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Parish Nurse Ministry at Lutheran Church of the Atonement
A SPOONFUL OF T.L.C.

CHRONIC FATIGUE SYNDROME

What exactly is chronic fatigue syndrome anyway? Chronic Fatigue Syndrome (CFS) is described as fatigue which lasts a long time after exertion and does not improve with rest. It is very hard to diagnose and most times is labeled as such after a series of tests have been done to rule out other possible illnesses. Its symptoms look similar to other diseases such as multiple sclerosis and lupus. Research is still on-going as the relationship between the immune and central nervous systems is figured out.

CFS can come on gradually or suddenly, usually after an acute infection such as mononucleosis or other viral infection. Symptoms typically include those similar to the ‘flu including:
 Headaches
 Tender or swollen lymph nodes
 Forgetfulness
 Muscle aches
 Inability to concentrate
 Fatigue that lasts 24 hours after exertion which used to be better tolerated.
Although ‘flu symptoms usually go away in a few days or weeks, CFS symptoms continue or recur frequently for more than six months. Some patients report the inability to perform simple tasks without experiencing severe exhaustion.

Studies show that chronic fatigue syndrome occurs at least two times more often in females than in males. It is seen in people of all races, ages, and socioeconomic classes from several countries around the world. Diseases which look similar to the picture of CFS have been reported for more than a century.

While no specific treatments for CFS exist, some success can be found in symptomatic treatment. Improving resting periods, gentle exercise, and pacing oneself physically, emotionally and intellectually are lifestyle changes which can be very beneficial. Certain antidepressants, non-sedating antihistamines and non-steroidal anti-inflammatory drugs can also be prescribed to help with various symptoms.

If you or someone you know has severe fatigue which doesn’t improve with rest, sleep problems, and swollen glands of the neck or armpits, please contact your physician so diagnosis and treatment can be given. Much of this information was listed on the internet under Webmd.com. If you’d like more information on this subject, log on to my.webmd.com or call your parish nurses at 314-837-1090.

- Nicki Reynolds, R.N.

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