Dizziness and Nausea: Autonomic Nervous System Disorders - Neurology

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Dizziness and nausea?


Hello Doctor: I have been experiencing issues with autonomic nervous system dysregulation and have been on medication for over six months.
Since last week, I have been feeling dizzy and lightheaded, which is affecting my sleep.
Whenever I close my eyes, I feel like the room is spinning, and I also feel unsteady while walking.
A few weeks ago, I was only eating one meal a day, and combined with high work stress, this situation has arisen.
I'm unsure if this is related to my autonomic nervous system dysregulation or if there could be other contributing factors.

Lai, 20~29 year old female. Ask Date: 2016/04/25

Dr. Lan Shengxing reply Neurology


Dear Lai, if you are only eating one meal a day for several weeks and experiencing dizziness, this is called hunger, which can be more harmful to your body than any disease.
Please make sure to eat properly; do not worry about autonomic nervous system issues.
Once your diet and lifestyle return to normal, the symptoms will naturally resolve.

Reply Date: 2016/04/25

More Info


Hello! Thank you for sharing your concerns regarding your health, particularly your experiences with dizziness, nausea, and the impact of autonomic nervous system (ANS) disorders. Your symptoms and their potential causes are indeed complex, and it’s important to consider various factors that could be contributing to your condition.

Firstly, it’s crucial to understand that the autonomic nervous system regulates many involuntary bodily functions, including heart rate, blood pressure, digestion, and respiratory rate. When there is a dysfunction in this system, it can lead to a variety of symptoms, including dizziness, lightheadedness, and nausea. These symptoms can often be exacerbated by stress, poor diet, and irregular eating patterns, which you mentioned have been part of your recent experience.

The fact that you have been experiencing dizziness and a sensation of spinning (often referred to as vertigo) when you close your eyes suggests that there may be an issue with your vestibular system, which is responsible for maintaining balance. This could be related to your autonomic dysfunction, especially if you have been under significant stress and have not been eating properly. A lack of adequate nutrition can lead to fluctuations in blood sugar levels, which can further exacerbate feelings of dizziness and nausea.

Additionally, the stress you are experiencing from work can also play a significant role. Stress activates the sympathetic nervous system, which can lead to increased heart rate and blood pressure, potentially causing feelings of dizziness. Chronic stress can also lead to muscle tension and other physical symptoms that may contribute to your overall discomfort.

Given your history of autonomic nervous system issues, it would be wise to consult with a healthcare professional who can evaluate your symptoms in detail. They may recommend tests such as blood work to check for anemia, thyroid function, and electrolyte levels, as these can all contribute to dizziness. Additionally, a tilt table test or autonomic function tests may be useful to assess how your body responds to changes in position and stress.

In the meantime, here are some strategies you might consider to help manage your symptoms:
1. Regular Meals: Aim to eat balanced meals at regular intervals throughout the day. This can help stabilize your blood sugar levels and provide your body with the necessary nutrients to function optimally.

2. Hydration: Ensure you are drinking enough fluids. Dehydration can worsen dizziness and other symptoms related to autonomic dysfunction.

3. Stress Management: Incorporate relaxation techniques such as deep breathing exercises, meditation, or yoga into your daily routine. These practices can help reduce stress and improve your overall sense of well-being.

4. Sleep Hygiene: Establish a regular sleep schedule and create a restful environment to improve your sleep quality. Poor sleep can exacerbate symptoms of dizziness and anxiety.

5. Physical Activity: Engage in light physical activity, as tolerated. Gentle exercises like walking can improve circulation and help with balance.

6. Avoid Triggers: Identify and avoid any specific triggers that worsen your symptoms, such as certain movements or environments.

7. Follow-Up Care: Keep in touch with your healthcare provider to monitor your symptoms and adjust your treatment plan as necessary.

In conclusion, while your symptoms may be related to autonomic nervous system dysfunction, they could also be influenced by other factors such as diet, stress, and overall health. A comprehensive evaluation by a healthcare professional will be essential in determining the underlying causes and developing an effective treatment plan. Remember, you are not alone in this, and there are resources available to help you manage your symptoms and improve your quality of life. Take care!

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