Founder of Health Rising and Phoenix Rising
Key Features of Possibly the Most Underserved and Underdiagnosed Disease: Do You Have It?
One symptom or timing of symptoms has been described as the distinguishing hallmark of the disease. Referred to as "post-exertional malaise," ME/CFS patients with mild or moderate cases may have brief periods without noticeable fatigue or other symptoms. But it doesn't last long. Then within hours or days of the activity, the patient experiences a "crash" of feeling sick, so sick they can't function.  It may last hours, days or weeks. Depending on how bad the episode is, the "crash" symptoms may include hoarse voice, debilitating fatigue, mental fog, headache, hot and cold flashes, nausea and vomiting. In these cases, some patients find they can start off at work feeling pretty good on Monday because they rested over the weekend. Then they find that by Tuesday afternoon or Wednesday, they are struggling to finish the work day. In addition to mental or physical activity, other triggers for a "crash" include infections, surgery, an accident or stress.