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Dr. Jerry E
Dr. Jerry E, Doctor
Category: Medical
Satisfied Customers: 1085
Experience:  Emergency Medicine Resident, Family Medicine, American Doc, 5 yrs pre-hospital Emergency Care
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I came back from florida 2 weeks ago, since i have come back

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i came back from florida 2 weeks ago, since i have come back i have been feeling very tired and sleepy. I assumed it was jet lag and it would go away. It does not help that i am also fasting, everyday i wake up i also have a temperture. I am 43 years old, Please can you advice me, many thanks
Greetings from New York, this is Dr. Jerry E. I'm so glad you asked this question, let me give you some medical information now

Did you begin to fast the day you returned?
Customer: replied 5 years ago.
No i started the fast just 4 days ago, but will continue for another 22 days
Have you been more/less sleepy since fasting or the same?
Customer: replied 5 years ago.
When was your last menstrual cycle?
Customer: replied 5 years ago.
Three days after I came back from florida
Customer: replied 5 years ago.
three days after i came back from Florida
Do you have any of these additional symptoms"?

  • Feeling very tired for more than a day (24 hours) after physical or mental exercise
  • Forgetting things or having a hard time focusing
  • Feeling tired even after sleeping
  • Muscle pain or aches
  • Pain or aches in joints without swelling or redness
  • Headaches of a new type, pattern, or strength
  • Tender lymph nodes in the neck or under the arm
  • Sore throat
  • Visual disturbances (blurring, sensitivity to light, eye pain)
  • Psychological symptoms (irritability, mood swings, panic attacks, anxiety)
  • Chills and night sweats
  • Low grade fever or low body temperature
  • Irritable bowel
  • Allergies and sensitivities to foods, odors, chemicals, medications, and noise/sound
  • Numbness, tingling, or burning sensations in the face, hands, or feet
  • Difficulty sitting or standing straight up, dizziness, balance problems, and fainting
Customer: replied 5 years ago.
some of the above, i have ankylosing spondylitis, so i do have inflamation. muscle aches and pains
I think you are suffering from Chronic Fatigue Syndrome

A person with CFS feels completely worn-out and overtired. This extreme tiredness makes it hard to do the daily tasks that most of us do without thinking — like dressing, bathing, or eating. Sleep or rest does not make the tiredness go away. It can be made worse by moving, exercising, or even thinking.

CFS can happen over time or come on suddenly. People who get CFS over time get more and more tired over weeks or months. People who get CFS suddenly feel fine one day and then feel extremely tired the next. A person with CFS may have muscle pain, trouble focusing, or insomnia (not being able to sleep). The extreme tiredness may come and go. In some cases the extreme tiredness never goes away. The extreme tiredness must go on for at least 6 months before a diagnosis of CFS can be made.

CFS is sometimes called chronic fatigue and immune dysfunction syndrome (CFIDS). It is also sometimes called myalgic encephalomyelitis (mye-AL-jik en-SEFF-ah-loh-mye-LYE-tiss), or ME.

No one knows for sure what causes CFS. Many people with CFS say it started after an infection, such as a cold or stomach bug. It also can follow infection with the Epstein-Barr virus. This is the same virus that causes infectious mononucleosis (sometimes called "mono"). Some people with CFS say it started after a time of great stress, such as the loss of a loved one or major surgery.

It can be hard to figure out if a person has CFS because extreme tiredness is a common symptom of many illnesses. Also, some medical treatments, such as chemotherapy, can cause extreme tiredness.

Customer: replied 5 years ago.
is there anything i can do to make my self better, if i do have cfs?

Right now, there is no cure for CFS. But there are things you can do to feel better...

  • Try to stop or do less of the things that seem to trigger your tiredness. For a week or two write down what you do each day. Note when you feel really tired. Then, look over this list to find out which activities tend to tire you out. An occupational therapist can help you by looking at your daily habits and suggesting changes to help you save energy. Your doctor can help you find an occupational therapist near where you live.
  • At the end of the day, try thinking about how much energy you think you had that day, and how much energy you actually used that day. If you keep these two amounts of energy similar over time, you may slowly gain more strength and energy. Think about which activities are most important to you, and which activities you do not need to do as often. Make sure to tell other people in your life how much energy you can actually use each day. They can help make sure you don't do too much. It is important to remember that energy can mean mental, emotional, or physical energy.


  • Over-the-counter pain relievers such as Advil, Motrin, or Aleve can help with body aches, headaches, and muscle and joint pain.
  • Nondrowsy antihistamines (an-tee-HISS-tah-meens) can help with allergy symptoms, such as runny nose and itchy eyes.
  • Prescription medications like doxepin (DOCKS-ih-pin) or amitriptyline (am-ih-TRIP-tah-leen) can help improve sleep.

Some people say their CFS symptoms get better with complementary or alternative treatments, such as massage, acupuncture, chiropractic care, yoga, stretching, or self-hypnosis. Keep in mind that many alternative treatments, dietary supplements, and herbal remedies claim to cure CFS, but they might do more harm than good. Talk to your doctor before seeing someone else for treatment or before trying alternative therapies.

Also, keep in mind that your doctor may need to learn more about CFS to better help you. If you feel your doctor doesn't know a lot about CFS or has doubts about it being a "real" illness, see another doctor for a second opinion. Contact a local university medical school or research center for help finding a doctor who treats people with CFS.

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