How can myalgic encephalomyelitis be diagnosed?

  • Answered1 time
  • Viewed256 times

Doctor’s Answer (1)

Myalgic Encephalomyelitis (ME), also known as Chronic Fatigue Syndrome is a clinical diagnosis. It means there is no objective diagnostic test to confirm it but more of a diagnosis through clinical examination.

3 out of 5 primary “core” symptoms must be present for a doctor to diagnose ME. They are: 

  • Big drop in activity levels from usual baseline before onset of symptoms and it must last more than 6 months. This “sensation of fatigue” is excessive and is usually not relieved even by sleeping.
  • Worsening of fatigue after a physical or mental activity that was not present before the illness. My patients sometimes get so bad they have to lie in bed for a day or so, after doing some house chores.
  • Patients may have difficulty sleeping or difficulty staying asleep. Even after achieving their required 7 to 8 hours of sleep, they still feel excessively tired.
  • Patients may complain of thinking or memory issues, as though they are “spaced out” and cannot process their thoughts properly.
  • Patients may complain that their symptoms worsen whenever they stand or sit upright. They prefer to lie down for them to feel better.


Not the answer you're looking for? Just ask your own quesiton now FOR FREE.

Request Quotes From Doctors

Based on your requirements, we will recommend up to 5 expert medical doctors.

Get Treatment Quotes
Related Questions
Perlane fillers can be seen on CT scan as soft tissue at the location where it’s injected, especially if it’s injected as a bolus. Fret not, the radiologist and radiographer would have seen many such cases, so do not expect them to be... Read Full Answer
Thank you for your question. There can be many reasons why someone would experience excessive daytime sleepiness. As the potential causes are varied and have been well-covered by both Dr Tze Yong and Dr Ethan, I shall not be repetitious. One of t... Read Full Answer
Hiccups (singultus in medical speak, which is Latin for catching your breath while sobbing) are caused by involuntary contractions of the diaphragm — a chest muscle that plays a role in breathing. The “hic” sound is produced by ... Read Full Answer
I’m sorry to hear about your problems. It’s important to distinguish formication from itchiness of the skin, which is extremely common in elderly people (most often due to dry skin or eczema). On the other hand, formication is a spec... Read Full Answer
Thanks for getting in touch with your symptoms, which is quite a common problem! As you have identified in your question, with increasing computer, smart phone and tablet use, it is very common to develop back pain around the shoulders and neck a... Read Full Answer
Hi Piles is a very common condition and especially in modern society with our current life style. They don't normally cause difficulty blockage but the problems comes if you are constipated and the stools are hard. To improve on this, the genera... Read Full Answer

"Psychiatrist with over 20 years of experience"

Thank you for sharing your story with us. It appears to me you may have eating disorder with co-morbid depression. Both conditions can be aggravated by stress and both need to be treated. It will be good if you can carefully recall all the treatm... Read Full Answer
It is unlikely for SLE to be caused by the breast cancer chemotherapy. There are cases of drug-induced lupus, but this is usually when you are on the drug treatment and unlikely to occur a year after treatment. Furthermore, breast cancer chemother... Read Full Answer

"Psychiatrist with over 20 years of experience"

Thank you for highlighting such a common problem, which many patients at the clinic also have. Chest discomfort, tingling sensation over the limbs, aches and pains, can certainly be attributed to anxiety and depression. Nevertheless, it is import... Read Full Answer
The cause is unknown but it may be due to a post viral infection or autoimmune condition that causes it. Read Full Answer