What is Post-Exertional Malaise?

Post-exertional malaise (PEM) is a hallmark symptom of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). It is characterized by a significant exacerbation of symptoms following physical or mental exertion, which can last for days or even weeks Deconstructing post-exertional malaise in myalgic encephalomyelitis/chronic fatigue syndrome: A patient-centered, cross-sectional survey. PEM is often described as a "crash" and can include increased fatigue, cognitive difficulties, and muscle pain Post-exertional malaise in daily life and experimental exercise models in patients with myalgic encephalomyelitis/chronic fatigue syndrome.

Hair Loss and Chronic Fatigue Syndrome

Hair loss is not commonly listed as a primary symptom of CFS, but it has been reported by some patients. It can be associated with stress, nutritional deficiencies, or other comorbid conditions such as hypothyroidism Hair loss - MEpedia. In the context of CFS, hair loss may occur due to a condition known as telogen effluvium, where stress or illness causes hair follicles to enter a resting phase prematurely, leading to increased shedding Treating Hair Loss in CFS and Fibromyalgia - Psychology Today.

The Connection Between PEM and Hair Loss

While direct research linking PEM specifically to hair loss is limited, the stress and physiological strain associated with PEM could potentially exacerbate hair loss in susceptible individuals. The body's response to the stress of PEM might trigger or worsen telogen effluvium, leading to noticeable hair shedding during or after a PEM episode Chronic fatigue syndrome: Symptoms, treatment, and causes.

Managing Hair Loss in CFS

Managing hair loss in the context of CFS involves addressing underlying factors such as nutritional deficiencies and stress management. Consulting with healthcare providers to rule out other causes of hair loss, such as thyroid issues, is also recommended. Supportive treatments may include nutritional supplements and stress-reduction techniques Hair loss and fatigue | Ducray.