Autonomic Nervous System Disorders: A New Mom's Struggles

Q: Autonomic Nervous System Disorders: A New Mom's Struggles

Fang： Hello. <br>The various physical symptoms you mentioned are indeed related to autonomic nervous system dysfunction. <br>However, autonomic nervous system dysfunction is often just a manifestation, as many psychosomatic disorders and other medical conditions can cause similar

Is it autonomic nervous system dysfunction?

Hello, I am a 28-year-old new mother, and my baby was born on New Year's Day this year.
During my seventh month of pregnancy, I started experiencing severe headaches that often left me bedridden.
At that time, a neurologist diagnosed me with tension headaches caused by neck and shoulder issues, and I underwent rehabilitation to alleviate the symptoms.
After giving birth, my headache symptoms significantly improved, but I still experience headaches occasionally.
I decided to pay out of pocket for a head CT scan, which showed no abnormalities.

Now, nine months postpartum, aside from headaches, I have been experiencing a range of recurring symptoms: headaches, facial numbness and swelling around the eyes, sore throat, chest tightness and pain, gastroesophageal reflux and stomach pain, abdominal pain and constipation, irregular menstrual cycles, and most troubling of all, recurrent pain in my tongue and mouth.
Due to the multitude of symptoms, I have spent a lot of time, effort, and money repeatedly visiting various specialists and emergency departments (I’m almost becoming a hospital VIP).
I have undergone head CT, abdominal CT, blood tests, gastroscopy (which showed mild ulcers and reflux), colonoscopy, and multiple chest X-rays due to persistent chest pain, all of which returned normal results.

Regarding my tongue, I have been evaluated by ENT and dental specialists, who diagnosed me with glossitis.
Some doctors have suggested that my symptoms may be manifestations of autonomic nervous system dysfunction.
My husband advises me to coexist with these symptoms and stop frequently visiting clinics and emergency rooms, but the symptoms are very real, and I worry that ignoring these pains might lead to overlooking a serious underlying condition.

I am uncertain if this is indeed a manifestation of autonomic nervous system dysfunction, and I wonder if it can be resolved.
Will I suffer from recurring pain for the rest of my life? What should I do? I have become a "doctor shopper," seeking help from various physicians, and if new symptoms arise, I will likely find myself back in the hospital.
Doctor, I am at a loss for what my next steps should be; I don’t know which specialty to consult or how to help myself.

Fang, 20~29 year old female. Ask Date: 2018/10/02

Dr. Huang Xiaoxian reply Psychiatry

Fang: Hello.
The various physical symptoms you mentioned are indeed related to autonomic nervous system dysfunction.
However, autonomic nervous system dysfunction is often just a manifestation, as many psychosomatic disorders and other medical conditions can cause similar symptoms.
Therefore, it is necessary to consult with a physician in person to confirm the diagnosis.
I can see that you are suffering greatly from the aforementioned conditions, and it may not be something that can be alleviated simply by enduring it.
Your description also indicates significant anxiety, and with the responsibility of caring for a newborn, you must be under multiple pressures.
I recommend that you seek help from a psychiatrist to determine the underlying causes of your symptoms and to receive targeted treatment.
I hope you recover soon!

Reply Date: 2018/10/02

More Info

Hello, and thank you for sharing your experience. It sounds like you are going through a very challenging time as a new mom, and your symptoms are understandably distressing. Based on what you've described, it seems that you may be experiencing a combination of physical and psychological issues, possibly related to autonomic nervous system (ANS) dysfunction.

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. Dysregulation of this system can lead to a variety of symptoms, including those you are experiencing: headaches, gastrointestinal issues, and pain in various parts of the body.

Your history of severe headaches during pregnancy, which improved post-delivery but have not completely resolved, could indicate a chronic pain condition or a tension-type headache, often exacerbated by stress and anxiety. The additional symptoms you mentioned, such as facial numbness, throat pain, and gastrointestinal issues, may also be manifestations of anxiety or stress-related disorders. It's not uncommon for new mothers to experience heightened anxiety due to the demands of caring for a newborn, which can lead to physical symptoms.

It’s important to recognize that while your symptoms may be related to autonomic nervous system dysfunction, they could also be indicative of other underlying conditions. The fact that you have undergone extensive testing, including CT scans and endoscopies, and that these have returned normal results is reassuring, but it can also be frustrating when you are still experiencing significant discomfort.

Your husband's suggestion to "just live with it" may come from a place of wanting to help, but it’s crucial to address your symptoms rather than ignore them. Chronic pain and discomfort can take a toll on your mental health, leading to a cycle of anxiety and physical symptoms. Seeking help from a mental health professional, such as a psychologist or psychiatrist, may be beneficial. They can provide strategies to manage anxiety and stress, which may, in turn, alleviate some of your physical symptoms.

In addition to psychological support, consider exploring complementary therapies that have been shown to help with chronic pain and autonomic dysfunction. These may include physical therapy, acupuncture, yoga, or mindfulness meditation. These approaches can help you develop coping strategies and improve your overall well-being.

It's also essential to maintain open communication with your healthcare providers. If you feel that your current treatment plan is not effective, don't hesitate to seek a second opinion or ask for a referral to a specialist in pain management or a neurologist who has experience with autonomic disorders. Keeping a symptom diary can also be helpful, as it allows you to track patterns and triggers related to your symptoms, which can provide valuable information for your healthcare team.

Lastly, remember that you are not alone in this journey. Many new mothers experience similar challenges, and support groups, whether in-person or online, can provide a sense of community and understanding. Connecting with others who have faced similar struggles can offer comfort and practical advice.

In summary, while your symptoms may be related to autonomic nervous system dysfunction, it’s essential to explore all potential underlying causes and seek comprehensive care. Addressing both the physical and psychological aspects of your health is crucial for your recovery. Take care of yourself, and don't hesitate to reach out for help when you need it.

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