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Treatment options for chronic fatigue syndrome

by Pam Hectorne

Created on: August 08, 2008

Chronic Fatigue Syndrome (also called CFS) is a state of chronic fatigue that exists without other explanation for 6 months or more. There is no known cause, although it may be related to a previous illness or infection.

The treatment for CFS varies. Because the cause is unknown, treatments are directed at relieving the symptoms, rather than curing the illness. The goal with treatment is to regain some level of previous function, although people with CFS may experience worsening symptoms because they expect a prompt recovery and work too hard thereby becoming frustrated and less responsive to the rehabilitation program.

Each person is different, so you and your doctor need to work together to develop a program that will for work for you. Various medicines can be used. These include anti-inflammatory drugs for pain, antidepressants for depression and to help sleep, anxiolytic drugs for anxiety, stimulants to treat daytime sleepiness and non-drowsy allergy medications.

Other types of treatment may include acupuncture, massage therapy, and self hypnosis. People using these treatments should combine them with an individualized exercise program that includes stretching. Physical activity performed at a comfortable pace is important for everyone to maintain good health, especially people with chronic fatigue syndrome. People with CFS need to learn how much activity is helpful and when to stop, so they do not increase their level of fatigue. People with CFS should pace themselves carefully and if you want to increase your activity, do so gradually.

There has been some success with experimental treatments using herbal supplements and a modified diet. Although many of these not been tested, people are reporting success. Dietary supplements and herbal preparations can have potentially serious side effects, and some can interfere or interact with prescription medications. Do not begin any experimental treatments without consulting your doctor first.

The percentage of people who completely recover from chronic fatigue syndrome is not known. Most people with CFS have improvement in their symptoms over time with proper treatment strategies and regular care. People with CFS may have cyclical symptoms in which they have periods of illness followed by periods or relative wellness. Most patients recover within 5 years of the beginning of the illness.

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