If your answer is "yes" to any of the questions listed below, you may have chronic fatigue syndrome (CFS), which is also called chronic fatigue immune dysfunction syndrome (CFIDS).

• Has your doctor been unable to find illnesses that could explain your symptoms?
• Have you been tired (fatigued) for a long time--more than 6 months--even though you are getting enough rest and are not working too hard?
• Have you had problems that keep coming back or don't go away for 6 months or more with four or more of the following signs and symptoms?
• Are you able to do less than half of what you used to do because you feel tired?

What is Chronic Fatigue Immune Dysfunction Syndrome?

A person with CFIDS feels completely worn-out and overtired. This extreme tiredness makes it hard to do the daily tasks that most of us do without thinking - like dressing, bathing, or eating. Sleep or rest does not make the tiredness go away. It can be made worse by moving, exercising, or even thinking.

CFIDS can happen over time or come on suddenly. People who get CFIDS over time get more and more tired over weeks or months. People who get CFS suddenly feel fine one day and then feel extremely tired the next. A person with CFIDS may have muscle pain, trouble focusing, or insomnia (not being able to sleep). The extreme tiredness may come and go. In some cases the extreme tiredness never goes away. The extreme tiredness must go on for at least 6 months before a diagnosis of CFIDS can be made.

Symptoms of Chronic Fatigue Immune Dysfunction Syndrome

• sore throat
• forgetting things or having a hard time focusing
• muscle pain or aches
• pain or aches in joints without swelling or redness
• feeling discomfort or "out-of-sorts" for more than 24 hours after being active
• tender lymph nodes in the neck or under the arm
• feeling tired even after sleeping
• headaches of a new type, pattern, or strength

What causes chronic fatigue immune dysfunction syndrome?
No one is certain about what causes CFS. The symptoms may be caused by an immune system that isn't working well. Or they may be caused by some kind of virus. Researchers are looking for the cause of CFS.

Who Gets Chronic Fatigue Immune Dysfunction Syndrome? How common is it?

Experts think as many as half a million Americans have a CFIDS-like condition. The exact number of people with CFIDS is not known. CFS can affect people of all ages, racial/ethnic backgrounds, and economic statuses.

More women than men are diagnosed with CFIDS. But, it is not known for sure that this illness affects more women than men. It may be that women talk to their doctors more often about things like tiredness and pain.

How should one go about coping with Chronic Fatigue Immune Dysfunction Syndrome?

It's normal to feel cranky, sad, angry, or upset when you have an illness like CFIDS. Here are some things you can do that may help you to feel better:

Join a CFIDS support group. Sometimes it helps to talk with people who are going through the same thing. Talk therapy can help you learn how to deal with your feelings.

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