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Chronic Fatigue Syndrome – How To Help Young People Diagnosed With It


Chronic fatigue syndrome is a complex ailment marked by excessive exhaustion that lasts at least six months and cannot be explained adequately by an underlying medical condition.

The tiredness worsens with physical or mental exertion, but it doesn't get better with rest.

Children and adolescents, as well as adults, are affected by chronic fatigue syndrome.

Chronic fatigue syndrome is a complicated condition characterized by extreme exhaustion and significant physical and cognitive function loss.

The cause is unknown, and there is no cure.

COPYRIGHT_WI: Published on https://washingtonindependent.com/w/chronic-fatigue-syndrome/ by Karan Emery on 2022-07-15T22:27:17.265Z

The primary symptom is a sense of being sick (malaise) and worsening of symptoms after modest physical or mental activity.

This post-exercise deterioration might last for hours, days, or weeks and is not alleviated by rest or sleep.

Other symptoms include unrefreshing or disturbed sleep, cognitive impairment, and immunological, neurological, and autonomic problems.

Orthostatic intolerance (OI) is a frequent co-morbid condition.

Significant pathophysiological alterations in chronic fatigue syndrome indicate an organic/physical disorder.

Secondary psychological symptoms may emerge in certain patients, as in many other chronic diseases, but psychological elements are not the cause.

Chronic Fatigue Syndrome Symptoms

Chronic fatigue syndrome is when a person can conduct regular tasks before the disease diminishes and must endure for more than six months.

This is known as post-exertional malaise (PEM) or "crash," and symptoms include difficulties thinking, difficulty sleeping, sore throat, headaches, dizziness, or extreme exhaustion.

A collision might leave patients housebound or entirely bed-bound for days, weeks, or months.

Keeping up with work may need spending nights and weekends recuperating.

People with chronic fatigue syndrome may feel lightheaded, dizzy, weak, or faint when rising or sitting up.

They may have visual alterations such as blurring or seeing spots.

Muscle discomfort and pains without swelling or redness are the most prevalent forms of pain.

A man in a black dress is sitting on a red sofa with his face hidden by his hands
A man in a black dress is sitting on a red sofa with his face hidden by his hands

Chronic Fatigue Syndrome Test

Myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) has no test, although there are clear recommendations to assist clinicians in identifying the disorder.

A general practitioner should interview you about your medical history and do a physical examination.

They may also give you blood or urine tests to rule out other disorders such as anemia (low red blood cell count), an underactive thyroid gland, or liver and kidney issues.

Treatment Of Chronic Fatigue Syndrome In Young People

There is currently no therapy plan or technique to cure chronic fatigue syndrome.

The physician must strive to enhance everyday function, increase exercise, and alleviate particular symptoms.

Because symptoms and comorbidities vary, no one treatment works for all people.

Early diagnosis, patient education, family, and school personnel about the illness, determining the dominant causes of post-exertional symptoms, treating symptoms with non-pharmacological and pharmacological interventions, maintaining social contacts, and monitoring progress are cornerstones of chronic fatigue syndrome clinical management.

Adolescent patients are encouraged to choose their unique, ideal mix of social, physical, and intellectual activities.

The exercise plan may be altered at each appointment based on the severity or improvement of the symptoms.

Progress should be monitored throughout time, rather than just at a clinic visit.

Sleep Problem

Difficulties falling or staying asleep, frequent awakenings, vivid nightmares, day/night reversal, and hypersomnia are all symptoms of disrupted sleep patterns.

The Epworth drowsiness scale may be used to assess sleepiness.

To prevent post-exercise symptoms from worsening, which might interfere with sleep, balance daily activity with rest.


Chronic fatigue syndrome pain may be broad or localized.

Migraine-prevention medications are worthwhile for both episodic and non-episodic persistent, everyday headaches.

Beta-blockers may assist with headaches caused by orthostatic intolerance.

There may be gastrointestinal motility issues. Non-pharmacological pain relief involves exercise pacing to prevent flare-ups.

NSAIDs may help with dysmenorrhea but are seldom beneficial for chronic fatigue syndrome discomfort.


Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is an inability to create enough energy for typical human activities.

Some patients over-exercise to minimize tiredness, resulting in post-exercise relapse.

Excessive physical activity might aggravate chronic fatigue syndrome symptoms.

It is critical to avoid advancing exercise too quickly or too soon.

Maintaining as much activity as feasible while avoiding post-exercise flare-ups defines an ideal zone of action known as the "energy envelope."

Exercise should begin with 1–2 minutes of mild stretching, followed by rest.

Rest is required between activities, and young people are urged to avoid the "push-crash" cycle.

Exercise in a swimming pool is often tolerated better if the water is not too warm.

Adults with chronic fatigue syndrome have benefited from dexamphetamine, lisdexamfetamine, and modafinil.

Fatigue medications may need to be saved for potentially tiring events such as school examinations.

Some people self-medicate with caffeine, which may be found in coffee and popular energy drinks.

Cognitive Impairment

Chronic fatigue syndrome and cognitive problems affect education. Section "The School System", discusses educational adjustments.

The young patient should avoid situations that increase cognitive issues: mental and physical exertion, noise, bright lighting, and exextended-standingaggravateperiodstheyre aggravation.

Pacing exercises may help cognitive problems: the young person should be intellectually busy for short periods, followed by proper rest; they should learn to detect fatigue.

Mental work is sometimes more accessible lying while lying down.

Sleeplessness, pain, depression, anxiety therapy, snacks, beverages, caffeine self-medication, and prescribed stimulants like low-dose methylphenidate might help certain patients; nevertheless, a sense of well-being can lead to a sensation of well-being to overactivity—chronic illness stress management.

Immune System Support

Adult IVIG studies have had mixed outcomes. IVIG 1 g/kg monthly (max dosage 60 g) for three months had modest efficacy for overall function in teenage patients (a combination of school attendance, school work, social activities, and physical activities).

Many chronic fatigue syndrome patients reported feeling entirely well by the 6-month follow-up. After 5–7 years of follow-up, the placebo group matched the intervention group's functionality.

The experiment revealed IVIG reduced sickness duration. IVIG is costly, not usually accessible because of health insurance constraints, and may cause dangerous side effects, such as aseptic meningitis and anaphylaxis in IgA deficient patients.

Depression And Anxiety

Primary care doctors often use informal counseling to handle secondary mental issues.

If antidepressants are prescribed, it should be remembered that younger people react to lower-than-expected doses.

Support And Coping Skills

The young person with chronic fatigue syndrome lyin must adjust to the reality of the disease and incorporate it into a meaningful life.

There should be a chance to discuss matters with a trustworthy expert familiar with the sickness.

Teenagers often need a chance for dialogue without the presence of a parent.

Young people with chronic fatigue syndrome benefit from practical ideas for dealing with chronic disease.

For example, I am demystifying and explaining the sickness to others.

Use stress-reduction strategies such as music, visualization, self-hypnosis, and mindfulness-based cognitive therapy (where applicable).

Cognitive Behavioral Therapy seeks to enhance disease coping by altering "maladaptive cognitive responses" and promoting graded exercise and gradual improvements in other activities.

The idea that dysfunctional attitudes and beliefs exclusively cause the disease is theoretical, without scientific backing, and contradicts our present knowledge of chronic fatigue syndrome.

Dietary Management

Many young individuals with chronic fatigue syndrome have gastrointestinal problems that may make eating difficult.

Some young individuals have co-morbid gastrointestinal disorders.

The objective is for the young person to have a nutritious diet that includes foods they love.

Drinks should be readily accessible, preferably water; do not "over-drink." Electrolyte drinks may be beneficial; however, avoid those that include fermentable oligo-, di-, mono-, and polyols.

People Also Ask

Can COVID Cause Chronic Fatigue Syndrome?

Yes, COVID-19 long-haulers tend to be prone to chronic fatigue syndrome.

Does Chronic Fatigue Syndrome Go Away?

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) has no cure or recognized therapy.

Some symptoms, however, may be treated or controlled.

Some chronic fatigue syndrome patients may benefit from treatment of these symptoms, while others may not.

Is Chronic Fatigue A Mental Illness?

Chronic fatigue syndrome was characterized as a somatoform psychiatric mental health illness by UK psychiatrists in 1991, according to the Oxford Criteria.


Because it is a severe and complicated condition, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) poses particular problems for persons living with the illness and their loved ones.

Researchers have yet to discover what causes chronic fatigue syndrome, and there are no specific laboratory tests that directly identify chronic fatigue syndrome.

As a result, clinicians must evaluate chronic fatigue syndrome diagnosis based on an in-depth review of a person's symptoms and medical history.

Doctors must also identify and treat other illnesses that may produce similar symptoms.

While there is no cure for chronic fatigue syndrome, many symptoms may be treated or controlled.

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About The Authors

Karan Emery

Karan Emery - I'm a research scientist interested in learning more about how neural activity influences and shapes human behavior. Project design and management, data analysis and interpretation, and the creation and implementation of testing tools are among my specialties. I enjoy coming up with new ideas and coming up with practical solutions to issues that are widely applicable. My colleagues would describe me as a driven, resourceful individual who maintains a positive, proactive attitude when faced with adversity. Currently, I’m seeking opportunities that will allow me to develop and promote technologies that benefit human health. Specific fields of interest include data analytics, biotechnology, and pharmaceuticals.

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