Chronic fatigue syndrome is a disease that causes painful weakness, exhaustion and brain fog that is aggravated by mental and physical activity which is not relieved by rest.

Chronic fatigue syndrome usually occurs after a viral infection such as glandular fever.

Many people misunderstand chronic fatigue syndrome thinking that you’re just tried.

You are not tired.

You are totally wiped and disabled. Everything in your body hurts 24 hours a day. You are in chronic pain and you feel like you’ve been in a traffic accident.

You become so weak that simply lifting your arm off the mattress is an exercise requiring every scrap of your willpower. You literally become a prisoner in your own body.

You can’t even stand up without falling over. The weakness is so profound that it becomes a huge effort to think, walk, talk, sit, eat and even breathe. This weakness disturbs your sleep often creating chronic insomnia.

The pain and aches you experience in your nerves, joints, muscles and skin feels like you’ve been beaten with a baseball bat.

That is what chronic fatigue syndrome really feels like.

What are the symptoms of Chronic fatigue syndrome?

Main chronic fatigue syndrome symptoms include:

• Extreme weakness and body pain. Extreme mind numbing weakness, chronic body pain and intense exhaustion are the main symptom of chronic fatigue syndrome. The weakness is severely aggravated by movement and mental exertion.

• Mind numbing brain fog. Brain fog is another major symptom of chronic fatigue syndrome. The best way to describe this symptom is that feels like your brain is getting crushed in a vice. The physical suffering of brain fog is excruciatingly painful.

• Dizziness. Accompanying this brain fog is also dizziness, fainting and balance problems upon standing. Your body can also experience low blood sugar and low blood pressure. There is a lack of blood supply to your brain.

• Memory loss and concentration problems. Memory and concentration problems are another chronic fatigue syndrome symptoms. It can get so bad you can forget the names of close friends and cannot think clearly enough to do even the most simple of tasks.

• Anxiety, depression and mood swings. Chronic fatigue syndrome can cause depression, mood swings, anxiety and panic attacks. These changes in mood are reactive to the disease. They are not the cause of the disease. The cause of chronic fatigue syndrome is physical not mental. It’s a real disease with a physiological base and cause.

Other chronic fatigue syndrome symptoms include:

• Gas, indigestion, constipation, diarrhoea and loss of appetite
• Cold and heat intolerance
• Alcohol intolerance
• Sensitivities to noise, light, odours and chemicals
• Low-grade fever or low body temperature
• Chills and night sweats
• Muscle twitching and convulsions
• Swollen lymph glands
• Poor sex drive
• Thirst and dryness

How is CFS diagnosed?

It is difficult to diagnose chronic fatigue syndromebecause it has the same symptoms as many other diseases. While examining you your doctor must first rule out other diseases that look similar to CFS such as mononucleosis, lyme disease, lupus, multiple sclerosis, fibromyalgia, primary sleep disorders, severe obesity and major depressive disorders.

When other diseases are ruled out and if your illness meets the following two criteria your doctor can diagnose you with chronic fatigue syndrome.

Diagnosis of chronic fatigue syndrome occurs if these two criteria are met:

1. Unexplained, persistent fatigue of new onset that is not substantially relieved by rest.
2. Four or more of the following symptoms are present for six months or more:
   • Impaired memory or concentration
   • Post exertional malaise (extreme, prolonged exhaustion and sickness following physical or mental activity)
   • Unrefreshing sleep
   • Muscle pain
   • Multi-joint pain without swelling or redness
   • Headaches of a new type or severity
   • Sore throat that’s frequent or recurring
   • Tender lymph nodes

Risk factors in chronic fatigue syndrome

Women are diagnosed with chronic fatigue syndrome two to four times as often as men.

The condition is most common in people in their 40s and 50s but it can affect people of all ages.

“Complications in chronic fatigue syndrome”

Possible complications of chronic fatigue syndrome include:

• Depression as a reaction to symptoms
• Side effects and adverse reactions associated with lack of activity
• Social isolation
• Lifestyle restrictions
• Loss of income due to inability to work

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