Chronic Fatigue

Chronic fatigue occurs when symptoms of exhaustion or lack of energy last for more than six months. While chronic fatigue syndrome is a condition, chronic fatigue is only one symptom. Although the cause of chronic fatigue is unknown, infection, hormone levels, and stress are believed to play a role in its symptoms.

 

Chronic Fatigue: An Introduction

Most people will experience fatigue at some point in their lives. In most cases, fatigue:
 
  • Refers to exhaustion during or after usual daily activities
  • Refers to a lack of energy to begin these activities
  • May result from exertion, lack of sleep, or illnesses such as colds
  • Generally goes away after getting more rest or recovering from a cold.
     
However, chronic fatigue occurs when symptoms of exhaustion or lack of energy last for more than six months.
 

Chronic Fatigue Versus Chronic Fatigue Syndrome

Chronic fatigue is a symptom of many diseases. While chronic fatigue syndrome (CFS) is a condition, chronic fatigue is only one symptom. In order to be diagnosed with chronic fatigue syndrome, a person must have chronic fatigue and 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 (insomnia)
  • Post-exercise fatigue lasting more than 24 hours.
 

Causes of Chronic Fatigue

Although the cause of chronic fatigue is unknown, infection, hormone levels, and stress are also believed to play a role in its symptoms. Chronic fatigue often results from:
 
  • Sleep disturbance in combination with chronic pain and depression
  • Stress
  • Physical inactivity
  • Poor diet
  • Medications
  • Social and cultural factors
  • Certain medical conditions (see below).
     
Regardless of the cause, chronic fatigue has a major impact on day-to-day functioning and quality of life.

 

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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD