Doctor insights on:
What Are The Main Differences Between Chronic Fatigue Syndrome And Polymyalgia Rhumatica
Shoulder & hip pain: Polymyalgia rheumatica is characterized by hip and shoulder pain/stiffness associated with high inflammatory markers in the blood (sedimentation rate and c-reactive protein). It only occurs in people 50 and older and resolves with steroid treatment within a day or 2. Fibromyalgia is all-over pain that can occur at any age and is not inflammatory. It does not respond to steroids. ...Read more
Response to rest: Folks with chronic fatigue syndrome (cfs) and fibromyalgia (fm) have a lot of overlapping symptoms. The principal difference is that in cfs activity seems to worsen the symptoms while fm mostly improve with activity. Fm also responds to some medication while cfs rarely does. Your family doctor can make this distinction for you. ...Read more
Multi system: This condition, perhaps as a sequel to a viral illness, causes tiredness, muscle aching, joint pain and mental fatigue. More common in women, it can affect all age groups, responds poorly to medication, and in extreme cases leaves the patient mostly bedridden. There is no laboratory testing that makes the diagnosis. There are strong psychological underpinnings. ...Read more
Main symptom: Although they have lots of common symptoms, but main symptom in fibromyalgia is the widespread pain while in chronic fatigue syndrome, main concern is the extreme fatigue even with minimal activity. Some people may have both which makes the diagnosis and management harder. ...Read more
Can you list some key differences between fibromyalgia and chronic fatigue syndrome? I have most symptoms of both, so need some way of distinction.
FM vs. CFS: Fm is a generalized systemic condition that is characterized by widespread aching or pain throughout the body. To be included in the diagnosis of fm, this pain should be located in at least three out of four quadrants of the body or along the entire spine for a minimum of three months. Cfs may be distinguished from fm on the basis of the presence of cognitive dysfunction, which is absent in fm. ...Read more
Still a mystery: Chronic fatigue syndrome refers to severe, continued tiredness that is not relieved by rest and is not directly caused by other medical conditions. As part of the definition of cfs other conditions known to cause fatigue are not present. The cause of cfs is still a mystery but there is often evidence of immune dysfunction and many theorize it is caused by viruses. Please see my comments for more:. ...Read more
Find & Rx cause: Yes, chronic fatigue syndrome is a multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults. These factors impair the patient's ability to produce energy and they end up chronically fatigued. There are numerous internal & external stressors that can contribute to this syndrome. Find & rx. ...Read more
Family doctor: If you have fatigue and mental slowness which do not seem to go away (and there are many other symptoms possible) you should see your family doctor to sort this out. He will rule out other conditions like hypothyroid which can mimic this condition which is a diagnosis of exclusion since there are no positive laboratory tests. ...Read more
Evaluation: First someone with fatigue should get a complete evaluation to rule out causes for their fatigue. Including tests for anemia, thyroid, infections and autoimmune. An integrative approach addressing lifestyle, diet, exercise and stress. A whole food antinflammatory diet, exercise and stress reducing techinigues are a good place to start. Supplements and medications may also be indicated. ...Read more
See details: If you have severe unremitting fatifue and all underlying causes have been ruled out. ...Read more
Evaluate and treat: First of all, you need a medical evaluation and lab work to look for underlying causes of fatigue. The workup often includes a sleep study if nothing is found, there are medications which can often produce good benefit. ...Read more
See details: Fatigue is your symptom when you have cfs. However, you need to rule out other causes of fatigue so have a doctor evaluated the situation. ...Read more
See details: Only if you have severe unremitting fatigue and all other causes of fatigue have been ruled out. ...Read more
FATIGUE EVAL: CFS IS A DX OF EXCLUSION You need full EXAM AND labs. CBC/CMP/B12/FOLATE /TFTS/VITD/CRP//SED RATE//IRON STUDIES/LYME TITERS. Start a. Gluten free diet Wholeapproach. Com gutbliss. Com. And high potency vitamins. Rejuvenation-science. Com Then review results if no firm diagnosis is made, a sleep study may be necessary. LASTLY EBV&CMV TITERS TX VALTRX/FAMVIR can help Pts with VERY HIGH TOTERS ...Read more
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