Many find it difficult to make a distinction between fibromyalgia, also known as FM, and chronic fatigue syndrome, particularly because the symptoms of both illnesses are very similar. Even doctors and experts, up until now, cannot definitely say if CFS, short for chronic fatigue syndrome, and FM are two different diseases with like symptoms, separate aspects of one disorder, or two completely distinct illnesses.
Issues surrounding fibromyalgia and chronic fatigue syndrome became even murkier after an FM/CFS expert released his findings in a National Fibromyalgia Association publication in September 2002. According to the findings of Dr. Charles W Lapp, around 70% of people suffering from FM also qualify for CFS, and about the same percentage of CFS sufferers also manifest symptoms of FM.
Definition of FM and CFS
Fibromyalgia is a condition characterized by chronic musculoskeletal aches (particularly in tender points such as spine, neck, hips and shoulders), insomnia, and fatigue. Although it is unclear what causes such a disease, it is believed that lack of nutrition and problems with the hypothalamic and immune functions could exacerbate or trigger the syndrome.
Chronic fatigue syndrome, on the other hand, is characterized by severe fatigue, experienced during not less than six months. Sufferers of CFS also experience muscle and joint pains, sore throat, non-restive sleep, and general malaise after performing physical activities. Sometimes, especially after a strenuous activity, CFS patients display temporary concentration, cognitive and memory lapses.
Similarities between chronic fatigue syndrome and fibromyalgia syndrome
As mentioned earlier, the two conditions share quite a number of similar symptoms. If you think you are suffering from one of such illnesses, you need to consult several doctors. A physician whose expertise is in infectious disease might see your symptoms as chronic fatigue syndrome, while a pain and rehabilitation doctor could look at your symptoms as FM.
Most common indications or symptoms of both FM and CFS sufferers are joint and muscular pain, severe fatigue, inability to concentrate, memory lapses, numbness, malaise, and weakness. Meanwhile, clinical likeness of the two includes non-restive sleep or insomnia, lowering of growth hormone and serotonin levels, and diminished blood flow in certain parts of the brain.
Aside from having similar symptoms, both diseases are also more common in women than men. In FMS, women are about eight times more susceptible than men. Both diseases also occur more often in adults than in children.
Differences between CFS and FM
Although patients of both illnesses suffer muscle pain and fatigue, the degree or severity of the two symptoms will help distinguish chronic fatigue syndrome sufferers from fibromyalgia patients. People who experience predominantly debilitating fatigue suffer from CFS, while those whose main symptom is chronic pain in joints and muscles have FM. Another stark difference is that CFS is prompted or initiated by an infectious illness, such as influenza. On the hand, FM is usually triggered by injury, surgery, accident, or a type of physical trauma.
How CFS and FM are diagnosed?
Unlike in certain illnesses where laboratory, blood and x-ray findings help determine the disease, both FM and CFS can only be determined through medical history and clinical findings. If you feel that you are suffering from either one of the diseases, you should be more precise in describing what you are feeling. It is important to tell everything to your doctor, even the minutest discomfort or changes in your body, because these little things will be a great help in diagnosing the disease.
Managing FM and CFS
Since there is no known drug that could cure fibromyalgia or chronic fatigue syndrome, doctors usually concentrate on treating the symptoms or the triggers or causes of the conditions. Given that there is no definite cure for both illnesses, the best that you can do, if you suffer from CFS, FM or both, is to manage the disease. Here are some tips that could help you:
Know your illness
The first thing you should do, when diagnosed with either of the two conditions, is to research and learn as much as you can about your condition. It would be easier for you and your doctor to communicate and discuss the disease and possible treatment plans or options, if you have a certain degree of knowledge about the disease. The Internet, local libraries and journals and magazines can help you with learning more about FM and CFS.
Eat healthy and have plenty of rest
It is very important for people who suffer from both CFS and FM to eat a well-balanced diet, particularly because some diseases can trigger them. Furthermore, some types of food could exacerbate your symptoms, like too much caffeine could make it difficult for you to sleep well. Adequate rest and sleep could also help alleviate some symptoms, like depression, stress and non-restive sleep.
Laugh and have fun
Stress and depression can only make matters worse. Thus, you need to be happy more often. Remember, that sometimes laughter is the best medicine.
Chronic Fatigue Syndrome And Fibromyalgia
My struggle with Chronic Fatigue Syndrome has been an ongoing experience my entire life. It has to be one of the most frustrating and debilitating health issues that most doctors will not diagnose correctly. I have tried the traditional medical route and have seen countless doctors none of which have helped. I have even gone to a psychiatrist and tried 5 different medications for depression - all of which made me feeling worse.
I wanted to write this article with the intention of helping anyone who is having similar symptoms and has been told by their doctor that it is either psychosomatic or that their blood work is normal and they just need to sleep a little bit more. In my search for better health I have come across a variety of extremely useful supplements and tests which will help a person who is experiencing chronic fatigue to feel better probably within a few weeks to a month.
All of my life I have been really active and healthy. Pretty much always sporting the six pack on the outside, but this picture of health has always been a fade. On the inside I have felt crippled, anti-social, exhausted and really just depressed. I wasn't sure what the cause was but knew that it wasn't normal to feel this way. I wanted to share this information with you so that you won't experience the same misery or exhaustion that I have felt in my lifetime.
What is Chronic Fatigue Syndrome and Adrenal Fatigue
Let me better define Chronic Fatigue Syndrome. CFS is an umbrella term which includes many symptoms with an uncertain cause. From my experience there are two main issues that can cause CFS; they are Candida and Hypoadrenia or Adrenal Exhaustion. There have been many books written about Candida which you can probably come across on a Google search or search on Amazon. Candida simply is a yeast overgrowth which can cause a host of debilitating symptoms which include fatigue. A great book that I read recently on Candida was The Yeast Syndrome by Trowbridge and Walker. There are many others, if you would like to learn more please go to an Integrative Medical Doctor for testing.
The second health issue that I suffered from personally is Hypoadrenia or Adrenal Exhaustion. The main causes for Hypoadrenia is severe allergies, stress, and lack of sleep all of which can severely tax your adrenal glands. Over that past 10 years, or ever since I graduated from UCLA in 1998, adrenal exhaustion has been an ongoing relentless health issue. It is until recently, or over the past year, that I finally feel better actually, I feel incredible. This amazing life changing event has been due to a combination of seeing several Integrative Medical Doctors and my continuing research in this area.
Symptoms
The following is a list of symptoms that are common for people who suffer from Adrenal Fatigue:
* Tendency to gain weight and unable to loose it, especially around the waist.
* High frequency of getting the flu and other respiratory diseases and these symptoms tend to last longer than usual.
* Tendency to tremble when under pressure.
* Reduced sex drive.
* Lightheaded when rising from a laying down position.
* Unable to remember things.
* Lack of energy in the mornings and also in the afternoon between 3 to 5 pm.
* Feel better suddenly for a brief period after a meal.
* Often feel tired between 9 - 10 pm, but resist going to bed.
* Need coffee or stimulants to get going in the morning.
* Crave for salty, fatty, and high protein food such as meat and cheese.
* Increase symptoms of PMS for women; period are heavy and then stop, or almost stopped on the 4th day, only to start flow again on the 5th or 6th day.
* Pain in the upper back or neck with no apparent reasons .
* Feels better when stress is relieved, such as on a vacation.
* Difficulties in getting up in the morning
* Lightheaded
* Mild depression
* Food and or inhalant allergies
* Lethargy and lack of energy
* Increased effort to perform daily tasks
* Decreased ability to handle stress
* Dry and thin skin
* Hypoglycemia
* Low Body Temperature
* Nervousness
* Palpitation
* Unexplained hair loss
* Alternating constipation and diarrhea
* Dyspepsia
If you think you are experiencing CFS please consult a doctor who is experienced in treating this issue.
Tests and Supplements
I would like to share with you several tests and supplements that I feel have been extremely helpful for me to optimize my body and to take my health to the pinnacle. I feel like a new person and I hope this information will help you with your quest to perfect health.
The first two tests are a Neurological Profile by Sanesco and the Adrenal Stress Test by Dianos-Tech.
http://www.sanesco.net/assessments.php
http://www.diagnostechs.com/main.htm
Specifically focusing on the following tests which are a reflection of your adrenal health:
* Cortisol (AM, noon, afternoon, PM)
* Norepinephrine
* Epinephrine
* Dopamine
With respect to sleep and recovery, these tests are also important:
* GABA
* Serotonin
For my tests, the two neurotransmitters that were extremely low were Epinephrine and Norepinephrine which are produced by the adrenal glands. Both of these neurotransmitters are associated with motivation, energy, alertness, and mood. These neurotransmitters are extremely popular with coffee drinkers because this is the main reason why people love coffee. It gives you tons of energy. There are more natural ways to stimulate your brain and adrenal glands (Please research L-Tyrosine). The problem that adrenal exhaustion causes is a depletion or a deficiency of these two neurotransmitters causing a severe lack of motivation, energy, and feeling depressed.
The next few tests that are important are:
* DHEA (Hormone)
* Pregnalone (Hormone)
* Spectracell Test
Dhea and Pregnalone can be checked by performing a standard hormonal panel. For more information on the Spectracell Test please check out this link:
http://www.spectracell.com/index.asp
The Spectracell test is important because it can assess vitamin or mineral deficiencies. Personally, my B-vitamins were extremely low and some of them were deficient. This status is typical of adrenal exhaustion. The B-vitamins are extremely important for recovery. James Wilson emphasizes this point in his book Adrenal Fatigue.
Top Supplements for Adrenal Fatigue and Exhaustion
There are several natural supplements that I would like to emphasize. You can gather more information about the purpose of each supplement online or from your doctor.
* DHEA
* Pregnalone
* Hydrocortisone
* Siberian Ginseng
* Pantethine
* Adrenal Force
* Licorice
* B Complex spray
* Vitamin C with bioflavonoid
* B complex by Jarrows
* B5 (Pantothenic Acid) by Jarrows
* Niacinamide by Jarrows
* Ashwagandha
* Tyrosine
* Phenylalanine
* 5 htp
My Personal Supplement List for Adrenal Fatigue
Most of these supplements I take throughout the day. If you would like to learn more about these supplements please talk to your doctor about the benefits and the purpose of each supplement.
And yes, I know this is a long list of supplements. My case unfortunately was severe. I would talk to your doctor and let him advise you on the best treatment protocol. This list can be useful if for some reason your treatment protocol for adrenal fatigue is not working. If this is the case, please go thru this list and ask your doctor if you should include anymore supplements to help you feel better.
Adrenals (Extremely Important)
* DHEA
* Pregnalone
* Hydrocortisone
* Siberian Ginseng
* Pantethine
* Adrenal Force
* Ortho B-complex
* Licorice
* B12 spray
* Vitamin C with bioflavonoid
* B complex Jarrows
* B5 (Pantothenic Acid)
* Niacinamide
* Ashwagandha
* B complex and B12 injections
* General Health
* Omegas Carlson
* Omega Brite
* Coconut oil
* Borage Oil
* Selenium
* Borage oil (gla)
* Co-Q10
* GTF Chromium
* Revive Multivitamin
* Neurotransmitters (Extremely Important)
* Contegra
* Tyrosine
* Phenylalanine
* 5 htp
* Sleep
* Melatonin
* Manganese
* 5 HTP
Sleep and Meditation
Sleep is extremely important for recovery. Please don't underestimate the power of sleep. I try to go to bed every night around 10PM or 10:30PM and usually wake up at 6:45AM. Or, if I don't have morning clients I force myself to sleep till 9AM.
Meditation is another tool to help you with your recovery. It is a great stress management tool. For more on this topic I would recommend doing a bit of research on Google and possible buying a meditation CD.
Doctors
The most important part of this process is finding the right doctor. In Los Angeles there are many Integrative Medical Practitioners. To find the right doctor in your area I would recommend looking online using the search terms Integrative Medicine or Alternative Medicine and the area that you live in. For instance,
Los Angeles, Integrative Medicine, Doctor
Also, Sanesco and Diagnos-Tech have doctors that they work with on a regular basis. I would recommend reviewing their website or calling them for more information to locate a doctor in your area:
http://www.sanesco.net/assessments.php
http://www.diagnostechs.com/main.htm
Great books, references, and links on this subject:
Adrenal Fatigue by James Wilson
Prescription for Nutritional Healing 2006
Dr. Lam: http://www.drlam.com/A3R_brief_in_doc_format/adrenal_fatigue.cfm#13
Good luck with your pursuit of a healthier body. It took me about 6 years to gather this information and to finally figure out what works for me. I really hope that this article will help you feel better and with better health and energy will allow you to enjoy life to its fullest.
Both Lee Dobbins & Shawn Phillips are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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Carrying Water On Head It does not mean we have to give up the things we desire. It simply means we should not take on more than what we are able to manage while maintaining our ability to experience happiness