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by Dr. Sadilek
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Survival With Chronic Fatigue Syndrome
(CFS)
A majority of our population
suffers from fatigue at some time in their lives. Is your
fatigue continuously overwhelming? Do you suffer from chronic
muscle aches (fibromyalgia), excessive joint stiffness, loss
of concentration, erratic sleep patterns, depression? These
are some of the many symptoms that can present as chronic
fatigue syndrome.
In order to arrive at a diagnosis
of chronic fatigue syndrome, I find it extremely important
to conduct a thorough history and physical during the first
office visit. Carefully listening to my patients often supplies
me with the details I need to provide the patient with a speedy
recovery. It's not uncommon to hear patients report a bad
flu that never went away, or relate a traumatic event or significant
loss that left them overly fatigued. Additionally, laboratory
studies, psychological and nutritional profiles complete the
examination process.
To get a basic understanding,
let us briefly look at the pathology and history of the disease.
Chronic fatigue syndrome has been given a variety of names.
A few include chronic mononucleosis, myalgia, encephalomyelitis
(ME), or chronic Epstein Barr Virus syndrome. The cause is
not totally known; however, some believe that the Epstein
Barr Virus is the culprit. The Epstein Barr Virus is a member
of the Herpes group of viruses. Unfortunately, this virus
has the ability to be long lasting and latent at times. The
virus finds a home in the B-lymphocytes. It was not until
the mid 1980's that many physicians believed in chronic fatigue
syndrome. Some still are under the opinion that "it is
all in your head."
Treatment options include: (1)
Vitamin C to bowel tolerance; (2) Colostrum to increase immune
function; (3) Licorice Root Syrup, 3 teaspoons daily; (4)
Omega 3 and 6 Oils to help with the immune pathways; (5) a
prescription for Cortisol (if indicated); (6) intravenous
vitamins may help speed recovery; and most importantly, (7)
decrease your stress levels and try to get a solid 8 hours
of sleep.
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