| Symptom Criteria | |
| New onset of sever fatigue for six months or more, causing at least a 50 percent activity reduction. | Yes |
| Exclusion of other illnesses causing similar symptoms. | No Clinical Depression |
That makes 1 of the required 2.
| Symptom Criteria | ||
| Mild fever | No | |
| Sore throat | No | |
| Painful or swollen lymph nodes | No | |
| Generalized muscle weakness | Yes | |
| Muscle discomfort | Yes | |
| Fatigue worsened by exercise | Yes | |
| Headaches | No | |
| Neuropsychologic complaints | ||
| Short-term memory loss and inability to concentrate but not disorientation. | Yes |
|
| Abnormal sensations (Paresthesias) |
Yes Tinitus |
|
| Light-headedness, fainting spells, muscle twitching, balance problems, abnormal movements, and seizures. | No |
|
| Inability to feel refreshed after sleep | No | |
| Sleep disturbance | No | |
| Acute onset of symptom complex | Yes | |
That makes 6 out of the required 8.
| Symptom Criteria | |
| Fever | No |
| Throat inflammation | No |
| Palpable or tender lymph nodes | No |
That makes 0 out of the required 2.
Pain from standing in one place. This symptom is mentioned elsewhere in Dr. Bell's book. During the early years of my illness I experienced pain from standing in one place for more than a few minutes. Walking does not cause this pain. I have to be careful about how far and how fast I walk, but that is another issue. This situation existed before I started antidepressants and continued as best I can remember until I started Prozac.
reference: "The Doctor's Guide to Chronic Fatigue Syndrome", David S. Bell, M.D. pages 26-27. pub: Addison Wesley, paperback edition, ISBN: 0-201-40797-3
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