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Is this PEM?

tinacarroll27

Senior Member
Messages
254
Location
UK
Hi all!!!! I have been trying to do some cleaning lately and I can't afford a cleaner at the moment. I was only going to do a bit at a time and pace myself but as usual I ended up trying to do it all in one day as everything is such a mess! I spent yesterday cleaning and I thought I was getting away with it until about 2 hours later when I felt terrible. I was so stiff and my muscle hurt that bad I couldn't get up. I was crawling around on the floor and I had to lay still or I felt something bad was going to happen. The pain was getting worse and worse. Today I feel like I have been hit by a car and my glands in my neck are swollen and I still can't move out off bed. Is this PEM? As these symptoms came on within a few hours after pushing myself too hard and I though PEM only hit you 24 hours later?
 

Denise

Senior Member
Messages
1,095
@tinacarroll27 - onset of PEM can vary quite a bit. Sometimes it is immediate and sometimes it is delayed by up to 72 hours. Added to this wide variation is that even in the same patient, sometimes the onset of PEM is immediate and sometimes delayed and PEM symptoms can vary within the same patient also.

It sounds as though your symptoms might be PEM (or the onset of an illness).
If possible note your symptoms, and severity and duration also.
 

Hajnalka

Senior Member
Messages
910
Location
Germany
Hi Tina,

Sounds like classic PEM to me. :(

This is from the Canadian Consensus Criteria:
Post-Exertional Malaise and/or Fatigue Physical or mental exertion often causes debilitating malaise and/or fatigue, generalized pain, deterioration of cognitive functions, and worsening of other symptoms that may occur immediately after activity or be delayed. Patients experience rapid muscle fatigue and lack endurance. These symptoms are suggestive of a pathophysiology which involves immune system activation, channelopathy with oxidative stress and nitric oxide related toxicity10, and/or orthostatic intolerance. Recovery time is inordinately long, usually a day or longer, and exercise may trigger a relapse. The following chart indicates some of the documented dysfunctional reactions to exercise that patients may exhibit11...