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Chronic Fatigue Syndrome (CFS)

Basics

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Definition

Chronic fatigue syndrome is a condition of prolonged and severe tiredness or weariness (fatigue) that is not relieved by rest and is not directly caused by other conditions. To be diagnosed with this condition, your tiredness must be severe enough to decrease your ability to participate in ordinary activities by 50%.

See also: Fatigue

Symptoms

Symptoms of CFS are similar to those of most common viral infections (muscle aches, headache, and fatigue). They come on within a few hours or days and last for 6 months or more.

Main symptoms:

  • Fatigue or tiredness, never experienced to this extent before (new onset), lasting at least 6 months and not relieved by bed rest
  • Fatigue that is severe enough to restrict activity (serious fatigue develops with less than one-half of the exertion compared with before the illness)

Other symptoms:

  • Fatigue lasting more than 24 hours after an amount of exercise that would normally be easily tolerated
  • Feeling unrefreshed after sleeping an adequate amount of time
  • Forgetfulness or other similar symptoms including difficulty concentrating, confusion, or irritability
  • Headaches, different from previous headaches in quality, severity, or pattern
  • Joint pain, often moving from joint to joint (migratory arthralgias), without joint swelling or redness
  • Lymph node tenderness in the neck or armpit
  • Mild fever (101 degrees F or less)
  • Muscle aches (myalgias)
  • Muscle weakness, all over or multiple locations, not explained by any known disorder
  • Sore throat
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