Meet the Other Phone. Child-safe in minutes.

Meet the Other Phone.
Child-safe in minutes.

Buy now

Please or to access all these features

General health

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

I want to warn people about ME/Chronic Fatigue

116 replies

OldAndNotWise · 02/02/2024 10:49

I'm a regular poster but I've namechanged for this. I've recently been diagnosed with ME and I'm absolutely devastated but in a sense, it's a relief as it explains what's been happening to me over the last few years.

I can't turn back the clock but I want to warn others about this horrible disease that disproportionately impacts women.

I started feeling tired and under the weather and had numerous illnesses. I never seemed to be entirely well and never felt that I fully recovered. The doctor ran loads of blood tests. At first i was mildly anaemic, had low vitD, slightly low B vitamins and had slightly elevated CRP but this was put down to the fact that I had a viral infection at the time. I fixed all the vitamins but still felt exhausted.

Rather than resting more, I thought I must need to get fitter so tried to fit in a few more sessions at the gym or a few more runs on the days I felt well. I ate better, I lost weight, I was probably, physically, in the best health I had ever been but at the same time I was completely exhausted. This went on for about a year and I couldn't figure out what was wrong. I paid for a very expensive health check that checked everything and nothing came out of it. The doctor who ran the health check asked me if I was 'stressed' because stress can cause multiple viral infections and that run down feeling.

6 months later, I picked up another virus (or so I thought) and couldn't get out of bed. I managed to drag myself to a doctor who said it wasn't bacterial but 2 weeks later I wasn't better and when I went back again, he said 'if you've been like this for so long and you're getting worse, then this is likely to not be what you think'. I asked if he knew someone I could be referred to and I went to see a Long Covid specialist who confirmed that the multiple viral infections were probably not viral infections but signs I was pushing myself too much and this was likely to be ME.

I was bedridden for weeks. And then I started treating it like it was ME. So I had to learn how much energy I had and learn how much I could use each day. I was terrified of losing my job so I didn't tell work but could only manage one day in the office. Luckily no one complained.

It has taken me months to get to a place where I can manage a full day without needing to lie down. There is no cure. There is nothing that can be taken that can treat it that is guaranteed to work. There is barely any research going into the disease. Last week, a young lady killed herself rather than suffer with it (I won't link but if you look, it's on twitter). She isn't the first. This disproportionately impacts women.

What I want to say to you all - if you are tired and there appears to be no reason for it (not your thyroid, not severe vitamin deficiencies, isn't severe anaemia), do not push yourself. Rest, rest and rest some more. It seems totally counterintuitive that you wouldn't try and get fitter and try and get stronger but sometimes you have to stop and stop for some time. You do not want this. I can't walk to the shops, I can't go for a walk. I can't exercise, I can't enjoy anything because I'm exhausted all day, every single day. There is no cure. If I could turn back the clock a few years, I'd tell myself to take a break because maybe I wouldn't have pushed myself over the edge. Who knows. But please be careful!

OP posts:
OldAndNotWise · 02/02/2024 14:02

Whatever you do, don't blame yourself. Infections can cause ME just like Covid causes Long Covid. It may have been something else that triggered it, something totally mild you don't even know you had. They are still working out what the causes are and there will be more than one thing that causes it and more than one type I am sure. Certainly not resting makes you feel worse which is why everyone who has it always tells people to rest because by figuring out your baseline, you can start to feel marginally more human.

There is a very good Reddit community called r/CFS with a lot of good tips on what to do if you think you have it.

Also are you of peri or menopausal age? As a lot of the tiredness symptoms mimic ME so it's worth checking whether that's something that might help x

OP posts:
ThereIbledit · 02/02/2024 14:05

There was a thread recently where the OP had CFS, autism and ADHD and couldn't work. People were horrendously ableist about all three conditions, but particularly the CFS. Anything that makes the general population understand that CFS is so much more than "just a bit tired" is a good thing.

OldAndNotWise · 02/02/2024 14:24

thanks @ThereIbledit

it also disproportionately impacts women. You can bet if it disproportionately impacted men, we'd be a lot further down the line in terms of research.

OP posts:
porridgeisbae · 02/02/2024 14:48

There are treatments OP and also it's not necessarily for life, a lot of people eventually recover.

Most people with CFS or fibro have a history of trauma and of mental health pr, so if people work on these causes before they get this extent of psychosomatic symptoms, they might be able to avoid it.

People need to follow evidence based treatment for any mental health issues they experience ASAP, and keep going back until they find something that works.

porridgeisbae · 02/02/2024 14:50

*problems

forcedfun · 02/02/2024 14:52

I have something similar. myasthenia gravis. It took doctors years to realise I had it. If I exercise I get really weak. I love exercise. But when I went to GPs they would tell me that more exercise would make me better. The route to diagnosis was long but now i know I have to pace myself carefully

porridgeisbae · 02/02/2024 14:53

It's not called myalgia encephalitis anymore because there's no encephalitis involved in the symptoms of CFS by itself so it's a misnomer.

Although a lot of people with other illnesses do have a lot of fatigue or CFS of course.

shearwater2 · 02/02/2024 14:55

Great post, OP. People do need to listen to their bodies. I've not had ME but when I was a lot more overweight and stressed in my work, and just more tired with young kids I found the vigorous exercise didn't make me fit or help me to lose weight, it just made me more likely to be exhausted and pick up every bug under the sun. For a while I just thought I was unfit and needed to get fitter. Then I was diagnosed with endometriosis.

Then I learned about the role of stress, cortisol and adrenal fatigue, changed my diet, changed my job, changed my approach to life really - took up low impact exercise - yoga and walking. Endometriosis has been kept in check with desogestrel and lifestyle changes. It was yoga that helped lead the change of mindset and lifestyle. That was nearly ten years ago and in the last 14 months I have been able to do high impact exercise again several times a week, after adding oestrogen again into the mix for the last couple of years. I'm also 15kg lighter than I was at my heaviest in 2016.

So not ME or long covid for me but stress, weight, hormones, gynaecological stuff and peri-menopause. When I did finally get Covid in 2022 I was extremely careful about exercise and built it up again very slowly. With Covid I went from being able to do a high impact aerobics class, jog 5K or walk miles with the dog comfortably to finding walking round the block with the dog difficult within a few days.

summerdawn · 02/02/2024 15:05

Have you come across Sarah Myhill? Her website has information and strategies that can sometimes help (alas no quick fixes of course). She had published a paper linking CFS with mitochondrial dysfunction back in 2009 and seems ahead of the curve, so to speak. I am sorry you are afflicted with this.

BlueSkyBlueLife · 02/02/2024 15:23

@OldAndNotWise thank you fir starting this thread.

I have ME too and have been diagnosed many years ago when GET was still the only ‘solution’. I’m just really lucky that I had come across advice showing why the GET study was wrong and my ME clinic never pushed it.

I’m going to say that it’s essential for people to be aware about it.
Apparently there are about 300.000 people with ME in the U.K. but many many more people with LC (a lot of them still undiagnosed). Half of people with LC also have ME. That’s about anouther 1 million people.
To give you a sense of proportion, there are more or less as many people with type 1 diabetes in the U.K. as there are people with ME (excl LC)

Please, just take care. If you feel you haven’t quite recovered from a Covid (or whatever virus), dint push it. It’s a shit illness, a really shit one. Think living your life in constant lockdown but also being unable to do much in your house either.

CheshireCat1 · 02/02/2024 15:26

I suffer with chronic fatigue, similar to some of the posters, mine is related to Rheumatoid Arthritis though. My consultant said it was like being battery operated with cheap batteries and they run out quickly so you have to manage the life left in them throughout the and recharge them regularly. I’ve got reasonable adjustments in place at work but I’ve had to reduce my hours due to this and the after effects of Covid. Sometimes I can go to bed in the afternoon and sleep then plus the full day after, it’s like my life is wasting away.

cocavino · 02/02/2024 15:30

Thanks for raising this, OP! I'm currently exhausted from months of stress and this is a good reminder to take care of myself ❤️

BlueSkyBlueLife · 02/02/2024 15:33

porridgeisbae · 02/02/2024 14:53

It's not called myalgia encephalitis anymore because there's no encephalitis involved in the symptoms of CFS by itself so it's a misnomer.

Although a lot of people with other illnesses do have a lot of fatigue or CFS of course.

Err… if it’s not called ME anymore, what is it called?

Fwiw, ME is the term used by the latest NICE guidelines.

That’s because ME is NOT just being fatigued. It’s a constellation of symptoms and fatigue/tiredness is only one of the symptoms.
One of the key symptom is PEM - post Exertional malaise, aka worsening of symptoms out of relation with the activity done. (That’s why you can’t exercise your way out if it!)

eg ive spent about half an hour sat down brainstorming some stuff with dh.
I had to go back to laying down and resting as I was getting dizzy + start of a headache. If I had pushed it, I’d have ended up with increased muscles weakness, pain, lightheadness etc… for the following 2~3 days. Worsening of symptoms can go on for weeks sometimes too.

Also be aware that, for about 25% of people, having covid isnt 'just being tired' or even housebound. its being bedbound, unable to get up to go to the loo, unable to cope with light or noise. unable to cope with any human interaction. Sometimes its being able to eat or drink (and yes some people do die from it too)

BlueSkyBlueLife · 02/02/2024 15:35

@CheshireCat1 do you suffer from PEM too?

I’ve seen a lot of discussion around whether PEM is something really specific to ME or whether it’s shared with other illnesses. It doesn’t seem there is any studies around that.

thomasinacat · 02/02/2024 15:51

ME / CFS is not psychosomatic. 'most people' with CFS do not have mental health issues. This kind of thinking is why there has been no research into the causes for decades. Prevalence of long COVID fatigue has generated more interest in research into CFS.

Thanks to a 'research' paper in the 1970s, the medical profession went down a wrong path for decades, trying to treat CFS with (GET) graded exercise therapy and (CBT) Cognitive Behavioural Therapy. Neither of which work, and GET especially worsens the condition.

https://meassociation.org.uk/2017/05/during-me-awareness-week-we-revisit-the-toxic-legacy-of-mcevedy-and-beard-10-may-2017/

A disease defined by a flawed 40-year-old study – where no patients were interviewed and which concluded that ME was mass hysteria because many of those affected were women.

UK government and NICE has in past few years completely overturned this school of thought as being dangerous and unhelpful, and government has recently launched a huge new consultation into ME/CFS. There is also 'the world's largest ME Study' underway in Edinburgh (DecodeME). The ME association does a lot of work in promoting understanding and pushing for change.

https://www.decodeme.org.uk/

There is currently no medically accepted treatment, only management techniques such as pacing.

Despite CFS being more accurate description medically, It is still commonly referred to as ME / CFS, because CFS alone is less well known, even in medical circles (see 2 institutions above, both use ME still).

OP I found this brochure to be a complete godsend for family and friends to read. It explains CFS perfectly. It can be confusing to people around you, because you can look outwardly fine.
https://meassociation.org.uk/product/but-you-did-it-before-by-mahli-quinn/

During ME Awareness Week, we revisit the toxic legacy of McEvedy and Beard | 10 May 2017 - The ME Association

A paper written by two psychiatrists in 1970 has influenced medical, public […]

https://meassociation.org.uk/2017/05/during-me-awareness-week-we-revisit-the-toxic-legacy-of-mcevedy-and-beard-10-may-2017/

RubyTrees · 02/02/2024 15:55

@OldAndNotWise my story is very similar to yours except that my ME wasn't triggered by any viral illness (I must be in the minority of people who've never had Covid).

Not being able to do a 3-4 mile daily walk without having severe fatigue for several days was my first sign that something was very wrong. My GP ran all the usual tests, results were in the normal range and I was eventually referred to my county's CFS service. I had my assessment a few months ago where I had to talk about my entire life all the way back to childhood (it was a very long call!) so that they could see whether/how stressful events/relationships might have impacted me.
They gave me some advice:

  • Walk outside daily for 2 mins. If no symptoms, continue doing the same for a week. Increase duration by 10% the next week. If no symptoms, continue doing the same for another week. Keep increasing duration very slowly.
  • Rest in a pre-emptive manner - plan 3 fixed rest periods per day, 20-30 mins each (treat it like a “rest prescription”). This is in addition to the rest that should be part of pacing.
  • Try to avoid napping during the day even if you suffer insomnia.
Since the onset of my early symptoms a year and a half ago I have slowly become worse - after being a multi-tasking queen with an excellent memory during decades of employment I now have to carry around a notepad to write down anything I need to remember - just moving from room to room will make me forget. If I'm in a room with more than 2 other people I get incredibly stressed (and of course even more stressed when I know they're thinking I'm mentally unwell).

I'm housebound except for my walks on the patio and trips to medical appointments. Even being a passenger in a car triggers my symptoms (heart racing, exhaustion, feeling sick, brain fog).

I have a wonderful husband who does everything for me - I've no idea what my life would be like without him. Like you I can't even take a shower without triggering symptoms (I hadn't ever thought about how much energy is needed to raise my arms). I need 2 separate days to take a shower - wash my body sitting in the tub on one day, leave 2-3 days for PEM, then have husband wash my hair separately.

I've found the CFS Support UK FB group very useful - this book was recommended there:
Classic Pacing by Ingebjorg Dahl (available on Amazon)

I'm taking part in the DecodeME study. I have hope that there will be an effective drug one day.
https://www.decodeme.org.uk/

Home - DecodeME

Join the ME/CFS Biomedical Partnership to help create the world’s biggest study of causes of ME/CFS.

https://www.decodeme.org.uk

Spendalittlelovealot · 02/02/2024 15:59

porridgeisbae · 02/02/2024 14:53

It's not called myalgia encephalitis anymore because there's no encephalitis involved in the symptoms of CFS by itself so it's a misnomer.

Although a lot of people with other illnesses do have a lot of fatigue or CFS of course.

It is now generally referred to as ME/CFS. Most suffers hate the name CFS as that’s what gives rise to the perception that it’s about being tired all the time.
ME has various sets of criteria to be diagnosed by, but they are all a lot more complex than ‘just’ tiredness. CFS is not the same as chronic fatigue.
Also, you refer in a previous post to psychosomatic symptoms. ME symptoms are not psychosomatic!

RubyTrees · 02/02/2024 16:00

Ah didn't see @thomasinacat has already mentioned DecodeME.

thomasinacat · 02/02/2024 16:05

RubyTrees · 02/02/2024 16:00

Ah didn't see @thomasinacat has already mentioned DecodeME.

So hopeful this study results in something quantitative for sufferers. Lucky to be diagnosed in the here and now, when the tide has turned and so sorry for all those who came before who had to suffer years of not being helped / believed. 💐💐

kkneat · 02/02/2024 16:25

My DD was diagnosed with ME/Chronic fatigue when she was 13 but we actually found out when she was 19 that she has POTs which is commonly misdiagnosed as ME. With some trial and error is medication she is doing much better. Hers was found out by chance, she was having an ECG stood up before they took the wires off and the jump in heart rate was what triggered the further investigation

OldAndNotWise · 02/02/2024 16:31

porridgeisbae · 02/02/2024 14:48

There are treatments OP and also it's not necessarily for life, a lot of people eventually recover.

Most people with CFS or fibro have a history of trauma and of mental health pr, so if people work on these causes before they get this extent of psychosomatic symptoms, they might be able to avoid it.

People need to follow evidence based treatment for any mental health issues they experience ASAP, and keep going back until they find something that works.

this is not true - it's a fallacy and there are no treatments because they still don't understand what causes it. There are medications people can try but there is no guarantee they will work.

I have no mental health problems, i had such a lovely, happy and fulfilling life. I was fit, healthy, happy and a good weight.

I am participating in the Decode ME study. I did my spit test and I can't wait to see the results!

OP posts:
forcedfun · 02/02/2024 16:36

OldAndNotWise · 02/02/2024 16:31

this is not true - it's a fallacy and there are no treatments because they still don't understand what causes it. There are medications people can try but there is no guarantee they will work.

I have no mental health problems, i had such a lovely, happy and fulfilling life. I was fit, healthy, happy and a good weight.

I am participating in the Decode ME study. I did my spit test and I can't wait to see the results!

Agreed op.

Also sometimes it's just a misdiagnosis (to give one example, often people with myasthenia are misdiagnosed with CFS for years . particularly if they are seronegative or have atypical symptoms)

But having an illness that is quite similar to CFS I can say that while stress (eg bereavement) causes flares so do lots of other things, including viruses, my period, some medications... Its gaslighting to imply these conditions are purely psychosomatic . When I chat to someone with CFS there are a lot of parallels with my condition. I suspect some CFS is a physical cause that hasn't been understood yet and some people it's a misdiagnosis

OldAndNotWise · 02/02/2024 16:46

@forcedfun can they treat your myasthenia? sounds very scary, I hope you are doing better now they've finally found out what it is!

OP posts:
forcedfun · 02/02/2024 17:01

OldAndNotWise · 02/02/2024 16:46

@forcedfun can they treat your myasthenia? sounds very scary, I hope you are doing better now they've finally found out what it is!

Yes with something called pyridostigmine which is fast acting but also immune suppressants seem to be reducing symptoms and can cause remissions. I am lucky mine seems to affect my speech /eyelids/arms and legs but not vision or breathing really.

I am certain this is what I had a first flare of in my twenties when the drs said it was CFS. I was lucky an optician spotted my ptosis and told me to see a neurologist. But not everyone with Myasthenia has ptosis and it doesn't always show up in blood results (I am seronegative)

I get really frustrated when people with CfS are told it is psychosomatic/they can exercise it away. It feels like horrible gaslighting for a condition that isn't understood properly

OldAndNotWise · 02/02/2024 17:08

it's just such an easy thing to gaslight isn't it. Something with no proven test and only the sufferer's word to go on.

So glad there is a treatment that helps you and it doesn't affect your breathing.

OP posts: