Chronic Fatigue

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Chronic Fatigue, Fibromyalgia & Chronic Infections

Fatigued Man Reading About Chronic Fatigue Syndrome

No one really knows the cause of chronic fatigue, but our opinion is that this is one of the lifestyle illnesses brought on by the post industrial revolution change in dietary habits, food supply, chemical exposure and stress levels, to name a few.

When the body ecology breaks down, our solution at the Kotsanis Institute is to test function, address any malfunctioning organs or hormones, adjust nutrition, deal with infections, cleanse the body and then to build up the immune system.

Dr. Kotsanis’ Symphony of Health serves as the foundation to our principal of reclaiming optimum health.

Chronic Fatigue – CFS

Chronic fatigue syndrome, or CFS, is a debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and that may be worsened by physical or mental activity. Persons with CFS must often function at a substantially lower level of activity than they were capable of before the onset of illness. In addition to these key defining characteristics, patients report various nonspecific symptoms, including weakness, muscle pain, impaired memory and/or mental concentration, insomnia, and post-exertional fatigue lasting more than 24 hours.

In some cases, CFS can persist for years. The cause or causes of CFS have not been identified and no specific diagnostic tests are available. Moreover, since many illnesses have incapacitating fatigue as a symptom, care must be taken to exclude other known and often treatable conditions before a diagnosis of CFS is made.

Defining Chronic Fatigue – CFS

A great deal of debate has surrounded the issue of how best to define CFS. In an effort to resolve these issues, an international panel of CFS research experts convened in 1994 to draft a definition of CFS that would be useful both to researchers studying the illness and to clinicians diagnosing it. In essence, in order to receive a diagnosis of chronic fatigue syndrome, a patient must satisfy two criteria:

  • Have severe chronic fatigue of 6 months or longer duration with other known medical conditions excluded by clinical diagnosis
  • Concurrently have four or more of the following symptoms:
    • substantial impairment in short-term memory or concentration
    • sore throat
    • tender lymph nodes
    • muscle pain
    • multi-joint pain without swelling or redness
    • headaches of a new type, pattern or severity
    • unrefreshing sleep;
    • post-exertional malaise lasting more than 24 hours

The symptoms must have persisted or recurred during 6 or more consecutive months of illness and must not have predated the fatigue.

Additional Symptoms of Chronic Fatigue – CFS

Women Sneezing Sick

In addition to the eight primary defining symptoms of CFS, a number of other symptoms have been reported by some CFS patients. The frequencies of occurrence of these symptoms vary from 20 to 50% among CFS patients. They include abdominal pain, alcohol intolerance, bloating, chest pain, chronic cough, diarrhea, dizziness, dry eyes or mouth, earaches, irregular heartbeat, jaw pain, morning stiffness, nausea, night sweats, psychological problems (depression, irritability, anxiety, panic attacks), shortness of breath, skin sensations, tingling sensations, and weight loss.

* Not all hormonal aberrations necessarily exclude a diagnosis of CFS.

Similar Medical Conditions – Fibromyalgia and Chronic Infections

A number of illnesses have been described that have a similar spectrum of symptoms to CFS. These include fibromyalgia syndrome, myalgic encephalomyelitis, neurasthenia, multiple chemical sensitivities, and chronic mononucleosis. Although these illnesses may present with a primary symptom other than fatigue, chronic fatigue is commonly associated with all of them.

Additional Illnesses

In addition, there are a large number of clinically defined, frequently treatable illnesses that can result in fatigue. Diagnosis of any of these conditions would exclude a definition of CFS unless the condition has been treated sufficiently and no longer explains the fatigue and other symptoms. These include hypothyroidism, sleep apnea and narcolepsy, major depressive disorders, chronic mononucleosis, bipolar affective disorders, schizophrenia, eating disorders, cancer, autoimmune disease, hormonal disorders*, subacute infections, obesity, alcohol or substance abuse, and reactions to prescribed medications.

Why Chronic Fatique, Fibromyalgia and Chronic Infections Get Group Together
People with chronic fatigue syndrome, fibromyalgia and chronic infections may present with a primary symptom other than fatigue and each have  reported a range of other signs and symptoms that aren’t part of the official chronic fatigue definition. These include:

  • Abdominal pain
  • Allergies or sensitivities to foods, alcohol, odors, chemicals, medications or noise
  • Bloating
  • Chest pain
  • Chronic cough
  • Diarrhea
  • Dizziness, balance problems or fainting
  • Dry mouth
  • Earache
  • Irregular heartbeat
  • Jaw pain
  • Morning stiffness
  • Nausea
  • Chills and night sweats
  • Psychological problems, such as depression, irritability, anxiety disorders and panic attacks
  • Shortness of breath
  • Tingling sensations
  • Visual disturbances, such as blurring, sensitivity to light, eye pain and dry eyes
  • Weight loss or gain
Our  program and treatment plans at the Kotsanis Institute begins by addressing the whole body and looking for the root cause.  We test for function, address any malfunctioning organs or hormones, adjust nutrition, deal with infections, cleanse the body and then to build up the immune system.


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