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Guide

Hello Ruth,

I am truly sorry to hear what you are going through. I am not familiar with the health care system in British Columbia, so my advice is limited.

Chronic fatigue syndrome is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest.

Scientists don't know exactly what causes chronic fatigue syndrome. It may be a combination of factors that affect people who were born with a predisposition for the disorder.

Research suggests some people develop chronic fatigue syndrome after having a viral infection. Researchers question whether some viruses might trigger the disorder. Suspicious viruses include Epstein-Barr virus, human herpes virus 6 and mouse leukemia viruses. No conclusive link has yet been found.

It has been suggested that the immune systems of people who have chronic fatigue syndrome appear to be impaired slightly, but it's unclear if this impairment is enough to actually cause the disorder.

Another thought focuses hormonal imbalances. People who have chronic fatigue syndrome a sometimes experience abnormal blood levels of hormones produced in the hypothalamus, pituitary glands or adrenal glands. But the significance of these abnormalities is still unknown.

You might try avoiding or limiting overexertion and emotional stress. Allow yourself time each day to relax.

Pace yourself by keeping your activity on an even level. If you do too much on your good days, you may have more bad days.

Improve your sleep habits by going to bed and get up at the same time each day. Limit daytime napping and avoid caffeine, alcohol and nicotine.

The most effective treatment for chronic fatigue syndrome appears to be a two-pronged approach that combines psychological counseling with a gentle exercise program.

I do not know if the resources of psychological counseling and physical therapy are available to you.

Please keep in touch if it helps you feel better to reach out to us.

Maryann

February 18, 2015 - 9:23am

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