https://pubmed.ncbi.nlm.nih.gov/34454716/
According to this article about the diagnosis of ME/CFS written by several of the world's leading experts on this disease, "the patient may be in a constant state of PEM, which makes it difficult to recognize the impact of overexertion".
But what does "a constant state of PEM" mean?
I am interested in this because, although I have many of the ME/CFS symptoms (e.g. orthostatic intolerance, unrefreshing sleep, body pain, ...), I think I do not have PEM. Specifically, my worst symptom is a crushing and unrelenting fatigue 24/7, which never goes away whatever I do. As a result of this disabling fatigue, I has been bed/couch-bound the last 2.5 years. Nevertheless, overexertion does not have a significant impact on my fatigue, which leads me to consider that I do not have PEM. But after reading this article, I wonder if I could be in a constat state of PEM.
What do you think? Is there anyone with a constant PEM?
According to this article about the diagnosis of ME/CFS written by several of the world's leading experts on this disease, "the patient may be in a constant state of PEM, which makes it difficult to recognize the impact of overexertion".
But what does "a constant state of PEM" mean?
I am interested in this because, although I have many of the ME/CFS symptoms (e.g. orthostatic intolerance, unrefreshing sleep, body pain, ...), I think I do not have PEM. Specifically, my worst symptom is a crushing and unrelenting fatigue 24/7, which never goes away whatever I do. As a result of this disabling fatigue, I has been bed/couch-bound the last 2.5 years. Nevertheless, overexertion does not have a significant impact on my fatigue, which leads me to consider that I do not have PEM. But after reading this article, I wonder if I could be in a constat state of PEM.
What do you think? Is there anyone with a constant PEM?
Last edited: