Anxiety Symptoms: Is It Dysautonomia or Overthinking?

Unclear symptoms?

I have been feeling very anxious for the past four weeks due to a possible HIV infection.
Although everyone says it's unlikely, I am having trouble eating, and my throat feels a bit strange—not sore, but dry and somewhat constricted.
I occasionally experience diarrhea, with my stools being somewhat loose but not watery.
My body temperature sometimes ranges from 36.9 to 37.4 degrees Celsius, but it usually goes back down after a while.
I often have trouble sleeping, experiencing light sleep and waking up in the middle of the night, and I find it hard to concentrate.
Is this a case of autonomic nervous system dysregulation, or is it just excessive anxiety?

Niming, 20~29 year old female. Ask Date: 2017/02/20

Dr. Liu Runqian reply Psychiatry

As you mentioned, if you continuously suspect that you have HIV despite multiple tests and confirmations from various doctors, and you still have strong doubts along with persistent anxiety and repeated testing, you may be experiencing health anxiety.
The physical symptoms you described, if evaluated by specialists such as otolaryngologists and gastroenterologists without any findings, could indeed be a result of excessive anxiety.
It is advisable to seek an evaluation from a qualified mental health professional for a detailed assessment.

Reply Date: 2017/02/20

More Info

Based on your description, it seems that you are experiencing a range of symptoms that can be attributed to anxiety, possibly exacerbated by your concerns about HIV infection. Anxiety can manifest in various physical symptoms, including gastrointestinal issues, sleep disturbances, and changes in appetite, which you have mentioned.
Firstly, let's clarify the difference between dysautonomia and anxiety. Dysautonomia refers to a dysfunction of the autonomic nervous system, which controls involuntary bodily functions such as heart rate, blood pressure, and digestion. Symptoms of dysautonomia can include lightheadedness, rapid heart rate, and gastrointestinal problems. On the other hand, anxiety is a psychological condition that can lead to physical symptoms due to heightened stress responses.
Your symptoms, such as difficulty swallowing (the sensation of something being stuck in your throat), changes in bowel habits, and sleep disturbances, can indeed be linked to anxiety. The feeling of a "lump" in the throat, known as globus sensation, is common in individuals experiencing anxiety. Additionally, anxiety can lead to gastrointestinal symptoms like diarrhea or changes in appetite, as the body reacts to stress.

The elevated body temperature you mentioned (ranging from 36.9 to 37.4 degrees Celsius) is generally considered within the normal range, but anxiety can sometimes cause fluctuations in body temperature due to stress responses. The difficulty concentrating and feeling restless are also hallmark symptoms of anxiety.

Given your concerns about HIV, it is understandable that you are feeling anxious. The fear of potential infection can lead to obsessive thoughts and increased anxiety, which can further exacerbate physical symptoms. It is essential to address these feelings and seek reassurance through appropriate testing if you have concerns about your health.

To determine whether your symptoms are primarily due to dysautonomia or anxiety, it would be beneficial to consult with a healthcare professional. A thorough evaluation, including a physical examination and possibly some tests, can help rule out any underlying medical conditions. If dysautonomia is suspected, a referral to a specialist, such as a neurologist or cardiologist, may be necessary.

In the meantime, managing anxiety through lifestyle changes can be beneficial. Here are some strategies you might consider:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and yoga can help reduce anxiety levels and improve your overall sense of well-being.

2. Regular Exercise: Physical activity is a powerful stress reliever. Aim for at least 30 minutes of moderate exercise most days of the week.

3. Healthy Diet: Eating a balanced diet can help stabilize your mood and energy levels. Avoid excessive caffeine and sugar, which can exacerbate anxiety.

4. Sleep Hygiene: Establish a regular sleep routine, create a comfortable sleep environment, and limit screen time before bed to improve sleep quality.

5. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders.

6. Stay Informed: If you are concerned about HIV, consider getting tested. Knowing your status can alleviate some of the anxiety associated with uncertainty.

In conclusion, while your symptoms may be indicative of anxiety, it is crucial to consult with a healthcare provider to rule out any other potential causes. Addressing your anxiety through lifestyle changes and professional support can significantly improve your quality of life. Remember, you are not alone in this, and there are resources available to help you navigate your concerns.

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