Genesee County Health Department

Better Life Through Better Health

Chronic Fatigue Syndrome (CFS) is a puzzling health condition that causes severe fatigue that does not improve with bed rest. Physical or mental activity worsens the condition. People with CFS find that their energy level drops much lower, often seriously affecting their work and daily activities. CFS affects people of all ages, ethnic and racial backgrounds.

The Centers for Disease Control and Prevention (CDC) reports that no one bacterial, viral or other infectious agent is the cause of CFS. There are no tests that will clearly diagnose CFS. Diagnosis is based on symptoms. Other tests are done to rule out other illnesses that also cause fatigue. In 1994 a panel of research experts drafted a set of guidelines to help physicians diagnose CFS. A patient must have had severe fatigue for six months or longer, no other health conditions present and four or more of the following symptoms:

• Serious loss in short-term memory or concentration
• Sore throat
• Tender lymph nodes
• Muscle pain and/or joint pain without swelling or redness
• Headaches that show a change in severity or pattern
• Sleep that doesn’t refresh
• Tiredness after physical activity that lasts more than 24 hours.

Because there is not a well-defined cause for CFS, treatment is to relieve symptoms. Patients are advised to do only as much as they can easily do and to avoid both physical and emotional stress. Pain relievers are often prescribed for muscle and joint pain. Medications may be given to relieve depression, which often occurs during a chronic illness. For more information call the Genesee County Health Department at (810) 257-3612.