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Management of ME/CFS (myalgic encephalomyelitis/chronic fatigue syndrome) focuses on symptoms management, as no treatments that address the root cause of the illness are available. [ 1 ] : 29 Pacing, or regulating one's activities to avoid triggering worse symptoms, is the most common management strategy for post-exertional malaise .
The disease can further be regarded as a post-acute infection syndrome (PAIS) or an infection-associated chronic illness. [11] [26] PAISes such as long COVID and post-treatment Lyme disease syndrome share many symptoms with ME/CFS and are suspected to have a similar cause. [26] Many names have been proposed for the illness.
Idiopathic chronic fatigue is typically managed in general medicine rather than by referral to a specialist. There is no cure, no approved drug, and treatment options are limited. [24] Management may involve a form of counseling, or antidepressant medication, although some patients may prefer herbal or alternative remedies. [1]
In medicine, malaise is a feeling of general discomfort, uneasiness or lack of wellbeing and often the first sign of an infection or other disease. [1] It is considered a vague term – describing the state of simply not feeling well. The word has existed in French since at least the 12th century.
Post-exertional malaise; Other names: Post-exertional symptom exacerbation (PESE) Postexertional malaise (PEM) Post-exertional neuroimmune exhaustion (PENE) Chart of physical, cognitive, and emotional activities that may trigger PEM: Symptoms: Worsening of symptoms after ordinary activity: Causes: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Fatigue is a state of tiredness (which is not sleepiness), exhaustion [1] or loss of energy. [2] [3]Fatigue (in the medical sense) is sometimes associated with medical conditions including autoimmune disease, organ failure, chronic pain conditions, mood disorders, heart disease, infectious diseases, and post-infectious-disease states. [4]
Clinical detachment is a means of providing objective, detached medical care while maintaining enough concern for the patient to offer emotional understanding. [16] A close patient-provider relationship threatens objectivity, therefore a social distance is expected to ensure professionalism. [17]
It is home to the top-15 ranked Mayo Clinic Alix School of Medicine in addition to many of the highest regarded residency education programs in the United States. [8] [9] [10] It spends over $660 million a year on research and has more than 3,000 full-time research personnel. [11] [12]