Chronic fatigue syndrome (CFS) is a disease of persistent fatigue and exhaustion symptoms lasting for more than six months time. The fatigue won’t get better with resting and interferes with daily functioning. Seventy percent of the patients are females.
A decrease/impairment of the natural killer cell function of the white blood cells, SIBO (small intestinal bacterial overgrowth), increased intestinal permeability (leaky gut), HPA axis dysfunction, thyroid problems and adrenal fatigue are suspected factors in the etiology. Many patients are found to have type IV delayed allergic hypersensitivity. The patients usually have a history of recent giardia infection/gastroenteritis and a childhood history of adversities and abuse.
Symptoms/findings of CFS are:
Differential diagnosis includes:
– Lyme disease
– Sleep disorders, obstructive sleep apnea syndrome
– Major depression
– Substance abuse disorders
– Systemic lupus erythematosus
– Multiple sclerosis
– Chronic hepatitis
– Celiac disease
– Adrenal insufficiency
– Rheumatic diseases
– Non celiac gluten sensitivity
– Starting an intense daily routine or a physical work out will make your fatigue and leaky gut worsen. Exercising outdoors also helps your vitamin D and serotonin levels and depressive findings.
– You can walk, do pilates and/or yoga, swim at low intensities.