Where to Seek Help for Chronic Fatigue Syndrome in Taiwan?

If you suspect you have chronic fatigue syndrome, you can consult a primary care physician or a specialist in internal medicine. Additionally, you may consider seeing a rheumatologist or an infectious disease specialist, as they often have experience in diagnosing and managing this condition. It's important to discuss your symptoms and medical history thoroughly during your appointment?

Condition: Poor physical and mental stamina, easily fatigued, with mutual influence (after light exercise, cognitive tasks lead to increased mental fatigue and abnormal tiredness).
Symptoms include forgetfulness, lack of concentration, inability to think, generalized weakness, excessive sleepiness, and persistent mild muscle soreness.
Medical history: Diagnosed with hepatitis B in elementary school (frequent illnesses and vaccinations during childhood).
Developed a distaste for greasy meats in middle school and became vegetarian (uncertain if there is a vitamin B12 deficiency; began experiencing fatigue in high school).
Worked in a rotating shift job for four years, leading to long-term poor daytime sleep, resulting in decreased immunity, hair loss, and frequent cavities, accumulating nearly twenty dental fillings (all replaced in the past year; currently no longer biting my tongue while eating).
Other conditions: Poor digestion, weak immune system, frequent colds in cold weather, nasal congestion, and cold extremities.
Medical consultations revealed normal thyroid function (TSH), elevated eosinophils indicating allergies, and low neutrophils (below normal range).
The doctor was unsure of further steps.
Is there a doctor in Taiwan who can provide assistance? Thank you for your guidance.

Ren zhen jiao jian bao que bu zhi ru he qiu zhu de ren, 30~39 year old female. Ask Date: 2010/12/23

Dr. Gao Jiankai reply Internal Medicine

Hello, based on your symptoms, here are a few suggestions.

1.
Hepatitis B requires close monitoring, with liver function tests every three months and abdominal ultrasounds every six months.
Liver issues can also cause fatigue, so please do not take this lightly.
Therefore, consider visiting a gastroenterologist.
2.
It may also be beneficial to consult a psychiatrist, as some subconscious anxiety or depression can lead to physical symptoms over time.
If all tests come back normal, mental health should be considered, along with adjusting your sleep patterns to improve symptoms.
3.
You might also want to see a rheumatologist to further clarify any issues related to your white blood cells.
Additionally, some patients experience fibromyalgia, which causes widespread pain with no identifiable medical issues, and this can also be explored in rheumatology.
Please consider visiting these specialties, as there may be a chance to find a more accurate diagnosis.
Changhua Hospital's Allergy, Immunology, and Rheumatology Department cares about your well-being.

Reply Date: 2010/12/23

More Info

Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a complex disorder characterized by extreme fatigue that doesn't improve with rest and may worsen with physical or mental activity. Given your symptoms, which include significant fatigue, cognitive difficulties, muscle pain, and a history of health issues, it is crucial to approach this condition holistically and seek appropriate medical help.

In Taiwan, there are several medical specialties that can assist in diagnosing and managing Chronic Fatigue Syndrome. Here are some recommendations on where to seek help:
1. Internal Medicine: Start with a visit to an internist who can conduct a thorough evaluation of your symptoms and medical history. They can rule out other potential causes of fatigue, such as thyroid disorders, anemia, or chronic infections.

2. Neurology: A neurologist can assess any neurological components contributing to your fatigue and cognitive difficulties. They may conduct tests to evaluate brain function and rule out conditions like multiple sclerosis or other neurological disorders.

3. Rheumatology: Since CFS can sometimes overlap with autoimmune conditions, consulting a rheumatologist might be beneficial. They can evaluate for conditions such as fibromyalgia or other rheumatic diseases that may present with similar symptoms.

4. Psychiatry/Psychology: Mental health professionals can help address any underlying psychological factors contributing to your fatigue, such as anxiety or depression. Cognitive Behavioral Therapy (CBT) has been shown to be effective for some individuals with CFS.

5. Sleep Medicine: Given your history of poor sleep, a sleep specialist can evaluate for sleep disorders such as sleep apnea, which can significantly contribute to daytime fatigue.

6. Nutrition and Diet: Since you mentioned a vegetarian diet and potential vitamin B12 deficiency, consulting a nutritionist or dietitian can help ensure you are meeting your nutritional needs. They can provide guidance on dietary adjustments and supplementation if necessary.

7. Integrative Medicine: Some hospitals in Taiwan offer integrative medicine services that combine conventional and alternative therapies. This approach may include acupuncture, herbal medicine, and lifestyle modifications that can support overall health and well-being.

In terms of specific hospitals or clinics in Taiwan, you may want to consider visiting major medical centers such as National Taiwan University Hospital, Chang Gung Memorial Hospital, or Taipei Veterans General Hospital. These institutions often have specialists in various fields who can collaborate on complex cases like CFS.

Additionally, it is essential to maintain open communication with your healthcare providers about your symptoms and any changes you experience. Keeping a symptom diary can be helpful in tracking your fatigue levels, sleep patterns, and any other relevant factors that may assist in diagnosis and treatment.

Lastly, while seeking medical help, consider joining support groups for individuals with Chronic Fatigue Syndrome. These groups can provide emotional support, share coping strategies, and offer valuable resources for managing the condition.

In summary, addressing Chronic Fatigue Syndrome requires a multidisciplinary approach. By consulting with various specialists and focusing on both physical and mental health, you can work towards finding effective management strategies for your symptoms. Remember to advocate for yourself and seek the care that aligns with your needs.

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