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Chronic Fatigue Syndrome (Me CFS)
I think, I have got chronic fatigue syndrome. I have been suffering from physical fatigue and slowed cognitive ability from the last 8 months. I have visited multiple doctors, did multiple tests, and later refered to Psychiatrist. I have seen multiple psychiatrist and taken multiple antidepressants but nothing is helping me. I am getting misdiagnosis with MD. I highly suspect that it is chronic fatigue syndrome. It's a rare deaseses where many doctors have no expertise in it. I am looking for doctors. Doctors who have expertise in the field, Please comment below.
Answers (25)
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ME/CFS is a real condition, but it is a diagnosis of exclusion: it requires at least six months of disabling fatigue with post-exertional malaise (feeling much worse for a day or more after even mild activity), unrefreshing sleep and cognitive "brain fog", once other causes have been ruled out. Your eight months of fatigue with slowed thinking fits the pattern, but common treatable causes - anaemia, iron and vitamin B12 or D deficiency, thyroid disease, diabetes, sleep apnoea, post-viral states and depression - must first be excluded properly. Antidepressants alone are often not the answer if the underlying problem has not been mapped out.
Next Steps
Collect all your reports in one file and stay with one general physician as your main doctor rather than moving between many. A reasonable baseline is CBC, ESR/CRP, ferritin, vitamin B12 and D, TSH, HbA1c, LFT, RFT, electrolytes, coeliac screen and, if you snore or wake unrefreshed, a sleep study. Use pacing - plan activity within your energy limit and avoid push-crash cycles - along with a fixed sleep schedule and a symptom diary. Please continue psychiatric follow-up rather than stopping medicines abruptly. You are welcome to consult me on Practo or at Synergy Miraj to review the reports together.
Health Tips
Do not stop or change psychiatric medicines on your own; discuss tapering with your treating doctor. Seek urgent care for chest pain, breathlessness, fainting, marked weight loss or any thoughts of self-harm.
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I can image how distressing it would be to go through chronic fatigue syndrome. No one in the world could feel normal understand how exactly you are doing. Only the person who experience it can know..... One of the major reason for CFS is stress. I hope u must have addressed that. I'm not talking about antidepressants and anxiolytics. Have you managed to reduce your stress levels or did u find a way to come out of it?? There lies your answer.....
Secondly please get your CBC, vitamin D and B12 levels as well.
Fix your diet and include exercise. This actually increases your happy hormones
Next Steps
feel free to consult me on practo for further evaluation and management
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Chronic fatigue syndrome is a diagnosis of exclusion.There could be other causes including psychological.Get your basic blood tests, thyroid function tests, vitamin d and b 12,consultant a physician in your area or online,he may refer you to the sub specialist if required
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Chronic fatigue syndrome is often diagnosed by excluding other likely causes of chronic fatigue like chronic anemia, vit d and or b12 deficiency.
Please share details of your symptoms, test results, then I can guide you further.
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Persistent fatigue can also occur with anemia or iron deficiency, thyroid disease, sleep disorders, nutritional deficiencies, medication effects, inflammatory disease and psychiatric disorders.
Next Steps
Review all previous investigations and all current or past medications, including antidepressants and their doses n duration.
Adv- CBC, ferritin, iron profile, Thyroid profile, LFT, RFT, ESR CRP, HbA1c, B12, folate, vitamin D and urine R/M.
Health Tips
Avoid repeatedly pursuing tests or prolonged empirical treatments without a clear clinical indication.
If you want to discuss your symptoms in detail, you can connect with me on Practo or WA business- 77 260 46 121,
I’ll take your complete history and guide you about the appropriate next step.
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Chronic fatigue syndrome is a serious, long-lasting condition causing extreme tiredness lasting over six months.
It's a diagnosis of exclusion , there is no definitive test
Symptoms worsen after physical or mental activity and do not improve with rest
Management and Treatment is often more of symptomatic relief
Basically t, to go for your scenario, we have to talk about your daily activities, diet status and other parameters too
Next Steps
Health Tips
Find your baseline, aggressive rest without diversion
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I need to see your CBC, vit D3, vit B12 levels before jumping to next step as well as iron profile
Other than that I need to ask some questions and some questions which might be a little personal
So consultation on call would be a better option.
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