Chronic Fatigue Syndrome

United States
April 2, 2007 3:48pm CST
Do all fibromyalgia sufferers also have chronic fatigue syndrome? I have chronic fatigue syndrome, diagnosed as such by a doctor finally a few years ago. I notice that the fatigue is worse when the pain is worse, which makes sense to me. But I also have fibro pain when I don't have the fatigue. So I'm wondering if they are seperate. I think chronic fatigue is experienced for people other than fibro, isn't it? I really don't know. And I wondered if everyone with fibro struggles with chronic fatigue as well. Or are there some folks with one and not the other? Most of the time now, since I retired, I can manage to live fairly normally with the chronic fatigue. It has periods when it is really bad. But for the most part these days I don't have to worry much with it. I "crash" with the fatigue if I've had a lot of pain for several days in a row or when I overdo by pushing myself to do more than I really feel up to. And I support my stamina with supplements and anti-depressants. But even with all of that, I don't have the stamina for a full day of activity of any kind, really. Every now and then I'll get to feeling really good for a few days and think maybe I really could get a job. But it isn't long until I crash again if I try to do too much. Most people don't understand chronic fatigue. They think I'm either depressed or lazy. It is a most unpleasant disorder.
9 people like this
16 responses
• United States
2 Apr 07
There has been a link between fibromyalgia and chronic fatigue, as well as bi-polar being thrown into the mix. It is really just now being established though. All three are terrible. I suffer CFS and bipolar, and possibly fibromyalgia as well. You are right, some doctors don't even take the symptoms and illness seriously. The public is even less understanding of the limitations and symptoms that come with these diseases, let alone believing they even exist. I can't tell you how many times I've heard, "it's all in your head". It's not, and it affects my whole life. I can empathize with how you feel. I too live on suppliments and medications. I just have to keep looking forward to the "good days".
3 people like this
• United States
3 Apr 07
When I had to quit working I applied for disability. What a terrible experience. They didn't believe that I had a valid diagnosis, that I should be able to work an eight-hour day because it wasn't physically active work. It was VERY emotionally draining work, however, and the environment of my work keep the fibro in high gear - concrete floors, extreme temperatures, high stress. [I worked in a prison.] They sent me to a specialist, which I expected. Then I found out the specialist was a psychiatrist. I told them that I was not applying for a mental disability, but that didn't matter. The psychiatrist said I wasn't depressed, which I knew, and that I should be able to do my job. I went through this process twice, and still didn't get disability. I am now on retirement because I became old enough to qualify for that. I had less than 20 years in the system, so have very little retirement income. But at least I have the health care insurance, which I really need. I, too, look forward to the good days. Glad you get some of those too.
1 person likes this
@chertsy (3798)
• United States
30 Jun 07
Oh my goodness, I totally agree with the "all in your head" crap. I get it mostly from my family. I guess they expect me to be superwoman since I'm only 30 going on 31. Luckily I haven't used suppliments or medications. Doesn't mean I have tried them, just couldn't take the waking up and feeling like a zombie most of the day. I did like how they helped me sleep when the pain was at its worse. I do love those "good days". I can go a week and then like a ton of bricks.
• United States
30 Jun 07
Yep. Ton of bricks - a good image. Wish we had the cure. Sorry you are one of the sufferers, too.
@Kylalynn (1771)
• South Africa
3 Apr 07
This is really unpleasant for you, and yes you do find a lot of people don;t understand it. I know 2 girls who suffer from chronic fatigue syndrome. And believe me neither of them are lazy. I think all the tiredness can trigger depression as you are not coping with doing all the things you want to. This must be very daunting. The 2 girls I know about eat very healthy food. There are certain things they do not touch. cafeinne being one of them. Would it possibly help you to see a good dietician with experience of your illness. I hope you can do this and are able to go from strength to strength. All the best and Take Care!
• United States
4 Apr 07
Yes, food sensitivities can trigger pain. For me it is dairy and aspertame. It is easy to avoid the aspertame, but I do so love dairy foods that I eat them anyway. :-( Eating healthy is another way the diagnosis runs our lives. Sometimes I get so tired of dealing with my body. Seems like way too much of my time and energy and money go into caring for my body and still I suffer. That can get depressing. But most of the time I just keep trudging along, reminding myself that it could be worse and that other people deal with much more difficult things than I. And I can be grateful that I'm able to cope and have people who support me. Thanks for your good thoughts.
2 people like this
@scorpius (1792)
• India
3 Apr 07
chronic fatigue is not just related to fibro but also a host of other conditions as well.please check out the links tha tihave posted below as i think that it may help you as far as your query is concerned! http://en.wikipedia.org/wiki/Chronic_fatigue_syndrome http://www.cdc.gov/cfs/ http://www.cfids.org/
2 people like this
• United States
3 Apr 07
Thanks!
1 person likes this
• United States
27 Jun 07
I have had cfs for the past 5 years now, with some chronic pain occurring recently as of the last 2-3 months. How many of those reading dealing with Chronic fatigue/fibromyalgia use a medicinal green herb to treat their afflictions? I have been for the past couple of years and noticed improovement
9 Oct 07
i have both..i think most people do its hard to tell the difference beteween them both fibros more pain and CFS is fatigue whatever it is its awful and i hate it
1 person likes this
@RebeccaLynn (2256)
• United States
4 Apr 07
From what I have experienced myself and from everything I have read, it seems to be pretty common among fibro sufferers. Your' body spends SO MUCH energy fighting the pain and then some of us can't seem to reach deep sleep on top of it. I drag through most of my days. It is a horrible thing. I just keep taking my vitamins and try to eat right. I also try to excercise about 20 minutes a day. The day they find a cure for fibro or atleast a way to put it into remission will be a happy, happy day! Until then, take care of yourself and rest as often as you can. Good luck!
• United States
4 Apr 07
Thank you. I'm having a "down" day today - it is chilly, rainy and grey outside. And I'm really feeling tired of being tired. I know you know what I mean. I just get tired of dealing with it. Because I have a meeting to go to this evening, I haven't done anything today because I have to save my energy. I don't even remember a time I could spontaneously do something without considering if I had enough energy for it. I try not to complain too much because I don't have as bad as some do. I have some vitamins that really make a difference, and other supplements that also help. Without them I'd be back to being a lump in the bed all the time. But it sure gets tiresome. Thanks for responding.
1 person likes this
@bam001 (940)
• United States
4 Apr 07
I know that some are diagnosed with FMS (fibro), some with Chronic Fatigue Syndrome (CFS) and some with both. I am a fibro person who also suffers from extreme fatigue on a regular basis. I don't know what to do most of the time. Like you, the pain is always there, but some days I do have more energy than on other days. I work full time and also have a part-time job that I do from home. Some days it is too much. Today I had a morning doctor appt, but took the whole day off so that I could get some rest and maybe have some extra energy tomorrow! You are right, most people don't understand these syndromes. More people than not seem to think that I am depressed and lazy too. I don't get it...why would I want to feel this way? GO figure. I wish you lots of energy and pain-free days!
2 people like this
• United States
4 Apr 07
Thanks for your good wishes. I congratulate you for hanging in there with your work. Do you have vitamins and supplements that help? I'd be flat on my back without mine. Hope you get that extra rest today.
1 person likes this
@aprilgrl (4460)
• United States
3 Apr 07
I often wondered if that's whats wrong with my daughter because here lately she would be so tired she just had a wedding and now she is pregnant. I always thought she needed more Iron or something then she went to the Doctor for her check up and said she needed more proteins instead of Iron.I don't know if she has this Chronic fatigue syndrome but she thinks she does I have told her to talk to her doctor about this.
2 people like this
@chertsy (3798)
• United States
30 Jun 07
Best advice for her is to rest when she's tired. The joys of being pregnant with your first, you can get all the rest you want. She needs to stop over doing it. I learned that your body will let you know, so don't ignore the warning signs. I was lucky that my fibro really didn't cause a lot of problems for me during my first pregnancy. She needs to take her prenatal vitamins, and drink plenty of milk. If she has morning sickness, she really needs to take it easy and try her to keep the vitamins down. Once the morning sickness is over she will eat and a lot of it. Make sure she eats healthy and drinks plenty of milk. With your daughter I would have her wait about asking her doctor about Chronic Fatigue until she gets more proteins in her body and see if that helps. Is she on her feet a lot? Is she on the go a lot? Those factors will pay a huge role in why she's tired all the time and feel fatigued. As stated above, with the body giving warning signs. Before I forget, Congrats to your daughter on the pregnancy, you as well for becoming a grandmother soon.
1 person likes this
• United States
3 Apr 07
It would be hard to diagnose while she is pregnant. That takes a lot of energy, being pregnant. And then when the baby comes she will be tired from that. Protein is really important, especially when pregnant. She might want to talk to the doctor about Vitamin B12. I assume she had blood tests for cell count. If not, she needs to. She will need lots of tender loving care. And then you get to hold a beautiful baby grandchild. Blessings.
1 person likes this
@wahmoftwo (1296)
• United States
6 May 07
I think most people with fibromyalgia suffer from pretty severe fatigrue. I don't have this problem myself but know some people who do. It is very real. There are some natural treatment options out there. Check out this site.... http://www.betterhealthinfo.net/cgi-bin/land.cgi?id=li24653&action=net
1 person likes this
• United States
7 May 07
Thanks. I'll check out the site. I do some vitamins and supplements that help, no matter what the "experts" think. I really don't care if it is placebo effect or not. If it works for me, I use it!
1 person likes this
@wolfie34 (26771)
• United Kingdom
23 Feb 08
Is there a test for CFS? Only I suffer with lethargy, constant yawning, and tiredness, my thyroid which is underactive is normal and under control, I don't have anaemia. The doctor said it's to do with my depression and just gave me antidepressants mainly to get rid of me. I think I've been classed as a hypochondriac by them, but I just don't have the energy and surely antidepressants won't make any difference. I want to know if I have CFS, instead of being brushed off by the GP. How do they detect it otherwise I don't know what else to do. I have my medical soon to see if I am fit to go back to work, but I don't feel I have the energy.
1 person likes this
• United States
24 Feb 08
There is no test for CFS because it is a syndrome and not a disease. And antidepressants can help reduce fatigue. But you need a good medical work-up as well. Perhaps a sleep study to determine if you get the right kind of sleep at night would help. When I was diagnosed with apnea using the CPAP at night made a significant difference. Also look at your diet. There may be foods you are sensitive to. Try eliminating dairy for a week to see if that makes a difference. If it doesn't then try eliminating wheat for a week, etc. An excellent multi-vitamin is also helpful. I take Double X vitamins by Nutrilite [Quixtar] and I notice a significant difference when I take them from when I don't. There are other supplements that help me. But the need differs from person to person. I've found my combination of supplements that work by trial and error. Depression is a common first diagnosis because the symptoms are so similar. But I had a psychiatrist tell me that I wasn't clinically depressed but fatigued chronically. I was prescribed low doses of antidepressants that helped with the fatigue and sleep and even helped me control the fibromyalgia pain. So give them a try. But don't give up on finding other things that work. And being discouraged about how you feel is not necessarily the same thing as feeling depressed. Check out the chronic fatigue websites for more information. http://www.cfids.org http://www.cfidsinsights.com
@JackBravo (970)
• United States
3 Apr 07
Fibromyalgia, if you ask most doctors, is really a disease that is more consistent with psychosomatic causes rather than organic causes, as is CFS. I would consider an SSRI, or at least seeing a psychiatrist.
1 person likes this
• United States
3 Apr 07
Been there and done that. And it isn't in my mind. Have psychiatrists to verify that. Actually fibro is chemical. It is inflamation of the facia tissue and it can be chronic or not. CFS is a disruption of the energy cycle that occurs in the cells. There are a dozen or more enzymes in that cycle and is one or more is missing the energy cycle is disrupted. The challenge is finding the enzyme that is missing. Pretty much has to be done by trial and error at this stage of medicine. SSRI's do help many people. Most psychiatrists have no knowlege of CFS, but they can rule out Clinical Depression and send you to an endocrinologist or an internist who has experience with CFS and fibro.
1 person likes this
@raydene (9871)
• United States
3 Apr 07
I have fibro but I also think I have cfs.I have alot of days when I just can not struggle up out of my bed.I also have had a back injury which leaves me with constant pain,along with ibs which is painful.I am not depressed either but it is depressing to have to live like this.I'm so sorry you suffer so much.I know what you go through and I know how people can treat you.I'm sending you a hug.
1 person likes this
• United States
3 Apr 07
Thank you, especially for the hug. Which reminds me of one of my church friends who always hugs everyone. When he come to me I remind him "Gently, please!" Even hugs can hurt if they are too strong. Living like this is depressing sometimes but it isn't the same as clinical depression. I've had that and know the difference. When I'm suffering from fatigue, I have no PHYSICAL energy. When I'm suffering from depression, I have no EMOTIONAL energy. I don't look forward to anything, nothing feels pleasant, and I can't drag up motivation for anything at all - even reading for pleasure. As long as I'm aware that "it could be worse", I know I'm not seriously depressed!
@kitkat1 (1227)
• Canada
3 Apr 07
Honey i feel for you this must be hard. I do know that many times one is mistaken for the other cause they act so much alike but to have both that is really hard. My mom is diabetic and has the fibro as well and i never could understand the concept of fibro. My moms doctor explained it to me like this he said take whatever i get whether it be the flue or a achey muscle or a cold and times it by five and i would no what she felt like. Is that a good way to explain it. I was misdiagnosed with fibro because cfs and tmj a jaw disorder believe it or not mimics symptoms of fibro to the point they are hard to tell apart but i was suffering from the jaw joint disorder but i guess the good thing out of that is i could relate to my mother pain somewhat. The only thing is i am younger and my coping skills are better than hers and i have no other health probs but it is a very bad things cause it limits everything that you do. I hope this is helpful too you in some small way. I will keep you in my prayers too.
• United States
3 Apr 07
Thank you. Yes it is hard whenever someone has more than one diagnosis to deal with. And yes, it is something like flu or a cold without the stuffy nose or nausea. Before I was diagnosed with CFS or fibro I had TMJ, even had surgery to repair one side of my jaw. Now on top of the CFS and fibro I have high blood pressure, hypothyroid, hypertensive heart disease, and obesity. [A mess, aren't I?] But I'm still better off than many people and I am grateful for that. Thank you for your prayers. They help.
@kamran12 (5526)
• Pakistan
2 Apr 07
salut!:-) i was just roaming about when i saw your post and thought to give a surprise entry just to let you know that how people are interested not only in your post but they can also come just for you. honestly i don't know anything about the subject, so can't add anything. but i pray from core of my heart that you may get well. i believe in prayers that they can do miracles. sorry for not being able to contribute to the subject, but for me humans are more important than anyother thing. i looking forward to reply to something relevant to my field and interest. wish you best of luck.
2 people like this
• United States
3 Apr 07
Thank you! I, too, believe in the power of prayer. It has gotten me through some mighty tough times. Look forward to seeing you pop in again soon! :-)
• United States
3 Apr 07
Unfortunately, if you do have fibro. you probably have at least 3 syndromes and you did not even know it. Doctors really can't do much for you. They put you on pain meds. then complain when you spike and need more or something stronger. It is a crazy cycle. The antidepressant Cymbalta helps a lot of people with the pain, and sleep besides your mood. If you are not on it I reccomend asking your Dr. about it. I'm going to give you a website that will answer more questions than you can believe at the end of this message check it out. You can also try taking out caffiene, fructose(corn syrup), and msg. It helps quitte a few people. It did me. I still hurt, but not as badly. I don't spike(crash) as often either. Doctors will not tell you about this kind of thing. The website you will be going to is a clinic just for fibro and related syndromes. www.fibroandfatigue.com
1 person likes this
• United States
3 Apr 07
Thanks. I'll check it out.
• United States
3 Apr 07
I'm going to the clinic April 16th. I will let you know what I thought. They are MDs, but work with nutrients and herbs. Jamacan Dogwood is a great pain killer and helps you to sleep, but everyones dosage is different. You will have to test how much you need.
1 person likes this
@sharra1 (6340)
• Australia
12 Dec 07
Chronic Fatigue Syndrome is only officially diagnosed when no other cause for the fatigue can be found. However, many illnesses cause people to suffer from chronic fatigue. I was diagnosed with CFS in August after lots of tests that showed I had no other illness. It is hard to cope with and many people still do not understand it or think you are depressed or lazy but I had a test and am not depressed although my illness gets me down a bit. The crashing is really hard to cope with. I sleep 8 hours or more and wake up feeling as if I have not slept a wink. Considering that I was apparently perfectly healthy 2 years ago I found this really hard to cope with. I used to go to bed and sleep 8 hours, wake up refreshed, work out on an exercise bike before going to work. Now I cannot hold down a job and even have trouble doing house work. I have learned that I cannot do very much or I will crash for a day or 2 so I am careful now because I hate crashing. It is a tough illness to live.
• United States
12 Dec 07
Absolutely! And it is so hard to treat it when you have to guess what all is involved with it in your particular case. There is no "one-size-fits-all" treatment. Things that helped me include having a sleep apnea diagnosis and prescription for a CPAP, a couple of enzyme supplements that work for me, and some very good vitamins. I still have very limited stamina and I can still crash REALLY hard. But I do function at an acceptable level much of the time now. Of course, being retired means I don't have to function at a high level very often. Most people don't understand the difference between being tired and being fatigued, so they don't understand how we could be "tired all the time" when we do less than and sleep as much as they do. I had an explanation that helps for most people: We each have an energy well. Like a water well when we use a certain amount of energy we then need to rest a bit so it fills back up. But people with CFS have a well that is never quite full enough, so when we use energy our well gets empty and never really gets fully restored. We have longterm energy drought!
@sharra1 (6340)
• Australia
13 Dec 07
That is a good description. I am lucky in having a supportive partner and family but I know there are many people who do not believe in the illness. I am having a bad week at the moment. I have not had any refreshing sleep for days and I am struggling. I feel really old even though I am only 51. I am also suffering from bad tendinitis in my left shoulder and that has added to my difficulty in achieving anything this week. I feel as though my well is dry.
@emeraldisle (13139)
• United States
2 Apr 07
I have heard from people who have Fibro that Chronic Fatigue can go with it. It's not an absolute but they seem to happen in the same people. I haven't been officially diagnosed with Fibro, just have my doctors keep asking if I have been. I'm also bipolar. I'm hoping to soon get with the right doctor to get everything checked out and documented so I know what all I'm dealing with. Make it a lot easier.
@CatNPK (461)
• United States
2 Apr 07
I have had fibromyalgia for a few years, but never chronic fatigue syndrome. Fibro shares many of the symptoms, which can cause conflicting or dual diagnoses. I don't know how many people actually have both. I definitely have fibro, but I rarely suffer from fatigue comparable to what the syndrome would entail.
1 person likes this
• United States
3 Apr 07
Am glad you don't have to deal with the fatigue, too. Thanks.