Is This Autonomic Nervous System Dysfunction? Your Symptoms - Psychiatry

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Does this count as autonomic nervous system dysfunction?


I have been experiencing frequent vomiting lately, which I feel is caused by palpitations.
I get very anxious with even slight stress, often feeling short of breath, and I also experience weakness in my limbs, chest tightness, and numbness in my fingers and knees.
Does this indicate autonomic nervous system dysfunction? If so, will it worsen if left untreated?

Xiao Ting, 10~19 year old female. Ask Date: 2016/04/28

Dr. Qiu Junda reply Psychiatry


Hello: The text does suggest the possibility of autonomic nervous system dysfunction.
It would be beneficial to gather information online about how to cope with autonomic nervous system disorders, such as relaxation techniques.
If there is no improvement, it is advisable to seek medical treatment to prevent the symptoms from worsening and interfering with your daily life, family, and occupational functioning.

Reply Date: 2016/04/28

More Info


Based on your symptoms, it is quite possible that you are experiencing autonomic nervous system dysfunction, commonly referred to as dysautonomia. The autonomic nervous system (ANS) is responsible for regulating involuntary bodily functions, including heart rate, blood pressure, digestion, and respiratory rate. When this system is not functioning properly, it can lead to a variety of symptoms, many of which you have described.

Your symptoms of frequent vomiting, palpitations, anxiety, shortness of breath, weakness in your limbs, chest tightness, and numbness in your fingers and knees are indeed indicative of autonomic dysfunction. These symptoms can arise from an overactive sympathetic nervous system (the "fight or flight" response) or an underactive parasympathetic nervous system (the "rest and digest" response). When the body is under stress, the sympathetic nervous system can become overly stimulated, leading to feelings of anxiety and physical symptoms such as heart palpitations and gastrointestinal distress.

The connection between anxiety and autonomic dysfunction is significant. Anxiety can exacerbate symptoms of dysautonomia, creating a vicious cycle where anxiety leads to physical symptoms, which in turn increases anxiety. This is often seen in conditions such as panic disorder, generalized anxiety disorder, and other stress-related disorders.
If left untreated, autonomic dysfunction can potentially worsen over time. Chronic stress and anxiety can lead to further complications, including increased risk of cardiovascular issues, gastrointestinal problems, and a decline in overall quality of life. Therefore, it is essential to seek treatment to manage your symptoms effectively.

Treatment options for autonomic nervous system dysfunction may include:
1. Psychotherapy: Cognitive-behavioral therapy (CBT) can be particularly effective in managing anxiety and stress, helping you develop coping strategies to deal with your symptoms.

2. Medication: Depending on your specific symptoms, medications such as antidepressants, anti-anxiety medications, or beta-blockers may be prescribed to help manage anxiety and regulate heart rate.

3. Lifestyle Modifications: Incorporating regular physical activity, a balanced diet, and adequate hydration can improve overall autonomic function. Techniques such as yoga, meditation, and deep-breathing exercises can also help reduce stress and anxiety.

4. Physical Therapy: If you are experiencing significant weakness or numbness in your limbs, a physical therapist can help you develop a tailored exercise program to improve strength and coordination.

5. Regular Monitoring: Keeping track of your symptoms and their triggers can help you and your healthcare provider identify patterns and adjust your treatment plan accordingly.

In conclusion, your symptoms do suggest autonomic nervous system dysfunction, and it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, possibly including tests to assess autonomic function, and develop a comprehensive treatment plan tailored to your needs. Early intervention can help prevent the worsening of symptoms and improve your overall well-being.

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