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ME/CFS Very severe → relapsedIll 23 years before improving or writingNeeds ongoing treatment

ME/CFS improved for over a decade, then crashed to very severe and mostly in bed

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill before improving or writing
23 years
Last post
May 2021
In their words
  • At worst: Very severeI needed help walking more than a few steps, and some mornings I couldn't even sit up. In context ↗
  • Now: RelapsedI had a big improvement in the 4th year and for a long time I was much better but not well ... It didn't last unfortunately. In context ↗
  • Began after: another virussudden onset after being sick
Read from 75 of their posts and comments; links to the 33 this page draws on

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Summary

Marsh 10095 became ill with ME/CFS after a sudden viral-type onset and, after a big improvement in her fourth year, spent over a decade much better but not well. Pushing physically while caregiving crashed her to very severe, unable to wash her hair for 18 months, and she later developed POTS. Beta blockers then midodrine lowered her standing pulse but did not restore energy; she stayed housebound and mostly in bed.

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What they tried

Their words about each treatment
  • pacing · HelpedPacing is the best thing I've done. In context ↗
  • beta blocker · HelpedI'm on a beta blocker now and it's dramatically helped my pulse, though I still don't feel that great standing. In context ↗
  • fluids, salt and compression stockings · HelpedMy blood pools in my extremities even with compression, fluids, salt, and midodrine (though these things do help). In context ↗
  • gabapentin · HelpedI take gabapentin for neuropathic pain and migraine prevention, and it helps a lot In context ↗
  • singulair · HelpedI'm on gabapentin and singulair too, they've both helped me a lot. In context ↗
  • self-massage of trigger points with heat · HelpedIt's no cure, but between working on the blood pressure and the self-massage there are no more sleepless nights due to pain. In context ↗
  • grief counseling and online therapy · HelpedIt was extremely helpful and got me through a period of intense grief. In context ↗
  • antibiotic · HelpedIt was only when I got abdominal pain and burning peeing that I thought oh it might be infection. I felt much better after an antibiotic! In context ↗
  • midodrine · HelpedI just switched from beta blocker to midodrine and I have less pooling, and my pulse is just as low. In context ↗
  • 25mg shake · Worseafter I drink a 25mg shake I feel sore and have gotten a small fever In context ↗
  • iron supplements · HelpedCorrecting iron deficiency and folate anemia ... I've tried all of the different supplements and the best one, for me, has been the liquid kind.
  • NSAID · No changeI take an NSAID and drink coffee currently and lately have been feeling a little stronger, I don't think they've had any positive or negative impact on my course of illness. In context ↗
  • clean eating / food avoidance · No changeThe same with meditation or clean eating. They're good things to do but not necessarily influential, in my case. In context ↗
  • meditation/mindfulness program · HelpedMeditation and CBT have helped me a lot with anxiety! In context ↗
  • antivirals · Not saidI crashed on antivirals. I don't think they caused it, just coincidental. In context ↗
  • Omeprazole · Not saidI was on Omeprazole for many years. My only side effect was eventual anemia. In context ↗
  • pickled garlic · No changeI eat 2-3 cloves a day, no improvement in symptoms. In context ↗
  • florinef · HelpedI have tried compression, fluid loading, midodrine, beta blockers and florinef. Some help control my pulse but none have impacted PEM or restored energy. In context ↗
  • sitting upright in a chair instead of bed · HelpedStaying in a comfortable chair part of the day instead of bed. In context ↗
  • melatonin · Not saidmelatonin for sleep In context ↗
  • thiamine · HelpedI have a thiamine deficiency. I'm on 50mg/day. It helps a little bit. I notice when I forget to take it. In context ↗
  • POTS floor exercises video · WorseI tried to do a POTS floor exercises video once, and I got PEM after one set of leg lifts. In context ↗
  • B12 and folate supplements · Helpedsupplement documented insuffiencies - b12, folate, iron -- melatonin for sleep. In context ↗
  • bed yoga and short walks · Not saidRight now I do bed yoga and walk for a minute every two hours, as well as light housework. In context ↗
  • mito supplements · No changeEarly on I tried the mito supplements, a bunch of other stuff, homeopathy, etc. It didn't work! In context ↗
  • lidocaine injections · HelpedI have had lidocaine injections which helped, but only for a few days. In context ↗
  • Antidepressants (unspecified) · Not saidI've had the same problem with not clearing drugs but mine happened with tricyclics! In context ↗

Approaches: Antihistamines & MCAS · Pacing

Their path

Very severeSevereModerateMildNear normalRecoveredonset5 y10 y15 y20 y25 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
onsetsudden onset ME/CFS after being sickMy illness started with sudden onset. I've been ill for 23 years. In context ↗Severe
4th yearbig improvement, out once or twice a week, cooking a littleI had a big improvement in the 4th year and for a long time I was much better but not well. I could go out once or twice a week, even cook a little. In context ↗Moderate
ten years agocrashed to very severe after two years of pushing physicallyI had two years later on in my life where I pushed myself physically and eventually crashed to very severe. Like I didn't wash my own hair for 18 months. In context ↗Very severe
13.2 ygradually got better to housebound after a few monthsFor me, it lasted a few months and then I gradually got better. I'm housebound now which sucks but it's so much better than the near-completely bedridden state I was in. In context ↗Severe
2013diagnosed with POTS; beta blocker lowered standing pulseI'm on a beta blocker now and it's dramatically helped my pulse, though I still don't feel that great standing. In context ↗SevereBeta-blockers (unspecified)
2017-12-19switched to midodrine, less blood pooling with low pulseI just switched from beta blocker to midodrine and I have less pooling, and my pulse is just as low. In context ↗SevereMidodrine
2021-05-11still housebound and mostly in bedI'm mostly in bed with limit ability to talk. In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseit triggered really bad post exertional malaise In context ↗
  • POTS & dysautonomiaJust diagnosed with POTS. In context ↗
  • Brain fogmassive PEM after exercise, brain fog, muscle pain, etc In context ↗
  • Pain & fibromyalgiaI also have a fibro diagnosed In context ↗
  • Headaches & migraineI haven't had a good bell ringer in years now, though I do get menstrual headaches. In context ↗
  • Tinnitusthe tinnitus never did, it's kind of always there In context ↗
  • Sleep problemsthere are no more sleepless nights due to pain In context ↗
  • Gut problemsI had three years where I was in the bathroom hunched over in pain every day. In context ↗
  • Heart symptoms & palpitationsMy pulse would race but I figured I was just deconditioning. In context ↗
  • Muscle weaknessI needed help walking more than a few steps, and some mornings I couldn't even sit up. In context ↗
  • Neuropathy & tinglingI take gabapentin for neuropathic pain and migraine prevention In context ↗
  • Anxiety & low moodafter a series of bad news and loss, I developed anxiety In context ↗
  • Temperature regulationI get low fevers with CFS In context ↗
  • Vision problemseventually my vision would gray In context ↗

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