Is It Panic Disorder or Autonomic Nervous System Dysfunction?

Am I experiencing panic disorder or autonomic nervous system dysregulation?

Last week, after bingeing on spicy hot pot, I experienced dry mouth and throat, followed by two days of diarrhea.
Concerned about my symptoms, I researched possible causes, and since then, my appetite has been poor; I can't keep food down (everything I eat comes back up).
I also keep waking up in the middle of the night, and my menstrual flow has suddenly decreased significantly.
Eventually, I started experiencing numbness all over my body (initially just in my fingers, but then my feet became numb within a few minutes, and eventually, I felt numbness throughout my entire body).
My condition has been fluctuating (depending on my mood; when I feel anxious, the numbness is more severe, but it becomes less noticeable when I relax).
I had a fasting check-up at the end of December, and all my results were normal.
I also visited a clinic where the doctor diagnosed me with norovirus.
The next morning, I consulted a traditional Chinese medicine practitioner who suggested it might be panic disorder.

Niming, 20~29 year old female. Ask Date: 2017/03/23

Dr. Hong Weibin reply Neurology

Your symptoms are quite complex; in addition to diarrhea, you also have numbness in your hands and feet.
You should be cautious about the possibility of acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome).
It is advisable to seek medical assistance directly to confirm the diagnosis.

Reply Date: 2017/03/23

More Info

Based on your description, it seems you are experiencing a complex interplay of symptoms that could be attributed to either panic disorder or autonomic nervous system dysfunction. Let's break down your symptoms and explore the potential connections.

Understanding Your Symptoms
1. Physical Symptoms: You mentioned experiencing dry mouth, gastrointestinal issues (nausea and vomiting), and systemic symptoms like tingling or numbness in your extremities. These can be indicative of both panic attacks and autonomic dysfunction. Panic attacks often manifest with physical symptoms such as heart palpitations, shortness of breath, dizziness, and gastrointestinal distress. On the other hand, autonomic nervous system dysfunction can lead to similar symptoms due to dysregulation of bodily functions.

2. Emotional Symptoms: You noted that your symptoms worsen with anxiety and improve when you are relaxed. This suggests a strong connection between your emotional state and your physical symptoms. In panic disorder, anxiety can trigger a cascade of physiological responses, leading to sensations of numbness, tingling, or even a feeling of unreality.

3. Gastrointestinal Issues: The gastrointestinal symptoms you experienced after consuming spicy food could be a reaction to the food itself, but they could also be exacerbated by anxiety. The gut-brain connection is well-documented; stress and anxiety can significantly affect gastrointestinal function, leading to symptoms like nausea and changes in appetite.

4. Sleep Disturbances: The fact that you are waking up frequently at night and experiencing changes in your menstrual cycle could indicate stress or anxiety. Sleep disturbances are common in individuals with anxiety disorders, and hormonal changes can also be influenced by stress levels.

Panic Disorder vs. Autonomic Nervous System Dysfunction
- Panic Disorder: This is characterized by recurrent, unexpected panic attacks and a persistent concern about having more attacks. Symptoms can include intense fear, heart palpitations, sweating, trembling, and feelings of choking or shortness of breath. The physical symptoms can often mimic those of a heart attack or other serious conditions, leading to increased anxiety and further panic.

- Autonomic Nervous System Dysfunction: This refers to a malfunction in the autonomic nervous system, which controls involuntary bodily functions such as heart rate, digestion, and respiratory rate. Symptoms can include dizziness, fainting, rapid heart rate, and gastrointestinal issues. This dysfunction can be triggered by stress, illness, or other factors.

Recommendations
1. Consult a Specialist: Given the complexity of your symptoms, it would be beneficial to consult with a healthcare professional who specializes in either psychiatry or neurology. They can conduct a thorough evaluation, including a detailed history and possibly some diagnostic tests, to determine the underlying cause of your symptoms.

2. Monitor Your Symptoms: Keeping a symptom diary can help you identify patterns related to your anxiety and physical symptoms. Note when symptoms occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider.

3. Stress Management Techniques: Incorporating relaxation techniques such as deep breathing exercises, mindfulness meditation, or yoga can help manage anxiety and may alleviate some of your physical symptoms.

4. Nutrition and Hydration: Ensure you are eating a balanced diet and staying hydrated, especially after gastrointestinal disturbances. Avoiding triggers like spicy foods may also help prevent further episodes.

5. Follow-Up: Regular follow-up with your healthcare provider is essential to monitor your condition and adjust treatment as necessary.

In conclusion, while your symptoms could be indicative of either panic disorder or autonomic nervous system dysfunction, a comprehensive evaluation by a healthcare professional is crucial for an accurate diagnosis and effective treatment plan. Remember, you are not alone in this, and there are effective strategies and treatments available to help you manage your symptoms.

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