Chronic fatigue — Reasons affecting your
General Well-Being
Overview
It is generally
termed as Chronic Fatigue Syndrome of Holmes et al. The
condition is associated with a particular type of occupation,
lifestyle, mental or physical stress or any amount of
pre-existing psychiatric evidence. Fatigue is general weariness
and tiredness. These include myalgic encephalomyelitis (ME),
post viral fatigue syndrome (PVFS), chronic fatigue and immune
dysfunction (CFIDS), post-infectious fatigue syndrome (PIFS),
neurasthenia, fibrositis myalgia and "Yuppie
flu”.
Symptoms
The major
criteria: this onset-fatigue lasts for six months and fifty
percent reduction in activity. The symptoms are low grade fever
(around 37.5 to 38.6 degree Celsius.), sore throat, painful
cervical axillary lymphadenopathy and certain amount of
generalized muscle weakness, muscle pain that is myalgias,
fatigue lasting for twenty four hours, headaches, migratory
arthralgia, sleep disturbances which could be hypersomnia or
insomnia. There are neuropsychological complaints like the
photophobia, visual scotomas, forgetfulness, irritability and
confusion, disorder in concentrating, depression and acute
onset for a few days or few hours. The causative
agent a type of herpes virus is generally accepted
as causing infectious mononucleosis or glandular fever that is
a condition seen most commonly in adolescents and younger
adults. The antibody titers to cytomegalovirus, measles virus
and many various herpes virus are often elevated in patients
with Chronic Fatigue Syndrome. In certain cases the most
profound symptoms are as follows-- balance disturbances,
claudication, gastrointestinal disorders and fluid retention.
The differential diagnosis in the first case should always
include recurrent and chronic labyrinthitis.There may a lot of
other psychiatric ailments the individual might
experience.
Treatment
The treatment
includes the use of anti-depressants which are non-sedating
such as desipramine hydrochloride or fluotexine hydrochloride
and especially the Prozac. It also includes the use of
antibiotic therapy consisting of interferons,
interleukic-2-acyclovi, immunoviral drug like the inosine
pranobex, immunosuppressive such as cyclophosphamide,
azathioprine and corticosteroids drugs , vitamins in the
most 'special diets', treatments aimed to eliminate candida and
other fungal infections are useful. The ampligen intravenous
therapy with pooled immunoglobin, calcium blocking agents to
course exercise induced fatigue. Restoring to a particular
exercise regime and doing certain muscle building and
strengthening activities may also help in building the body
activity towards it.
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