Out of all the medications used in treating chronic fatigue, none are more popular than pain killers. ( 8) The most common which included acetaminophen and NSAIDs such as ibuprofen, and aspirin. Opiate-based pain killers like morphine and/or naloxone have not been shown to be effective in treating pain levels in CFS ...

What doctor treats chronic fatigue?

With this symptom cluster, you may see four different doctors. A rheumatologist for your pain. A psychiatrist for your depression/anxiety. A sleep specialist for your insomnia. And your family physician. Each doctor will likely prescribe a different medication designed to address one of your symptoms. In this example, you may end up with prescription pain killers, sleeping pills, and an antidepressant.

How to get rid of fatigue?

Take medications to improve your energy to the point where you have enough capacity to address the underlying or root cause of your fatigue. Then, head on over to part two of this article and start treating the root cause of your fatigue with natural or functional medicine!

Does Cox-2 help with fatigue?

Cox-2 has been shown to be elevated during viral infections. ( 10, 11) If your chronic fatigue has a viral origin, taking a COX-2 inhibitor should improve your symptoms of both pain and fatigue. There are no current studies examining the effect COX-2 inhibitors have on CFS.

What are the symptoms of chronic fatigue syndrome?

Signs and symptoms may include: Fatigue. Problems with memory or concentration. Sore throat.

Why do some people develop chronic fatigue syndrome?

Potential triggers include: Viral infections. Because some people develop chronic fatigue syndrome after having a viral infection, researchers question whether some viruses might trigger the disorder.

What age does chronic fatigue syndrome occur?

Age. Chronic fatigue syndrome can occur at any age, but it most commonly affects young to middle-aged adults.

How long does fatigue last?

Chronic fatigue syndrome (CFS) is a complicated disorder characterized by extreme fatigue that lasts for at least six months and that can't be fully explained by an underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. Other characteristic symptoms include: Sleep that isn't refreshing.

What is fatigue a symptom of?

Fatigue can be a symptom of many illnesses, such as infections or psychological disorders. In general, see your doctor if you have persistent or excessive fatigue.

Can chronic fatigue syndrome cause immune system problems?

The immune systems of people who have chronic fatigue syndrome appear to be impaired slightly, but it's unclear if this impairment is enough to actually cause the disorder.

Can chronic fatigue be diagnosed?

Some experts believe chronic fatigue syndrome might be triggered by a combination of factors. There's no single test to confirm a diagnosis of chronic fatigue syndrome. You may need a variety of medical tests to rule out other health problems that have similar symptoms.

What are the drugs used for chronic fatigue syndrome?

Select drug class All drug classes CNS stimulants (3) adamantane antivirals (1) dopaminergic antiparkinsonism agents (1) serotonin-norepinephrine reuptake inhibitors (1) Rx. OTC.

What is CFS fatigue?

This fatigue is so severe that it gets in the way of normal daily activities and is not improved by rest or sleep. Any kind of physical activity or exertion leads to extreme exhaustion (a condition known as post-exertional malaise). CFS may also be called systemic exertion intolerance disease (SEID) or myalgic encephalomyelitis (ME).

What are the symptoms of CFS?

The symptoms of CFS may vary from person to person but can include: Persistent fatigue that is not relieved by rest. Headaches. Poor concentration. Memory Loss. Sore throat. Swollen lymph nodes in your neck or armpits. Unexplained muscle or joint pain.

Why do some people get CFS?

Experts are not sure why some people get CFS and others don’t but suggest some people have a genetic predisposition to the disorder which is possibly triggered by a viral infection (such as the Epstein-Barr virus, human herpesvirus 6), immune system problem, extreme stress, hormonal imbalance, or another event; however, no conclusive link has ever been found.

What to do if you are tired and persistent?

If you have persistent or excessive fatigue, see your doctor. They will perform a physical examination and possibly some blood tests or other examinations to see if there is an underlying reason for your fatigue.

What are the best treatments for CFS?

There is no cure for CFS; however, the following treatments may be considered to help relieve symptoms: 1 Sleeping medications 2 Stimulants 3 Analgesics 4 Antidepressants 5 Other medications.

Can CFS be confirmed?

There's no single test to confirm a diagnosis of CFS and the diagnosis relies on ruling out other conditions that may cause fatigue, such as infections, heart disease, or psychological disorders.

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Diagnosis

Treatment

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
There is no cure for CFS. Treatment aims at providing relief from symptoms.
Medication

Antidepressants: They are given to treat depression, and improve sleep.

Amitriptyline . Doxepin


Nonsteroidal anti-inflammatory drugs (NSAIDs): It is given for pain relief.

Naproxen . Ibuprofen


Anxiolytics: Used to treat anxiety.

Alprazolam . Lorazepam

Therapy

Cognitive behavior therapy:A professional counselor helps you improve your daily activities and lifestyle.

Graded exercise program:Increasing the exercise intensity and time gradually to get used to long-time activities.

Self-care

Always talk to your provider before starting anything.

  • Try relaxation techniques such as yoga and meditation.
  • Maintain a regular regimen for the suggested exercises.
  • Limit caffeine intake to prevent insomnia.
  • Create a sleep routine.
  • Learn to manage physical and emotional stress.

Nutrition

Foods to eat:

  • Plenty of fruits, vegetables, grains, cereals, legumes, poultry, fish, lean meats, and low-fat dairy products

Foods to avoid:

  • Processed, refined carbohydrates: e.g. white bread, crackers, cookies, cakes, soda

Specialist to consult

Psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behaviour problems.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Home Remedies and Lifestyle

  • There's no single test to confirm a diagnosis of chronic fatigue syndrome. Symptoms can mimic those of many other health problems, including: 1. Sleep disorders.Chronic fatigue can be caused by sleep disorders. A sleep study can determine if your rest is being disturbed by disorders suc…
See more on mayoclinic.org

Over-The-Counter Therapies

  • There is no cure for chronic fatigue syndrome. Treatment focuses on symptom relief. The most disruptive or disabling symptoms should be addressed first.
See more on mayoclinic.org

Prescriptions

  • Many alternative therapies have been promoted for chronic fatigue syndrome, but there's not much evidence that they work. Patients with chronic fatigue syndrome may be sensitive to medications, including herbal products and supplements. Treatments that are expensive or potentially harmful should be avoided.
See more on mayoclinic.org

Therapy

  • If you have signs and symptoms of chronic fatigue syndrome, you're likely to start by seeing your family doctor or a general practitioner. It can be difficult to absorb all of the information provided during an appointment, so you might want to arrange for a friend or family member to accompany you. Having someone else hear the information can help you later in case there's something you …
See more on mayoclinic.org

Complementary Medicine

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