🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 187 (from laksa107)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa187.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me","crawl_time":1775027626,"first_indexed_time":1658395868,"http_code":200,"src_unparsed":"au,gov,healthdirect!www,\/chronic-fatigue-syndrome-cfs-me s443","src_root_hash":"11476440364350543187","history_drop_reason":null,"meta_title":"Myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) - symptoms and treatment | healthdirect","meta_descriptions":["Myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a complicated condition characterised by ongoing, unexplained tiredness."],"attrs_boilerpipe_text":"Key facts\nMyalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a complex illness where extreme tiredness and other symptoms reduce your ability to function.\nThese symptoms get worse after exercise or mental effort and don't improve with rest or sleep.\nNo one knows what causes ME\/CFS.\nThere's no cure for ME\/CFS but your doctor can suggest treatments that can help improve your symptoms.\nOn this page\nWhat is myalgic encephalomyelitis\/chronic fatigue syndrome?\nWhat are the symptoms of ME\/CFS?\nWhat causes ME\/CFS?\nHow is ME\/CFS diagnosed?\nHow is ME\/CFS treated?\nCan ME\/CFS be prevented?\nResources and support\nRelated information on Australian websites\nWhat is myalgic encephalomyelitis\/chronic fatigue syndrome?\nMyalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a severe, chronic (long-term) and disabling illness. It causes extreme fatigue (also called post-exertional malaise).\nCurrently, there are no tests for ME\/CFS.\nME\/CFS appears to affect all age groups, but is most common in adults between their 20s and 40s. It's also twice as common in females than males.\nDoctors do not yet understand the cause of ME\/CFS, and there is no cure.\nWhat are the symptoms of myalgic encephalomyelitis\/chronic fatigue syndrome?\nPersistent and profound fatigue is just one symptom of ME\/CFS. Other common symptoms of ME\/CFS are:\nthinking problems, loss of memory or poor concentration\npain —\nheadaches\n, muscle pain or\njoint pain\nunrefreshing sleep or sleep disturbance\na sore throat\nfeeling dizzy, lightheaded or sick\nfeeling like your heart is beating fast\nThe onset of ME\/CFS symptoms can be sudden or gradual.\nThe key symptom of ME\/CFS is post-exertional malaise (PEM). This means that your symptoms get worse after physical or mental activity.\nYour PEM may appear immediately after activities or may be delayed by up to 3 days. It can take 24 hours or more to recover. Symptoms do not improve with rest.\nME\/CFS can be very disabling and can reduce your ability to complete your regular daily activities. Many people are unable to continue with their work or studies.\nCHECK YOUR SYMPTOMS\n— Use the\nSymptom Checker\nand find out if you need to seek medical help.\nWhat causes myalgic encephalomyelitis\/chronic fatigue syndrome?\nDoctors don't fully understand the cause of ME\/CFS, but factors may include:\ninfection (a common trigger)\nenvironmental exposures\nphysical trauma, such as surgery\ngenetic factors — ME\/CFS can run in families\nA sudden onset of symptoms may follow a bacterial or viral infection, such as:\nEpstein-Barr virus (\nglandular fever\n)\nRoss River virus\ncytomegalovirus (CMV)\nhuman herpes virus\nhuman parvovirus (\nfifth disease\n)\nrubella\nQ fever\n(\ncoxiella burnetii\n)\nPeople with ME\/CFS often have other conditions, such as:\npostural orthostatic tachycardia syndrome (POTS)\nfibromyalgia\nPEM is also common if you have\nlong COVID\n.\nHow is ME\/CFS diagnosed?\nThere is no single test to diagnose ME\/CFS. Your doctor will ask you about your symptoms, and how long you have had them. They might do some tests to rule out other possible causes of your symptoms.\nYou can only receive a diagnosis of ME\/CFS after you have had disabling fatigue for 6 months or more. In children and adolescents, these symptoms need to last for 3 months or more.\nFIND A HEALTH SERVICE\n— The\nService Finder\ncan help you find doctors, pharmacies, hospitals and other health services.\nHow is myalgic encephalomyelitis\/chronic fatigue syndrome treated?\nThere is no cure for ME\/CFS, but there are several things your doctor may suggest to help manage your symptoms.\nYour treatment will depend on your most severe complaint. For instance, sleep disturbance can be helped with good sleep hygiene.\nYour doctor may also recommend energy management, or pacing, as a coping strategy.\nPacing\nPacing, or energy management, aims to find the right balance between rest and everyday activities. This involves carefully planning activities and rest to avoid triggering symptoms. The idea is that if you use your energy carefully, your energy levels will gradually increase.\nPacing involves:\nLearning how to check your energy levels so that you can change how much you are doing as needed.\nDividing tasks and activities into smaller tasks that are easier to manage.\nTaking control of your energy levels rather than following other people's advice when it doesn't feel right.\nYour symptoms may come and go, so you'll need to plan each day's activities carefully. Try to save your energy for the things that are most important to you. And plan to rest as you need to.\nOther healthcare professionals\nYour doctor may also suggest working with other healthcare professionals such as:\nan\noccupational therapist\n— for home adaptations\na\nphysiotherapist\na\npsychologist\n— can help provide symptom relief through\ncognitive behaviour therapy\nor\nmindfulness\nTreatments with little evidence\nCurrently here is not enough evidence to support the use of any medicines for ME\/CFS.\nGraded exercise therapy is controversial. Many ME\/CFS consumer and advocacy groups have concerns that it may be harmful.\nBe careful when considering any commercially available treatments as ME\/CFS doesn't have a known cure yet.\nCan myalgic encephalomyelitis\/chronic fatigue syndrome be prevented?\nIt is hard to prevent ME\/CFS as the cause is unclear.\nComplications of myalgic encephalomyelitis\/chronic fatigue syndrome\nThe combination of chronic symptoms and limited social support may place you at risk of\ndepression\n.\nResources and support\nCall\nEmerge Australia\ninfo line on\n1800 865 321\nor join a\npeer support group\n.\nYou can find resources about ME\/CFS at\nBridges & Pathways\n.\nYou can also call the healthdirect helpline on\n1800 022 222\n(known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.","attrs_markdown":"[![healthdirect australia logo](https:\/\/www.healthdirect.gov.au\/assets\/images\/logo-hda.svg)](https:\/\/www.healthdirect.gov.au\/)\n\nSign in\n\n- [Join](https:\/\/www.healthdirect.gov.au\/account\/join)\n- [Sign in](https:\/\/www.healthdirect.gov.au\/account\/signin)\n\nMenu\n# Healthdirect Free Australian health advice you can count on.\nJoin\n\nSign in\n\nMedical problem? Call 1800 022 222. 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[Conditions](https:\/\/www.healthdirect.gov.au\/health-topics\/conditions)\n  - [Symptoms](https:\/\/www.healthdirect.gov.au\/health-topics\/symptoms)\n  - [Procedures](https:\/\/www.healthdirect.gov.au\/health-topics\/procedures)\n  - [Life stages](https:\/\/www.healthdirect.gov.au\/life-stages)\n  - [All topics](https:\/\/www.healthdirect.gov.au\/health-topics)\n- [Medicines](https:\/\/www.healthdirect.gov.au\/medicines)\n- [Symptom checker](https:\/\/www.healthdirect.gov.au\/symptom-checker)\n- [Service finder](https:\/\/www.healthdirect.gov.au\/australian-health-services)\n\n[beginning of content]()\n\n# Chronic fatigue syndrome (Myalgic Encephalomyelitis)\n*5-minute read*\n\nPrint\n\nShare\n\n[share via Facebook](https:\/\/www.facebook.com\/sharer\/sharer.php?u=https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me \"Share this page on Facebook\")\n\nshare via Email\n\nSave\n\n[Listen](https:\/\/app-oc.readspeaker.com\/cgi-bin\/rsent?customerid=8207&lang=en_au&readid=mainContentArticleText&url=https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me \"Listen to this page using ReadSpeaker\")\n\n## Key facts\n- Myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a complex illness where extreme tiredness and other symptoms reduce your ability to function.\n- These symptoms get worse after exercise or mental effort and don't improve with rest or sleep.\n- No one knows what causes ME\/CFS.\n- There's no cure for ME\/CFS but your doctor can suggest treatments that can help improve your symptoms.\n\n## On this page\n- [What is myalgic encephalomyelitis\/chronic fatigue syndrome?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#what-is)\n- [What are the symptoms of ME\/CFS?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#symptoms)\n- [What causes ME\/CFS?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#causes)\n- [How is ME\/CFS diagnosed?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#diagnosed)\n- [How is ME\/CFS treated?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#treated)\n- [Can ME\/CFS be prevented?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#prevented)\n- [Resources and support](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#resources)\n- [Related information on Australian websites](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#searchGeneralResults)\n## What is myalgic encephalomyelitis\/chronic fatigue syndrome?\nMyalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a severe, chronic (long-term) and disabling illness. It causes extreme fatigue (also called post-exertional malaise).\n\nCurrently, there are no tests for ME\/CFS.\n\nME\/CFS appears to affect all age groups, but is most common in adults between their 20s and 40s. It's also twice as common in females than males.\n\nDoctors do not yet understand the cause of ME\/CFS, and there is no cure.\n\n## What are the symptoms of myalgic encephalomyelitis\/chronic fatigue syndrome?\nPersistent and profound fatigue is just one symptom of ME\/CFS. Other common symptoms of ME\/CFS are:\n\n- thinking problems, loss of memory or poor concentration\n- pain — [headaches](https:\/\/www.healthdirect.gov.au\/headaches), muscle pain or [joint pain](https:\/\/www.healthdirect.gov.au\/joint-pain-and-swelling)\n- unrefreshing sleep or sleep disturbance\n- a sore throat\n- feeling dizzy, lightheaded or sick\n- feeling like your heart is beating fast\n\nThe onset of ME\/CFS symptoms can be sudden or gradual.\n\nThe key symptom of ME\/CFS is post-exertional malaise (PEM). This means that your symptoms get worse after physical or mental activity.\n\nYour PEM may appear immediately after activities or may be delayed by up to 3 days. It can take 24 hours or more to recover. Symptoms do not improve with rest.\n\nME\/CFS can be very disabling and can reduce your ability to complete your regular daily activities. Many people are unable to continue with their work or studies.\n\n[**CHECK YOUR SYMPTOMS** — Use the **Symptom Checker** and find out if you need to seek medical help.](https:\/\/www.healthdirect.gov.au\/symptom-checker)\n\n## What causes myalgic encephalomyelitis\/chronic fatigue syndrome?\nDoctors don't fully understand the cause of ME\/CFS, but factors may include:\n\n- infection (a common trigger)\n- environmental exposures\n- physical trauma, such as surgery\n- genetic factors — ME\/CFS can run in families\n\nA sudden onset of symptoms may follow a bacterial or viral infection, such as:\n\n- Epstein-Barr virus ([glandular fever](https:\/\/www.healthdirect.gov.au\/glandular-fever))\n- [Ross River virus](https:\/\/www.healthdirect.gov.au\/ross-river-virus)\n- [cytomegalovirus (CMV)](https:\/\/www.healthdirect.gov.au\/cytomegalovirus-cmv)\n- [human herpes virus](https:\/\/www.healthdirect.gov.au\/herpesvirus-infections)\n- human parvovirus ([fifth disease](https:\/\/www.healthdirect.gov.au\/fifth-disease))\n- [rubella](https:\/\/www.healthdirect.gov.au\/rubella-german-measles)\n- [Q fever](https:\/\/www.healthdirect.gov.au\/q-fever) (*coxiella burnetii*)\n\nPeople with ME\/CFS often have other conditions, such as:\n\n- postural orthostatic tachycardia syndrome (POTS)\n- [fibromyalgia](https:\/\/www.healthdirect.gov.au\/fibromyalgia)\n\nPEM is also common if you have [long COVID](https:\/\/www.healthdirect.gov.au\/long-covid).\n\n## How is ME\/CFS diagnosed?\nThere is no single test to diagnose ME\/CFS. Your doctor will ask you about your symptoms, and how long you have had them. They might do some tests to rule out other possible causes of your symptoms.\n\nYou can only receive a diagnosis of ME\/CFS after you have had disabling fatigue for 6 months or more. In children and adolescents, these symptoms need to last for 3 months or more.\n\n[**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https:\/\/www.healthdirect.gov.au\/australian-health-services)\n\n## How is myalgic encephalomyelitis\/chronic fatigue syndrome treated?\nThere is no cure for ME\/CFS, but there are several things your doctor may suggest to help manage your symptoms.\n\nYour treatment will depend on your most severe complaint. For instance, sleep disturbance can be helped with good sleep hygiene.\n\nYour doctor may also recommend energy management, or pacing, as a coping strategy.\n\n### Pacing\nPacing, or energy management, aims to find the right balance between rest and everyday activities. This involves carefully planning activities and rest to avoid triggering symptoms. The idea is that if you use your energy carefully, your energy levels will gradually increase.\n\nPacing involves:\n\n- Learning how to check your energy levels so that you can change how much you are doing as needed.\n- Dividing tasks and activities into smaller tasks that are easier to manage.\n- Taking control of your energy levels rather than following other people's advice when it doesn't feel right.\n\nYour symptoms may come and go, so you'll need to plan each day's activities carefully. Try to save your energy for the things that are most important to you. And plan to rest as you need to.\n\n### Other healthcare professionals\nYour doctor may also suggest working with other healthcare professionals such as:\n\n- an [occupational therapist](https:\/\/www.healthdirect.gov.au\/occupational-therapy) — for home adaptations\n- a [physiotherapist](https:\/\/www.healthdirect.gov.au\/physiotherapy)\n- a [psychologist](https:\/\/www.healthdirect.gov.au\/psychiatrists-and-psychologists) — can help provide symptom relief through [cognitive behaviour therapy](https:\/\/www.healthdirect.gov.au\/cognitive-behaviour-therapy-cbt) or [mindfulness](https:\/\/www.healthdirect.gov.au\/mindfulness)\n### Treatments with little evidence\nCurrently here is not enough evidence to support the use of any medicines for ME\/CFS.\n\nGraded exercise therapy is controversial. Many ME\/CFS consumer and advocacy groups have concerns that it may be harmful.\n\nBe careful when considering any commercially available treatments as ME\/CFS doesn't have a known cure yet.\n\n## Can myalgic encephalomyelitis\/chronic fatigue syndrome be prevented?\nIt is hard to prevent ME\/CFS as the cause is unclear.\n\n## Complications of myalgic encephalomyelitis\/chronic fatigue syndrome\nThe combination of chronic symptoms and limited social support may place you at risk of [depression](https:\/\/www.healthdirect.gov.au\/depression).\n\n## Resources and support\nCall [Emerge Australia](https:\/\/www.emerge.org.au\/) info line on [1800 865 321](tel:1800865321) or join a [peer support group](https:\/\/www.emerge.org.au\/online-community).\n\nYou can find resources about ME\/CFS at [Bridges & Pathways](https:\/\/bridgesandpathways.org.au\/me-cfs-2\/).\n\nYou can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.\n\n#### Sources:\nBMJ Best Practice *[(Myalgic encephalomyelitis (chronic fatigue syndrome))](https:\/\/bestpractice.bmj.com\/topics\/en-gb\/277\/pdf\/277\/Myalgic%20encephalomyelitis%20%28Chronic%20fatigue%20syndrome%29.pdf \"Myalgic encephalomyelitis (chronic fatigue syndrome)\")*, Therapeutic Guidelines *[(Persistent unexplained fatigue; Myalgic encephalomyelitis\/chronic fatigue syndrome)](https:\/\/tgldcdp.tg.org.au\/viewTopic?etgAccess=true&guidelinePage=Fatigue&topicfile=c_FTG_Fatigue-overviewtopic_1&guidelinename=auto&sectionId=c_FTG_Persistent-unexplained-fatiguetopic_3#c_FTG_Persistent-unexplained-fatiguetopic_3 \"Persistent unexplained fatigue; Myalgic encephalomyelitis\/chronic fatigue syndrome\")*, BMJ Best Practice *[(Patient information from BMJ; Myalgic encephalomyelitis (chronic fatigue syndrome))](https:\/\/bestpractice.bmj.com\/patient-leaflets\/en-gb\/html\/1521808279537\/Myalgic%20encephalomyelitis%20%28chronic%20fatigue%20syndrome%29 \"Patient information from BMJ; Myalgic encephalomyelitis (chronic fatigue syndrome)\")*, Emerge Australia *[(Post-Exertional Malaise (PEM))](https:\/\/www.emerge.org.au\/post-exertional-malaise-pem \"Post-Exertional Malaise (PEM)\")*\n\nLearn more here about the [development and quality assurance of healthdirect content](https:\/\/www.healthdirect.gov.au\/about-our-content).\n\nLast reviewed: June 2024\n\n[Back To Top](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#backToTop)\n\n## Search our site for\n- [Fatigue](https:\/\/www.healthdirect.gov.au\/search-results\/Fatigue \"Search results for: Fatigue\")\n- [Fibromyalgia](https:\/\/www.healthdirect.gov.au\/search-results\/Fibromyalgia \"Search results for: Fibromyalgia\")\n\n## Need more information?\nThese trusted information partners have more on this topic.\n\nGeneral search results\n\nResults for medical professionals\n\nTop results\n\n[Symptoms and causes of Chronic Fatigue Syndrome - myDr.com.au Chronic fatigue syndrome (CFS) — also called myalgic encephalomyelitis (ME) or ME\/CFS — is a complex condition. It causes extreme fatigue, sleep problems, pain and other symptoms. *Read more on myDoctor website* ![myDoctor](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/mydoctor-new_logo-1f39cc.png)](https:\/\/mydr.com.au\/first-aid-self-care\/chronic-fatigue-syndrome\/)\n\n[Chronic Fatigue Syndrome (CFS) and Sleep \\| Sleep Health Foundation This is a fact sheet about Chronic Fatigue Syndrome & Sleep. CFS is characterised by long-lasting fatigue & is accompanied by other symptoms such as pain, cognitive difficulties & sleep disturbances. *Read more on Sleep Health Foundation website* ![Sleep Health Foundation](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/sleephealthfoundation_logo-teal-a37684.png)](https:\/\/www.sleephealthfoundation.org.au\/sleep-topics\/chronic-fatigue-syndrome-cfs-and-sleep)\n\n[Myalgic encephalomyelitis and chronic fatigue syndrome (ME\/CFS) \\| NHMRC What is ME\/CFS?ME\/CFS is a complex and debilitating condition, characterised by: *Read more on NHMRC website* ![NHMRC](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/nhmrc_stackedcrest_blue-998b11.png)](https:\/\/www.nhmrc.gov.au\/health-advice\/me-cfs)\n\n[Chronic fatigue syndrome in young people \\| Raising Children Network Young people with chronic fatigue syndrome or myalgic encephalomyelitis feel tired all the time. Individual management plans can help them get on with life. *Read more on raisingchildren.net.au website* ![raisingchildren.net.au](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/raising-children_logo-f6777f.png)](https:\/\/raisingchildren.net.au\/guides\/a-z-health-reference\/cfs)\n\n[Chronic fatigue syndrome (CFS) \\| Better Health Channel Myalgic encephalomyelitis, commonly known as chronic fatigue syndrome, can affect people of any age, including children. *Read more on Better Health Channel website* ![Better Health Channel](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/bhc-rectangle-image-e99950.png)](https:\/\/www.betterhealth.vic.gov.au\/health\/conditionsandtreatments\/chronic-fatigue-syndrome-cfs)\n\n[Diagnosing ME\/CFS – Emerge Australia *Read more on Emerge Australia website* ![Emerge Australia](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/emergeaustralia-991c0f.png)](https:\/\/emerge.org.au\/diagnosing-me-cfs\/)\n\n[How to support your friend who lives with ME\/CFS or long COVID – Emerge Australia *Read more on Emerge Australia website* ![Emerge Australia](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/emergeaustralia-991c0f.png)](https:\/\/emerge.org.au\/how-to-support-your-friend-who-lives-with-me-cfs-or-long-covid\/)\n\n[What is ME\/CFS? – Emerge Australia *Read more on Emerge Australia website* ![Emerge Australia](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/emergeaustralia-991c0f.png)](https:\/\/emerge.org.au\/what-is-me-cfs\/)\n\n[Kids Health Info : Chronic Fatigue Syndrome *Read more on Royal Children's Hospital website* ![Royal Children's Hospital](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/rch_logo-064d92.png)](https:\/\/www.rch.org.au\/kidsinfo\/fact_sheets\/Chronic_Fatigue_Syndrome\/)\n\n[Emerge Australia Emerge Australia is the national patient organisation providing services, evidence-based education, advocacy and research about myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS). *Read more on Partner Organisation website* ![Partner Organisation](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/emergeaustralia-991c0f.png)](https:\/\/www.emerge.org.au\/)\n\nShow more\n\nTop results\n\n[Living with ME\/CFS Myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a complex, chronic neurological condition affecting the brain, muscles, digestive system, immune system, cardiac system and other areas of the body. *Read more on Ausmed Education website* ![Ausmed Education](https:\/\/media.healthdirect.org.au\/images\/logos\/h40\/ausmed-new-logo-872e67.png)](https:\/\/www.ausmed.com\/learn\/articles\/chronic-fatigue-syndrome)\n\nShow more\n\n## Disclaimer\nHealthdirect Australia is not responsible for the content and advertising on the external website you are now entering.\n\n[OK]()\n\n## Search our site for\n- [Fatigue](https:\/\/www.healthdirect.gov.au\/search-results\/Fatigue \"Search results for: Fatigue\")\n- 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apply.\n\nHealthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.\n\n© 2026 Healthdirect Australia Limited\n\n## Support for this browser is being discontinued\nSupport for this browser is being discontinued for this site\n\n- Internet Explorer 11 and lower\n\nWe currently support Microsoft Edge, Chrome, Firefox and Safari. For more information, please visit the links below:\n\n- [Chrome by Google](https:\/\/www.google.com.au\/chrome\/)\n- [Firefox by Mozilla](https:\/\/www.mozilla.org\/en-US\/firefox\/new)\n- [Microsoft Edge](https:\/\/www.microsoft.com\/en-us\/edge)\n- [Safari by Apple](https:\/\/support.apple.com\/en_AU\/downloads\/safari)\n\nYou are welcome to continue browsing this site with this browser. Some features, tools or interaction may not work correctly.\n\nContinue\n\n![](https:\/\/www.facebook.com\/tr?id=286390378916509&ev=PageView%0A%0A&noscript=1)","attrs_readable_markdown":"## Key facts\n- Myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a complex illness where extreme tiredness and other symptoms reduce your ability to function.\n- These symptoms get worse after exercise or mental effort and don't improve with rest or sleep.\n- No one knows what causes ME\/CFS.\n- There's no cure for ME\/CFS but your doctor can suggest treatments that can help improve your symptoms.\n\n## On this page\n- [What is myalgic encephalomyelitis\/chronic fatigue syndrome?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#what-is)\n- [What are the symptoms of ME\/CFS?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#symptoms)\n- [What causes ME\/CFS?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#causes)\n- [How is ME\/CFS diagnosed?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#diagnosed)\n- [How is ME\/CFS treated?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#treated)\n- [Can ME\/CFS be prevented?](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#prevented)\n- [Resources and support](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#resources)\n- [Related information on Australian websites](https:\/\/www.healthdirect.gov.au\/chronic-fatigue-syndrome-cfs-me#searchGeneralResults)\n## What is myalgic encephalomyelitis\/chronic fatigue syndrome?\nMyalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is a severe, chronic (long-term) and disabling illness. It causes extreme fatigue (also called post-exertional malaise).\n\nCurrently, there are no tests for ME\/CFS.\n\nME\/CFS appears to affect all age groups, but is most common in adults between their 20s and 40s. It's also twice as common in females than males.\n\nDoctors do not yet understand the cause of ME\/CFS, and there is no cure.\n\n## What are the symptoms of myalgic encephalomyelitis\/chronic fatigue syndrome?\nPersistent and profound fatigue is just one symptom of ME\/CFS. Other common symptoms of ME\/CFS are:\n\n- thinking problems, loss of memory or poor concentration\n- pain — [headaches](https:\/\/www.healthdirect.gov.au\/headaches), muscle pain or [joint pain](https:\/\/www.healthdirect.gov.au\/joint-pain-and-swelling)\n- unrefreshing sleep or sleep disturbance\n- a sore throat\n- feeling dizzy, lightheaded or sick\n- feeling like your heart is beating fast\n\nThe onset of ME\/CFS symptoms can be sudden or gradual.\n\nThe key symptom of ME\/CFS is post-exertional malaise (PEM). This means that your symptoms get worse after physical or mental activity.\n\nYour PEM may appear immediately after activities or may be delayed by up to 3 days. It can take 24 hours or more to recover. Symptoms do not improve with rest.\n\nME\/CFS can be very disabling and can reduce your ability to complete your regular daily activities. Many people are unable to continue with their work or studies.\n\n[**CHECK YOUR SYMPTOMS** — Use the **Symptom Checker** and find out if you need to seek medical help.](https:\/\/www.healthdirect.gov.au\/symptom-checker)\n\n## What causes myalgic encephalomyelitis\/chronic fatigue syndrome?\nDoctors don't fully understand the cause of ME\/CFS, but factors may include:\n\n- infection (a common trigger)\n- environmental exposures\n- physical trauma, such as surgery\n- genetic factors — ME\/CFS can run in families\n\nA sudden onset of symptoms may follow a bacterial or viral infection, such as:\n\n- Epstein-Barr virus ([glandular fever](https:\/\/www.healthdirect.gov.au\/glandular-fever))\n- [Ross River virus](https:\/\/www.healthdirect.gov.au\/ross-river-virus)\n- [cytomegalovirus (CMV)](https:\/\/www.healthdirect.gov.au\/cytomegalovirus-cmv)\n- [human herpes virus](https:\/\/www.healthdirect.gov.au\/herpesvirus-infections)\n- human parvovirus ([fifth disease](https:\/\/www.healthdirect.gov.au\/fifth-disease))\n- [rubella](https:\/\/www.healthdirect.gov.au\/rubella-german-measles)\n- [Q fever](https:\/\/www.healthdirect.gov.au\/q-fever) (*coxiella burnetii*)\n\nPeople with ME\/CFS often have other conditions, such as:\n\n- postural orthostatic tachycardia syndrome (POTS)\n- [fibromyalgia](https:\/\/www.healthdirect.gov.au\/fibromyalgia)\n\nPEM is also common if you have [long COVID](https:\/\/www.healthdirect.gov.au\/long-covid).\n\n## How is ME\/CFS diagnosed?\nThere is no single test to diagnose ME\/CFS. Your doctor will ask you about your symptoms, and how long you have had them. They might do some tests to rule out other possible causes of your symptoms.\n\nYou can only receive a diagnosis of ME\/CFS after you have had disabling fatigue for 6 months or more. In children and adolescents, these symptoms need to last for 3 months or more.\n\n[**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https:\/\/www.healthdirect.gov.au\/australian-health-services)\n\n## How is myalgic encephalomyelitis\/chronic fatigue syndrome treated?\nThere is no cure for ME\/CFS, but there are several things your doctor may suggest to help manage your symptoms.\n\nYour treatment will depend on your most severe complaint. For instance, sleep disturbance can be helped with good sleep hygiene.\n\nYour doctor may also recommend energy management, or pacing, as a coping strategy.\n\n### Pacing\nPacing, or energy management, aims to find the right balance between rest and everyday activities. This involves carefully planning activities and rest to avoid triggering symptoms. The idea is that if you use your energy carefully, your energy levels will gradually increase.\n\nPacing involves:\n\n- Learning how to check your energy levels so that you can change how much you are doing as needed.\n- Dividing tasks and activities into smaller tasks that are easier to manage.\n- Taking control of your energy levels rather than following other people's advice when it doesn't feel right.\n\nYour symptoms may come and go, so you'll need to plan each day's activities carefully. Try to save your energy for the things that are most important to you. And plan to rest as you need to.\n\n### Other healthcare professionals\nYour doctor may also suggest working with other healthcare professionals such as:\n\n- an [occupational therapist](https:\/\/www.healthdirect.gov.au\/occupational-therapy) — for home adaptations\n- a [physiotherapist](https:\/\/www.healthdirect.gov.au\/physiotherapy)\n- a [psychologist](https:\/\/www.healthdirect.gov.au\/psychiatrists-and-psychologists) — can help provide symptom relief through [cognitive behaviour therapy](https:\/\/www.healthdirect.gov.au\/cognitive-behaviour-therapy-cbt) or [mindfulness](https:\/\/www.healthdirect.gov.au\/mindfulness)\n### Treatments with little evidence\nCurrently here is not enough evidence to support the use of any medicines for ME\/CFS.\n\nGraded exercise therapy is controversial. Many ME\/CFS consumer and advocacy groups have concerns that it may be harmful.\n\nBe careful when considering any commercially available treatments as ME\/CFS doesn't have a known cure yet.\n\n## Can myalgic encephalomyelitis\/chronic fatigue syndrome be prevented?\nIt is hard to prevent ME\/CFS as the cause is unclear.\n\n## Complications of myalgic encephalomyelitis\/chronic fatigue syndrome\nThe combination of chronic symptoms and limited social support may place you at risk of [depression](https:\/\/www.healthdirect.gov.au\/depression).\n\n## Resources and support\nCall [Emerge Australia](https:\/\/www.emerge.org.au\/) info line on [1800 865 321](tel:1800865321) or join a [peer support group](https:\/\/www.emerge.org.au\/online-community).\n\nYou can find resources about ME\/CFS at [Bridges & Pathways](https:\/\/bridgesandpathways.org.au\/me-cfs-2\/).\n\nYou can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.","meta_canonical":null}

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Boilerpipe Text	Key facts Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex illness where extreme tiredness and other symptoms reduce your ability to function. These symptoms get worse after exercise or mental effort and don't improve with rest or sleep. No one knows what causes ME/CFS. There's no cure for ME/CFS but your doctor can suggest treatments that can help improve your symptoms. On this page What is myalgic encephalomyelitis/chronic fatigue syndrome? What are the symptoms of ME/CFS? What causes ME/CFS? How is ME/CFS diagnosed? How is ME/CFS treated? Can ME/CFS be prevented? Resources and support Related information on Australian websites What is myalgic encephalomyelitis/chronic fatigue syndrome? Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a severe, chronic (long-term) and disabling illness. It causes extreme fatigue (also called post-exertional malaise). Currently, there are no tests for ME/CFS. ME/CFS appears to affect all age groups, but is most common in adults between their 20s and 40s. It's also twice as common in females than males. Doctors do not yet understand the cause of ME/CFS, and there is no cure. What are the symptoms of myalgic encephalomyelitis/chronic fatigue syndrome? Persistent and profound fatigue is just one symptom of ME/CFS. Other common symptoms of ME/CFS are: thinking problems, loss of memory or poor concentration pain — headaches , muscle pain or joint pain unrefreshing sleep or sleep disturbance a sore throat feeling dizzy, lightheaded or sick feeling like your heart is beating fast The onset of ME/CFS symptoms can be sudden or gradual. The key symptom of ME/CFS is post-exertional malaise (PEM). This means that your symptoms get worse after physical or mental activity. Your PEM may appear immediately after activities or may be delayed by up to 3 days. It can take 24 hours or more to recover. Symptoms do not improve with rest. ME/CFS can be very disabling and can reduce your ability to complete your regular daily activities. Many people are unable to continue with their work or studies. CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help. What causes myalgic encephalomyelitis/chronic fatigue syndrome? Doctors don't fully understand the cause of ME/CFS, but factors may include: infection (a common trigger) environmental exposures physical trauma, such as surgery genetic factors — ME/CFS can run in families A sudden onset of symptoms may follow a bacterial or viral infection, such as: Epstein-Barr virus ( glandular fever ) Ross River virus cytomegalovirus (CMV) human herpes virus human parvovirus ( fifth disease ) rubella Q fever ( coxiella burnetii ) People with ME/CFS often have other conditions, such as: postural orthostatic tachycardia syndrome (POTS) fibromyalgia PEM is also common if you have long COVID . How is ME/CFS diagnosed? There is no single test to diagnose ME/CFS. Your doctor will ask you about your symptoms, and how long you have had them. They might do some tests to rule out other possible causes of your symptoms. You can only receive a diagnosis of ME/CFS after you have had disabling fatigue for 6 months or more. In children and adolescents, these symptoms need to last for 3 months or more. FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services. How is myalgic encephalomyelitis/chronic fatigue syndrome treated? There is no cure for ME/CFS, but there are several things your doctor may suggest to help manage your symptoms. Your treatment will depend on your most severe complaint. For instance, sleep disturbance can be helped with good sleep hygiene. Your doctor may also recommend energy management, or pacing, as a coping strategy. Pacing Pacing, or energy management, aims to find the right balance between rest and everyday activities. This involves carefully planning activities and rest to avoid triggering symptoms. The idea is that if you use your energy carefully, your energy levels will gradually increase. Pacing involves: Learning how to check your energy levels so that you can change how much you are doing as needed. Dividing tasks and activities into smaller tasks that are easier to manage. Taking control of your energy levels rather than following other people's advice when it doesn't feel right. Your symptoms may come and go, so you'll need to plan each day's activities carefully. Try to save your energy for the things that are most important to you. And plan to rest as you need to. Other healthcare professionals Your doctor may also suggest working with other healthcare professionals such as: an occupational therapist — for home adaptations a physiotherapist a psychologist — can help provide symptom relief through cognitive behaviour therapy or mindfulness Treatments with little evidence Currently here is not enough evidence to support the use of any medicines for ME/CFS. Graded exercise therapy is controversial. Many ME/CFS consumer and advocacy groups have concerns that it may be harmful. Be careful when considering any commercially available treatments as ME/CFS doesn't have a known cure yet. Can myalgic encephalomyelitis/chronic fatigue syndrome be prevented? It is hard to prevent ME/CFS as the cause is unclear. Complications of myalgic encephalomyelitis/chronic fatigue syndrome The combination of chronic symptoms and limited social support may place you at risk of depression . Resources and support Call Emerge Australia info line on 1800 865 321 or join a peer support group . You can find resources about ME/CFS at Bridges & Pathways . You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.
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Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex illness where extreme tiredness and other symptoms reduce your ability to function. - These symptoms get worse after exercise or mental effort and don't improve with rest or sleep. - No one knows what causes ME/CFS. - There's no cure for ME/CFS but your doctor can suggest treatments that can help improve your symptoms. ## On this page - [What is myalgic encephalomyelitis/chronic fatigue syndrome?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#what-is) - [What are the symptoms of ME/CFS?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#symptoms) - [What causes ME/CFS?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#causes) - [How is ME/CFS diagnosed?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#diagnosed) - [How is ME/CFS treated?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#treated) - [Can ME/CFS be prevented?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#prevented) - [Resources and support](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#resources) - [Related information on Australian websites](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#searchGeneralResults) ## What is myalgic encephalomyelitis/chronic fatigue syndrome? Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a severe, chronic (long-term) and disabling illness. It causes extreme fatigue (also called post-exertional malaise). Currently, there are no tests for ME/CFS. ME/CFS appears to affect all age groups, but is most common in adults between their 20s and 40s. It's also twice as common in females than males. Doctors do not yet understand the cause of ME/CFS, and there is no cure. ## What are the symptoms of myalgic encephalomyelitis/chronic fatigue syndrome? Persistent and profound fatigue is just one symptom of ME/CFS. Other common symptoms of ME/CFS are: - thinking problems, loss of memory or poor concentration - pain — [headaches](https://www.healthdirect.gov.au/headaches), muscle pain or [joint pain](https://www.healthdirect.gov.au/joint-pain-and-swelling) - unrefreshing sleep or sleep disturbance - a sore throat - feeling dizzy, lightheaded or sick - feeling like your heart is beating fast The onset of ME/CFS symptoms can be sudden or gradual. The key symptom of ME/CFS is post-exertional malaise (PEM). This means that your symptoms get worse after physical or mental activity. Your PEM may appear immediately after activities or may be delayed by up to 3 days. It can take 24 hours or more to recover. Symptoms do not improve with rest. ME/CFS can be very disabling and can reduce your ability to complete your regular daily activities. Many people are unable to continue with their work or studies. [CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help.](https://www.healthdirect.gov.au/symptom-checker) ## What causes myalgic encephalomyelitis/chronic fatigue syndrome? Doctors don't fully understand the cause of ME/CFS, but factors may include: - infection (a common trigger) - environmental exposures - physical trauma, such as surgery - genetic factors — ME/CFS can run in families A sudden onset of symptoms may follow a bacterial or viral infection, such as: - Epstein-Barr virus ([glandular fever](https://www.healthdirect.gov.au/glandular-fever)) - [Ross River virus](https://www.healthdirect.gov.au/ross-river-virus) - [cytomegalovirus (CMV)](https://www.healthdirect.gov.au/cytomegalovirus-cmv) - [human herpes virus](https://www.healthdirect.gov.au/herpesvirus-infections) - human parvovirus ([fifth disease](https://www.healthdirect.gov.au/fifth-disease)) - [rubella](https://www.healthdirect.gov.au/rubella-german-measles) - [Q fever](https://www.healthdirect.gov.au/q-fever) (coxiella burnetii) People with ME/CFS often have other conditions, such as: - postural orthostatic tachycardia syndrome (POTS) - [fibromyalgia](https://www.healthdirect.gov.au/fibromyalgia) PEM is also common if you have [long COVID](https://www.healthdirect.gov.au/long-covid). ## How is ME/CFS diagnosed? There is no single test to diagnose ME/CFS. Your doctor will ask you about your symptoms, and how long you have had them. They might do some tests to rule out other possible causes of your symptoms. You can only receive a diagnosis of ME/CFS after you have had disabling fatigue for 6 months or more. In children and adolescents, these symptoms need to last for 3 months or more. [FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services) ## How is myalgic encephalomyelitis/chronic fatigue syndrome treated? There is no cure for ME/CFS, but there are several things your doctor may suggest to help manage your symptoms. Your treatment will depend on your most severe complaint. For instance, sleep disturbance can be helped with good sleep hygiene. Your doctor may also recommend energy management, or pacing, as a coping strategy. ### Pacing Pacing, or energy management, aims to find the right balance between rest and everyday activities. This involves carefully planning activities and rest to avoid triggering symptoms. The idea is that if you use your energy carefully, your energy levels will gradually increase. Pacing involves: - Learning how to check your energy levels so that you can change how much you are doing as needed. - Dividing tasks and activities into smaller tasks that are easier to manage. - Taking control of your energy levels rather than following other people's advice when it doesn't feel right. Your symptoms may come and go, so you'll need to plan each day's activities carefully. Try to save your energy for the things that are most important to you. And plan to rest as you need to. ### Other healthcare professionals Your doctor may also suggest working with other healthcare professionals such as: - an [occupational therapist](https://www.healthdirect.gov.au/occupational-therapy) — for home adaptations - a [physiotherapist](https://www.healthdirect.gov.au/physiotherapy) - a [psychologist](https://www.healthdirect.gov.au/psychiatrists-and-psychologists) — can help provide symptom relief through [cognitive behaviour therapy](https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt) or [mindfulness](https://www.healthdirect.gov.au/mindfulness) ### Treatments with little evidence Currently here is not enough evidence to support the use of any medicines for ME/CFS. Graded exercise therapy is controversial. Many ME/CFS consumer and advocacy groups have concerns that it may be harmful. Be careful when considering any commercially available treatments as ME/CFS doesn't have a known cure yet. ## Can myalgic encephalomyelitis/chronic fatigue syndrome be prevented? It is hard to prevent ME/CFS as the cause is unclear. ## Complications of myalgic encephalomyelitis/chronic fatigue syndrome The combination of chronic symptoms and limited social support may place you at risk of [depression](https://www.healthdirect.gov.au/depression). ## Resources and support Call [Emerge Australia](https://www.emerge.org.au/) info line on [1800 865 321](tel:1800865321) or join a [peer support group](https://www.emerge.org.au/online-community). You can find resources about ME/CFS at [Bridges & Pathways](https://bridgesandpathways.org.au/me-cfs-2/). You can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week. #### Sources: BMJ Best Practice [(Myalgic encephalomyelitis (chronic fatigue syndrome))](https://bestpractice.bmj.com/topics/en-gb/277/pdf/277/Myalgic%20encephalomyelitis%20%28Chronic%20fatigue%20syndrome%29.pdf "Myalgic encephalomyelitis (chronic fatigue syndrome)"), Therapeutic Guidelines [(Persistent unexplained fatigue; Myalgic encephalomyelitis/chronic fatigue syndrome)](https://tgldcdp.tg.org.au/viewTopic?etgAccess=true&guidelinePage=Fatigue&topicfile=c_FTG_Fatigue-overviewtopic_1&guidelinename=auto&sectionId=c_FTG_Persistent-unexplained-fatiguetopic_3#c_FTG_Persistent-unexplained-fatiguetopic_3 "Persistent unexplained fatigue; Myalgic encephalomyelitis/chronic fatigue syndrome"), BMJ Best Practice [(Patient information from BMJ; Myalgic encephalomyelitis (chronic fatigue syndrome))](https://bestpractice.bmj.com/patient-leaflets/en-gb/html/1521808279537/Myalgic%20encephalomyelitis%20%28chronic%20fatigue%20syndrome%29 "Patient information from BMJ; Myalgic encephalomyelitis (chronic fatigue syndrome)"), Emerge Australia [(Post-Exertional Malaise (PEM))](https://www.emerge.org.au/post-exertional-malaise-pem "Post-Exertional Malaise (PEM)") Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content). Last reviewed: June 2024 [Back To Top](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#backToTop) ## Search our site for - [Fatigue](https://www.healthdirect.gov.au/search-results/Fatigue "Search results for: Fatigue") - [Fibromyalgia](https://www.healthdirect.gov.au/search-results/Fibromyalgia "Search results for: Fibromyalgia") ## Need more information? These trusted information partners have more on this topic. General search results Results for medical professionals Top results [Symptoms and causes of Chronic Fatigue Syndrome - myDr.com.au Chronic fatigue syndrome (CFS) — also called myalgic encephalomyelitis (ME) or ME/CFS — is a complex condition. It causes extreme fatigue, sleep problems, pain and other symptoms. Read more on myDoctor website ![myDoctor](https://media.healthdirect.org.au/images/logos/h40/mydoctor-new_logo-1f39cc.png)](https://mydr.com.au/first-aid-self-care/chronic-fatigue-syndrome/) [Chronic Fatigue Syndrome (CFS) and Sleep \\| Sleep Health Foundation This is a fact sheet about Chronic Fatigue Syndrome & Sleep. CFS is characterised by long-lasting fatigue & is accompanied by other symptoms such as pain, cognitive difficulties & sleep disturbances. Read more on Sleep Health Foundation website ![Sleep Health Foundation](https://media.healthdirect.org.au/images/logos/h40/sleephealthfoundation_logo-teal-a37684.png)](https://www.sleephealthfoundation.org.au/sleep-topics/chronic-fatigue-syndrome-cfs-and-sleep) [Myalgic encephalomyelitis and chronic fatigue syndrome (ME/CFS) \\| NHMRC What is ME/CFS?ME/CFS is a complex and debilitating condition, characterised by: Read more on NHMRC website ![NHMRC](https://media.healthdirect.org.au/images/logos/h40/nhmrc_stackedcrest_blue-998b11.png)](https://www.nhmrc.gov.au/health-advice/me-cfs) [Chronic fatigue syndrome in young people \\| Raising Children Network Young people with chronic fatigue syndrome or myalgic encephalomyelitis feel tired all the time. Individual management plans can help them get on with life. Read more on raisingchildren.net.au website ![raisingchildren.net.au](https://media.healthdirect.org.au/images/logos/h40/raising-children_logo-f6777f.png)](https://raisingchildren.net.au/guides/a-z-health-reference/cfs) [Chronic fatigue syndrome (CFS) \\| Better Health Channel Myalgic encephalomyelitis, commonly known as chronic fatigue syndrome, can affect people of any age, including children. Read more on Better Health Channel website ![Better Health Channel](https://media.healthdirect.org.au/images/logos/h40/bhc-rectangle-image-e99950.png)](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chronic-fatigue-syndrome-cfs) [Diagnosing ME/CFS – Emerge Australia Read more on Emerge Australia website ![Emerge Australia](https://media.healthdirect.org.au/images/logos/h40/emergeaustralia-991c0f.png)](https://emerge.org.au/diagnosing-me-cfs/) [How to support your friend who lives with ME/CFS or long COVID – Emerge Australia Read more on Emerge Australia website ![Emerge Australia](https://media.healthdirect.org.au/images/logos/h40/emergeaustralia-991c0f.png)](https://emerge.org.au/how-to-support-your-friend-who-lives-with-me-cfs-or-long-covid/) [What is ME/CFS? – Emerge Australia Read more on Emerge Australia website ![Emerge Australia](https://media.healthdirect.org.au/images/logos/h40/emergeaustralia-991c0f.png)](https://emerge.org.au/what-is-me-cfs/) [Kids Health Info : Chronic Fatigue Syndrome Read more on Royal Children's Hospital website ![Royal Children's Hospital](https://media.healthdirect.org.au/images/logos/h40/rch_logo-064d92.png)](https://www.rch.org.au/kidsinfo/fact_sheets/Chronic_Fatigue_Syndrome/) [Emerge Australia Emerge Australia is the national patient organisation providing services, evidence-based education, advocacy and research about myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Read more on Partner Organisation website ![Partner Organisation](https://media.healthdirect.org.au/images/logos/h40/emergeaustralia-991c0f.png)](https://www.emerge.org.au/) Show more Top results [Living with ME/CFS Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex, chronic neurological condition affecting the brain, muscles, digestive system, immune system, cardiac system and other areas of the body. Read more on Ausmed Education website ![Ausmed Education](https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png)](https://www.ausmed.com/learn/articles/chronic-fatigue-syndrome) Show more ## Disclaimer Healthdirect Australia is not responsible for the content and advertising on the external website you are now entering. 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Readable Markdown	## Key facts - Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex illness where extreme tiredness and other symptoms reduce your ability to function. - These symptoms get worse after exercise or mental effort and don't improve with rest or sleep. - No one knows what causes ME/CFS. - There's no cure for ME/CFS but your doctor can suggest treatments that can help improve your symptoms. ## On this page - [What is myalgic encephalomyelitis/chronic fatigue syndrome?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#what-is) - [What are the symptoms of ME/CFS?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#symptoms) - [What causes ME/CFS?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#causes) - [How is ME/CFS diagnosed?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#diagnosed) - [How is ME/CFS treated?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#treated) - [Can ME/CFS be prevented?](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#prevented) - [Resources and support](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#resources) - [Related information on Australian websites](https://www.healthdirect.gov.au/chronic-fatigue-syndrome-cfs-me#searchGeneralResults) ## What is myalgic encephalomyelitis/chronic fatigue syndrome? Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a severe, chronic (long-term) and disabling illness. It causes extreme fatigue (also called post-exertional malaise). Currently, there are no tests for ME/CFS. ME/CFS appears to affect all age groups, but is most common in adults between their 20s and 40s. It's also twice as common in females than males. Doctors do not yet understand the cause of ME/CFS, and there is no cure. ## What are the symptoms of myalgic encephalomyelitis/chronic fatigue syndrome? Persistent and profound fatigue is just one symptom of ME/CFS. Other common symptoms of ME/CFS are: - thinking problems, loss of memory or poor concentration - pain — [headaches](https://www.healthdirect.gov.au/headaches), muscle pain or [joint pain](https://www.healthdirect.gov.au/joint-pain-and-swelling) - unrefreshing sleep or sleep disturbance - a sore throat - feeling dizzy, lightheaded or sick - feeling like your heart is beating fast The onset of ME/CFS symptoms can be sudden or gradual. The key symptom of ME/CFS is post-exertional malaise (PEM). This means that your symptoms get worse after physical or mental activity. Your PEM may appear immediately after activities or may be delayed by up to 3 days. It can take 24 hours or more to recover. Symptoms do not improve with rest. ME/CFS can be very disabling and can reduce your ability to complete your regular daily activities. Many people are unable to continue with their work or studies. [CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help.](https://www.healthdirect.gov.au/symptom-checker) ## What causes myalgic encephalomyelitis/chronic fatigue syndrome? Doctors don't fully understand the cause of ME/CFS, but factors may include: - infection (a common trigger) - environmental exposures - physical trauma, such as surgery - genetic factors — ME/CFS can run in families A sudden onset of symptoms may follow a bacterial or viral infection, such as: - Epstein-Barr virus ([glandular fever](https://www.healthdirect.gov.au/glandular-fever)) - [Ross River virus](https://www.healthdirect.gov.au/ross-river-virus) - [cytomegalovirus (CMV)](https://www.healthdirect.gov.au/cytomegalovirus-cmv) - [human herpes virus](https://www.healthdirect.gov.au/herpesvirus-infections) - human parvovirus ([fifth disease](https://www.healthdirect.gov.au/fifth-disease)) - [rubella](https://www.healthdirect.gov.au/rubella-german-measles) - [Q fever](https://www.healthdirect.gov.au/q-fever) (coxiella burnetii) People with ME/CFS often have other conditions, such as: - postural orthostatic tachycardia syndrome (POTS) - [fibromyalgia](https://www.healthdirect.gov.au/fibromyalgia) PEM is also common if you have [long COVID](https://www.healthdirect.gov.au/long-covid). ## How is ME/CFS diagnosed? There is no single test to diagnose ME/CFS. Your doctor will ask you about your symptoms, and how long you have had them. They might do some tests to rule out other possible causes of your symptoms. You can only receive a diagnosis of ME/CFS after you have had disabling fatigue for 6 months or more. In children and adolescents, these symptoms need to last for 3 months or more. [FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services) ## How is myalgic encephalomyelitis/chronic fatigue syndrome treated? There is no cure for ME/CFS, but there are several things your doctor may suggest to help manage your symptoms. Your treatment will depend on your most severe complaint. For instance, sleep disturbance can be helped with good sleep hygiene. Your doctor may also recommend energy management, or pacing, as a coping strategy. ### Pacing Pacing, or energy management, aims to find the right balance between rest and everyday activities. This involves carefully planning activities and rest to avoid triggering symptoms. The idea is that if you use your energy carefully, your energy levels will gradually increase. Pacing involves: - Learning how to check your energy levels so that you can change how much you are doing as needed. - Dividing tasks and activities into smaller tasks that are easier to manage. - Taking control of your energy levels rather than following other people's advice when it doesn't feel right. Your symptoms may come and go, so you'll need to plan each day's activities carefully. Try to save your energy for the things that are most important to you. And plan to rest as you need to. ### Other healthcare professionals Your doctor may also suggest working with other healthcare professionals such as: - an [occupational therapist](https://www.healthdirect.gov.au/occupational-therapy) — for home adaptations - a [physiotherapist](https://www.healthdirect.gov.au/physiotherapy) - a [psychologist](https://www.healthdirect.gov.au/psychiatrists-and-psychologists) — can help provide symptom relief through [cognitive behaviour therapy](https://www.healthdirect.gov.au/cognitive-behaviour-therapy-cbt) or [mindfulness](https://www.healthdirect.gov.au/mindfulness) ### Treatments with little evidence Currently here is not enough evidence to support the use of any medicines for ME/CFS. Graded exercise therapy is controversial. Many ME/CFS consumer and advocacy groups have concerns that it may be harmful. Be careful when considering any commercially available treatments as ME/CFS doesn't have a known cure yet. ## Can myalgic encephalomyelitis/chronic fatigue syndrome be prevented? It is hard to prevent ME/CFS as the cause is unclear. ## Complications of myalgic encephalomyelitis/chronic fatigue syndrome The combination of chronic symptoms and limited social support may place you at risk of [depression](https://www.healthdirect.gov.au/depression). ## Resources and support Call [Emerge Australia](https://www.emerge.org.au/) info line on [1800 865 321](tel:1800865321) or join a [peer support group](https://www.emerge.org.au/online-community). You can find resources about ME/CFS at [Bridges & Pathways](https://bridgesandpathways.org.au/me-cfs-2/). You can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.
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