{"id":463,"date":"2017-03-26T14:25:26","date_gmt":"2017-03-26T14:25:26","guid":{"rendered":"http:\/\/papergp.com\/index.php\/endocrinology\/chronic-fatigue-syndrome\/"},"modified":"2018-02-14T08:14:58","modified_gmt":"2018-02-14T08:14:58","slug":"chronic-fatigue-syndrome","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/endocrinology\/chronic-fatigue-syndrome\/","title":{"rendered":"Chronic fatigue syndrome"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>4 months new onset fatigue, post exertional malaise, flu-like<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Explanation\n<ul>\n<li>CFS results in long term disabling tiredness. Can also cause problems with sleep, muscle aches, headaches. Cause it not known but may be caused by a viral infection. No tests to diagnose it and no specific cure<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Lifestyle<\/li>\n<li>Sleep hygiene<\/li>\n<li>Diet<\/li>\n<\/ul>\n<\/li>\n<li>Refer\n<ul>\n<li>Physiotherapy &#8211; gradual increase in exercise<\/li>\n<li>CBT<\/li>\n<li>Occupational health &#8211; better to make adjustments to work rather than stop completely<\/li>\n<li>Rheumatology &#8211; if within 6 months<\/li>\n<\/ul>\n<\/li>\n<li>Medications\n<ul>\n<li>Low dose TCA &#8211; sleep\/pain<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety net<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering 4 months new onset fatigue, post exertional malaise, flu-like &nbsp; Clinical management Explanation CFS results in long term disabling tiredness. Can also cause problems with sleep, muscle aches, headaches. Cause it not known but may be caused by a viral infection. No tests to diagnose it and no specific cure Treatment Lifestyle Sleep &hellip; <a href=\"https:\/\/papergp.com\/index.php\/endocrinology\/chronic-fatigue-syndrome\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Chronic fatigue syndrome<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":456,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-463","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/463","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=463"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/463\/revisions"}],"predecessor-version":[{"id":1929,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/463\/revisions\/1929"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/456"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}