Definition
Is a chronic condition that causes significant fatigue.
Prevalence
National Institute of Clinical Excellence (NICE) guidelines reports that 2 –4 in 1000 are affected. Women are affected 2-4 times more frequently then men.1It usually develops in early 20 - 40s. Children can also be affected, especially in mid teens. Most cases are mild or moderate, but up to 25% severe.
Causes
Many different potential aetiologies for CFS/ME – including neurological, endocrine, immunological, genetic, psychiatric and infectious – have been investigated, but the diverse nature of the symptoms can not yet be fully explained
Symptoms and Signs
Fatigue with all of the following features:
Additional symptoms
A person's symptoms may fluctuate in intensity and severity, and there is also great variability in the symptoms different people experience.
Investigations
National Institute of Clinical Excellence (NICE) guidelines recommend a set of screening blood tests (e.g. including full blood count, liver, kidney, thyroid function etc.) and more specific ones if indicated by the history (e.g. HIV serology).1 Further functional tests may be indicated depending on the history. These may include Acumen mitochondrial function, bowel function and nutritional status tests etc.2,3
How is CFS/ME managed conventionally?
Many patients benefit from a combination of activity management, gradual exercise therapy and cognitive behavioural therapy. Some people also find mindfulness and other mind-body therapies helpful.
Some people benefit from medications such as amitriptyline, a tricyclic antidepressant, even if their mood is stable. The other medications are prescribed to manage the symptoms (painkillers for headaches, anti-sickness for nausea etc.)
What complementary and alternative therapies shall I try?
What practitioners can I see about this condition?
Follow up
After you initial consultation, we recommend that you have regular check-ups to monitor your symptoms and response to interventions. The practitioner will advise on appropriate follow up arrangements for your individual situation.
Multidisciplinary approach
Depending on your needs, your care may be shared with other practitioners at the natural practice or elsewhere. Whenever you permit us, we will write to your GP to ensure they are aware of our recommendations and follow up arrangements.
Further information:
References