Chronic Fatigue Syndrome symptoms- medicalloe

Chronic Fatigue Syndrome: symptoms

chronic fatigue syndrome is a condition that people have known about from a long time actually since the 19th century but was first formally codified in the medical community by dr. Philip low in the early

1990s and has since been more classically described as postural tachycardia syndrome or Potts for short and this is a condition that the exact cause of is still not entirely certain but which treatments do exist and which can significantly help improve patient complaints what I always tell patients when I see them first is you know to tell me their story and a lot of times patients
will report a preceding trigger like a viral illness a pregnancy trauma and that precipitating event usually leads to some form of inexplicable fatigue fatigue usually is the major complaint a lot of patients will also report being unable to walk without feeling light-headed having inexplicable body pains there is a great degree of overlap with fibromyalgia and some of these patients and also complaining about symptoms that affect the automatic nervous system so for example sexual functioning gastrointestinal functioning genitourinary functioning excess sweating and so on but I also make sure to exclude other potential mimickers in our work up so b12 deficiency anemia thyroid
 and so on and then of course there's sleep apnea which has to be excluded for anyone with inexplicable fatigue or daytime somnolence so that's generally how I approach patients when they first come to see me once the patients have been evaluated in our clinic we will arrange what's called it up an autonomic reflexes Crean which involves a tilt study and what we're looking for is an increment in their heart rate of at least 30 beats per minute without an associated drop in blood pressure and that's really the diagnostic cry period for pots because actually many patients
who we will suspect half pots end up having normal tilt studies and so that's really the gold standard for diagnosing pots whenever I have a patient who I suspect has postural tachycardia syndrome the first and foremost part is to educate the patient about the fact that this is a disorder of autonomic or automatic nerve regulation I tell them that they're in a state of hyper adrenaline moreover activity and that leads to fatigue over time but then I start by advising them about the five basic principles
 which is really to take in adequate fluids adequate salt intake to wear compression stockings to do isometric exercises and to typically lift the head of the bed five inches at night those basic interventions help with a lot of patients from there one can start by first of all excluding potential mimickers that would need their own treatment options but also trying different therapies that help volume replete the patient's cardiovascular system and thus make them less prone to tachycardia and autonomic dysregulation you.