There is generally no cure for an autoimmune disorder, but the symptoms can be managed. Type 1 diabetes can affect anyone of any age, but is more common in people under 30 years. Fluid retention oedema occurs when fluid isn't removed from the body tissues, including the skin.
Causes include the body's reaction to hot weather, a high salt intake, and the hormones associated with the menstrual cycle.
Symptoms include swelling of body parts such as feet, hands and ankles, a feeling of stiffness or aching and weight fluctuations. Drinking plenty of water will actually help your kidneys to flush out excess fluid. Fluid retention may be a sign of disease. Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional.
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The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. Skip to main content. Immune system. Home Immune system. Chronic fatigue syndrome CFS. Actions for this page Listen Print. Summary Read the full fact sheet.
On this page. Symptoms of chronic fatigue syndrome Causes of chronic fatigue syndrome Diagnosis and treatment for chronic fatigue syndrome Effects of chronic fatigue syndrome Chronic fatigue syndrome and exercise Pacing exercise for people with chronic fatigue syndrome General exercise tips for people with chronic fatigue syndrome Support for people with chronic fatigue syndrome Where to get help.
Applying a particular treatment for one subtype can be very damaging to another subtype. For example, a short stroll, coffee with a friend, getting their child ready for school or catching the train to work, which caused no fatigue before, is followed by unusual tiredness that takes longer than usual to go away. Genes appear to be a factor in many cases.
Health Technol Assess. Long-term outcome of cognitive behavior therapy versus relaxation therapy for chronic fatigue syndrome: a 5-year follow-up study. Am J Psychiatry. Cognitive behaviour therapy for adolescents with chronic fatigue syndrome: randomised controlled trial [published correction appears in BMJ. Effectiveness of internet-based cognitive behavioural treatment for adolescents with chronic fatigue syndrome FITNET : a randomized controlled trial.
Cognitive behaviour group therapy for chronic fatigue syndrome: a non-randomised waiting list controlled study. Guided self-instructions for people with chronic fatigue syndrome: randomised controlled trial. Br J Psychiatry. Patient education to encourage graded exercise in chronic fatigue syndrome: 2-year follow-up of randomised controlled trial. A randomized controlled graded exercise trial for chronic fatigue syndrome: outcomes and mechanisms of change.
J Health Psychol. Randomised controlled trial of graded exercise in chronic fatigue syndrome. Med J Aust. How relevant are exercise capacity measures for evaluating treatment effects in chronic fatigue syndrome? Results from a prospective, multidisciplinary outcome study. Clin Rehabil. Nurse led, home based self help treatment for patients in primary care with chronic fatigue syndrome: randomised controlled trial. Predictors of response to treatment for chronic fatigue syndrome.
A randomised, controlled, triple-blind trial of the efficacy of homeopathic treatment for chronic fatigue syndrome. J Psychosom Res. Use of valganciclovir in patients with elevated antibody titers against human herpesvirus-6 HHV-6 and Epstein-Barr virus EBV who were experiencing central nervous system dysfunction including long-standing fatigue.
J Clin Virol. Combination therapy with hydrocortisone and fludrocortisone does not improve symptoms in chronic fatigue syndrome: a randomized, placebo-controlled, double-blind, crossover study.
Am J Med. Eur J Pain. Does methylphenidate reduce the symptoms of chronic fatigue syndrome? The effectiveness of citalopram for idiopathic chronic fatigue. J Clin Psychiatry. Effect of galantamine hydrobromide in chronic fatigue syndrome: a randomized controlled trial.
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Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Diagnosis and Treatment of Acne. Oct 15, Issue. Chronic Fatigue Syndrome: Diagnosis and Treatment. C 7 , 8 Persons diagnosed with chronic fatigue syndrome should be evaluated and treated for comorbidities, such as sleep disturbance, depression, and pain.
C 7 , 8 Persons diagnosed with chronic fatigue syndrome should be treated with cognitive behavior therapy, graded exercise therapy, or both. Abstract Diagnosis Etiology Treatment References. Enlarge Print Table 1. Oxford Criteria for Chronic Fatigue Syndrome Primary symptom is fatigue Definite onset of symptoms Fatigue is severe, disabling, and affects physical and mental functioning Symptoms for at least six months and present more than 50 percent of the time Other symptoms must be present, particularly myalgia, and mood and sleep disturbances Certain patients should be excluded: Those with an established medical condition known to produce chronic fatigue Those with a current diagnosis of schizophrenia, manic-depressive illness, substance abuse, eating disorder, or proven organic brain disease note : All criteria must be met to make the diagnosis.
Table 1. Enlarge Print Table 2. Centers for Disease Control and Prevention Diagnostic Criteria for Chronic Fatigue Syndrome Severe fatigue for longer than six months, and at least four of the following symptoms: Headache of new type, pattern, or severity Multijoint pain without swelling or erythema Muscle pain Postexertional malaise for longer than 24 hours Significant impairment in short-term memory or concentration Sore throat Tender lymph nodes Unrefreshing sleep Information from reference 7.
Table 2. Enlarge Print Table 3. Red Flag Symptoms in Persons with Suspected Chronic Fatigue Syndrome Red flags Disease process indicated Chest pain Cardiac disease Focal neurologic deficits Central nervous system malignancy or abscess, multiple sclerosis Inflammatory signs or joint pain Autoimmune disease e.
Table 3. Enlarge Print Table 4. Table 4. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. Author disclosure: No relevant financial affiliations to disclose.
More in Pubmed Citation Related Articles. Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Navigate this Article. Primary symptom is fatigue. Definite onset of symptoms. Fatigue is severe, disabling, and affects physical and mental functioning. Symptoms for at least six months and present more than 50 percent of the time.
Certain patients should be excluded:. Focal neurologic deficits. Central nervous system malignancy or abscess, multiple sclerosis. Inflammatory signs or joint pain. Minus Related Pages. Before A Visit. During A Visit. After A Visit. Links with this icon indicate that you are leaving the CDC website.
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