Monday, September 17, 2007

Sleep Disorders and Chronic Fatigue Syndrome

Could improving your sleep lessen the symptoms of Chronic Fatigue Syndrome (CFS)?

Our aim here is to understand the connection between the two as it may be possible to confuse the symptoms of CFS and sleep deprivation. There are however definite differences.

Chronic Fatigue Syndrome Symptoms

The main symptom of CFS and probably the hardest to live with, is constant and persistent fatigue lasting 6 months or more. Others include:

* Feeling feverish
* Sore throat
* Muscle aches and pains
* Tender or swollen lymph nodes
* Joint pain
* More headaches than usual
* Abnormal lethargy after exercise
* Poor concentration
* Depression
* Poor quality sleep

Although not everyone who suffers with CFS will display all of the above, two or more of these symptoms would definitely bear further investigation. By contrast, sleep deprived people would not usually experience swollen lymph nodes, joint pain, feverishness or sore throat.

CFS often follows a bout of flu or other respiratory disease. It's onset can be quite sudden following recovery of the initial disease. It occurs more frequently in middle age and elderly people, and twice as often in women as men. Sleep deprivation is not so choosey! It can affect male, female and all ages alike.

CFS is a debilitating illness which is hard to diagnose due to the symptoms being non specific. Also the symptoms described by the sufferers often cannot be verified. For instance, patients often describe feeling feverish although their temperature is normal.

Recent studies indicate CFS may in fact be an immune disorder due to inflammation of the immune system, but there are medical practitioners who still believe it to be a disease of "malingerers". In fact some of those suffering with CFS often wonder sometimes if they are imagining their symptoms. But CFS is very real and can lead to broken marriages and wrecked careers.

It is very important for those who suspect they have CFS to seek medical attention straight away. If you feel your doctor is not taking you seriously, get a second and even a third opinion. It helps if you have been seeing the same doctor for some time, as they know you and can recognize that you are not a "hypochondriac" or a time waster looking for sympathy.

CFS is certainly not new, although the association of symptoms under the name Chronic Fatigue Syndrome only took place in the 1990s. Previously it was largely overlooked or thought to be something else, for example low blood sugar, Lyme disease, allergies, fybromyalgia, yeast infections etc.

Chronic Fatigue Syndrome Treatment

These vary from antidepressants, steroids, immune system medications and anti-histamines to the more holistic treatments like evening primrose oil, diet therapy, cognitive behavioural therapy, removal of dental fillings (mercury poisoning) and gentle exercise programs.

Although lack of a definite treatment for CFS leaves a lot to be desired, the above treatments, whether all or a combination, can prove fairly effective. The broad answer seems to be to treat the symptoms as they occur and make the effort to improve quality of sleep.

The quality of sleep of patients must have a direct effect on the severity of the disease. If depression is the main problem, treatment of that can significantly improve the quality of sleep, thus relieving somewhat the persistent fatigue.

In conclusion. a combination of better quality sleep with gentle exercise, optimal diet and cognitive behavioural therapy would go a long way to improving the lives of patients with CFS.

This article is for informational purposes only and should not be taken as medical advice. Please see your health care provider.

Copyright 2005 Wendy Owen

**About The Author

Want to know how to have better sleep? Find out how! Sign up for our monthly ezine and score our free book “How to Cure Insomnia and Achieve Healthy Sleep” at: http://www.insomnia-connection.com, your resource for detailed information on better sleep and curing stress. The author, Wendy Owen, has had a lifetime interest in general and alternative health as well as being an ex insomniac.

3 comments:

Anonymous said...

Tell me something I don't know. It sounded like you had some ideas, or new research, but no.

Michael said...

I thought the information was helpful, but then I'm just learning about Chronic Fatigue. It was a good, basic overview.

Anonymous said...

Not to mention, the worst symptom is surely the cognitive difficulty, which both gets worse when someone is exhausted, and makes a person extremely exhausted as they try to remember who they are talking to (it could be a spouse, the cognitive stuff is that bad) or where they are.

Another baddie that I rarely see mentioned is the agonizing nausea. For me, it was virtually every single day for 15 years. It is bad enough that you have to make yourself throw up sometimes, or you'd literally consider suicide. Then you are nutritionally deficient. Nausea of that intensity and duration makes people on chemotherapy for cancer stop the chemo. There is no way to describe what having that constant nausea is like, or what it can do to your life.

I wish people would stop pushing the sleep hygiene BS. Here's why- our sleep disorder, contrary to your description of our symptoms being ever changing and difficult to pinpoint, is almost always expressed as a backwards sleeping pattern. No matter how many times I have used earplugs, gotten up when I couldn't sleep, used black out blinds (I now have no window in my bedroom)- whatever- my sleep issues are virtually always at night, and after about 7 am, I can suddenly sleep. Sadly, it may not be for more than 3 hours, but at least it's something. Here's something else- that killing nausea? It is almost 100% in the morning like morning sickness. Except, if I don't try to force myself to be awake in the morning, it doesn't happen or it is diminished. Even if I sleep the night before, which happens rarely, I will get nauseated all morning, but if I just skip the before 11 am wake up, it doesn't happen.

I also have very extreme Interstitial Cystitis, which complicates things. I apparently have some nerve damage on one side and in the front of my bladder, so lying down can be unbearable. That and early morning (when I try to be awake in the morning) are the worst pain times for the IC. Unfortunately, nothing has stopped the pain from lying down, though Sinequan has helped (but I gained 40 pounds in 4 months, from a normal weight with no change in eating habits).