Autonomic Nervous System Disorders: Causes and Treatments

Autonomic nervous system dysfunction

Two days ago, I experienced hand numbness due to hyperventilation and went to the hospital for examination.
After a series of tests (chest X-ray normal) (ECG normal) (EEG) (blood test showed elevated cortisol), the doctor diagnosed me with autonomic nervous system disorder and prescribed me sedatives and medication for breath control.
Dr.
Liu, is this related to my frequent alcohol consumption? Are there other treatment options besides these medications? I’ve heard that taking these medications regularly can be harmful to the body.
By the way, why would this happen even though I often go hiking?

Xiao Li, 30~39 year old female. Ask Date: 2002/09/08

Dr. Liu Weimin reply Psychiatry

Autonomic nervous system dysfunction is a comprehensive term; physiological responses under tension and anxiety are primarily related to the regulatory functions of the autonomic nervous system.
Therefore, it is important to adjust your mood, maintain calmness, and avoid panic, as our nervous system will automatically regulate itself.
Sedatives are medications that assist in regulating nervous function, but there are many types.
Seeking assistance from a psychosomatic or psychiatric physician to adjust medications can provide peace of mind and is safe.
Thus, a combination of psychological adjustment and medication support will be beneficial.
Moderate alcohol consumption can help regulate mood and express emotions, but excessive intake or addiction is detrimental.
It is certainly harmful to the body and has adverse effects on the function of the autonomic nervous system.
Engaging in activities like hiking is beneficial and should be continued.
Maintaining physical health requires attention from multiple aspects: a regular lifestyle, mood adjustment, and physical exercise are all important.
Best wishes, Dr.
Liu.

Reply Date: 2002/09/08

More Info

Understanding autonomic nervous system (ANS) disorders is crucial, especially when symptoms like tingling in the hands, anxiety, and other physical manifestations arise. The autonomic nervous system regulates involuntary bodily functions, including heart rate, digestion, and respiratory rate. It consists of two main branches: the sympathetic nervous system, which prepares the body for 'fight or flight' responses, and the parasympathetic nervous system, which promotes 'rest and digest' activities. When these systems are out of balance, it can lead to various symptoms and health issues.

In your case, the symptoms you experienced, such as hand tingling and anxiety, can indeed be linked to ANS disorders. Hyperventilation, which you mentioned, can lead to a decrease in carbon dioxide levels in the blood, causing symptoms like tingling, dizziness, and even fainting. This is often exacerbated by anxiety, creating a cycle of symptoms that can be challenging to break.

The elevated cortisol levels noted in your blood tests may indicate stress or anxiety, as cortisol is a hormone released in response to stress. Chronic alcohol consumption can also affect the autonomic nervous system. Alcohol is a depressant that can initially relax you but may lead to increased anxiety and other symptoms as its effects wear off. It can disrupt sleep patterns, exacerbate anxiety, and lead to withdrawal symptoms, all of which can contribute to ANS dysfunction.

Regarding treatment, your doctor prescribed sedatives and breathing control techniques, which are common approaches for managing anxiety and its physical symptoms. While these medications can be effective in the short term, they may not address the underlying issues and can have side effects, especially with long-term use. It's essential to discuss any concerns about medication with your healthcare provider, as they can help you weigh the benefits and risks.

In addition to medication, several other treatment options can be beneficial for managing ANS disorders:
1. Cognitive Behavioral Therapy (CBT): This form of therapy can help you identify and change negative thought patterns and behaviors that contribute to anxiety and stress.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, and deep-breathing exercises can help activate the parasympathetic nervous system, promoting relaxation and reducing anxiety.

3. Lifestyle Modifications: Regular physical activity, a balanced diet, and adequate sleep are crucial for overall health and can help regulate the autonomic nervous system. While you mentioned that you enjoy hiking, ensure that you maintain a consistent exercise routine, as physical activity is known to reduce stress and improve mood.

4. Avoiding Alcohol and Stimulants: Reducing or eliminating alcohol and caffeine can help stabilize your mood and reduce anxiety symptoms.

5. Biofeedback: This technique teaches you how to control physiological functions by providing real-time feedback on bodily processes, such as heart rate and muscle tension.

6. Medication Review: If you have concerns about the medications prescribed, consider discussing alternative options with your doctor. There are various classes of medications for anxiety, including SSRIs and SNRIs, which may have a different side effect profile compared to sedatives.

In conclusion, while your symptoms may be related to autonomic nervous system dysfunction, a comprehensive approach that includes lifestyle changes, therapy, and possibly medication can help manage your condition effectively. It's essential to maintain open communication with your healthcare provider to tailor a treatment plan that works best for you.

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