Chronic fatigue syndrome (CFS) is usually characterized by a prolonged bout of fatigue accompanied by a wide range of other symptoms. The condition can affect individuals of any age but is more common between the ages of 25 and 45, with females usually affected more than males.

An adult is diagnosed with CFS if, for at least four months, they have had chronic fatigue but with no obvious other medical issue causing the condition. The main symptoms associated with CFS include sore throat, muscle pain, lack of concentration, joint pain, headaches, and fitful sleep. Some other symptoms that can also occur are abdominal pain, bloating, cough, chest pain, earache, jaw pain, stiffness, diarrhea, weight loss, nausea and night sweats.

As a rule, the symptoms of CFS are not improved by taking bed rest and conversely may be made worse by some physical or mental activities. As it is unknown what actually causes the condition, it is very difficult to prevent; it is not, though, a contagious condition. Some causes that are thought to contribute to CFS include having had a viral infection of some description, depression, stress or a life changing event such as loss of employment or bereavement.

The prevalence of fatigue states

Following on from this, there are no specific treatments’ for the condition either, but medication can be prescribed for the associated symptoms, for example, taking painkillers for headaches.

An anxiety disorder can loosely be described as a condition where feelings of anxiety can get in the way of normal, everyday life. Many things can cause or even be classed as an anxiety disorder, and these can include phobia, obsessive compulsive disorder (OCD), post traumatic stress disorder (PTSD), panic attacks and generalized anxiety disorder (GAD).

Anxiety attacks can be caused by a variety of conditions, both mental and physical. On the mental side of things, problems such as alcohol dependence, depression, substance abuse (including drugs, nicotine and caffeine) and medicine withdrawal can all cause anxiety. Physically, a person could be affected due to illnesses or cosmetic reasons such as appearance. It can also be brought on by stress due to traumatic events like bereavement.

Anxiety

There are some physical symptoms attributed to being anxious and these occur due to the body’s natural “fight or flight” response due to the release of adrenaline. These can include dry mouth, diarrhoea, tightness in the chest, rapid heartbeat, dizziness, shortness of breath, shaking, the need to urinate more frequently and swallowing difficulty.

A few psychological symptoms associated with anxiety include uneasiness, insomnia, irritability, tiredness, lack of concentration and a fear of “going mad”. Sometimes, when anxiety disorders and other conditions such as schizophrenia, depression or bipolar disorder occur together, suicide or self-harm can often be the regrettable outcome.

The tonsils are small glands which are found at the back of the throat behind the tongue, and the infection of these glands is known as tonsillitis. Frequent recurring infections of the tonsils may result in an operation to remove them known as a tonsillectomy.  The infection is usually caused by bacteria or a viral infection and usually affects children from 5-15 years.  Tonsillitis can be passed from person to person through hand contact, airborne droplets or saliva.

The more common symptoms of tonsillitis include pain when swallowing, fever, coughing, tiredness, pain in the ear or neck, swollen tonsils, or swollen glands in the neck (lymph nodes).  Other less common symptoms of tonsillitis are constipation, bad breath, difficulty opening the mouth, vomiting or a ‘furry tongue’.  It can also cause abdominal pain in young children due to swollen lymph glands in the stomach.

Tonsillitis can be treated at home by getting plenty of rest and making sure to eat and drink plenty of fluids.  Painkillers and antibiotics can help to clear up the infection but it will clear up on its own over a few days.  There are also lozenges or sprays which can help to relieve pain in the throat.

The most effective way to avoid tonsillitis is to keep away from people who have the infection.  Do not use the same cups or cutlery etc as someone who has the infection and maintain good hygiene by washing hands frequently.

Tonsillitis