Dear Concerned.,
Thanks for writing to us.
The presence of Chronic Infectious Mononuceosis (EB Virus) in dormant phase is one of the causes for
Chronic fatigue Syndrome.The size of nodes not mentioned.Did you undergo FNAC of nodes also?FNAC is diagnostic for breast/
lymph node condition.Antibiotics have not helped in your case.
Definition :the presence of easy fatiguability in a person after adequate sleep reducing average activity to more than 50 % to premorbid levels constitutes Chronic Fatigue Syndrome.
The chronic
Epstein-Barr virus syndrome is a poorly defined symptom complex characterized
primarily by chronic or recurrent debilitating fatigue and various combinations of other
symptoms, including
sore throat, lymph node pain and tenderness, headache,
myalgia, and
arthralgias. in addition to complete Clinical work up,these investigations need to be done.
Investigations;
Pls have your serial temperature checked for a week, Serological Tests for Anti-EB Virus
Antibodies,
ESR,
Complete Blood Count.,
Urinalysis,
Thyroid Function Tests,HIV Antibodies,
Diabetes work up.Kochs work up including
CXR PA view and lateral view.
The doctor shall exclude various causes and finally comes to Chronic fatigue syndrome as a diagnosis.
In addition to treating the cause of your fatigue, in case the cause is diagnosed.,there is a Psychological approach of "cognitive behavioral therapy" instituted by Psychiatryst.
Wish you a speedy recovery.
Best regards.,
Dr Lt Cdr ASN Bhushan,
Ex-navy.