Are These Symptoms Signs of Autonomic Nervous System Dysfunction? - Psychiatry

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Are these symptoms related to autonomic nervous system dysfunction?


Recently, due to high stress, I often feel down, want to cry, experience chest tightness, fatigue, and occasionally dizziness, nausea, headaches, rapid heartbeat, shortness of breath, and palpitations.
Do these symptoms indicate autonomic nervous system dysfunction?

Miss Chen, 20~29 year old female. Ask Date: 2018/10/05

Dr. Huang Jiabin reply Psychiatry


Hello: The autonomic nervous system regulates most of our invisible physiological functions, including temperature, heart rate, digestion, and sleep.
The autonomic nervous system can fluctuate due to changes in external environments and internal psychological states.
Stress can indeed cause alterations in autonomic nervous system regulation, leading to the discomfort you described.
If these conditions do not improve in a short period, it is advisable to consult a psychosomatic specialist for evaluation and subsequent management.

Reply Date: 2018/10/05

More Info


The symptoms you are experiencing—such as feelings of low mood, crying spells, chest tightness, fatigue, occasional dizziness, nausea, headaches, rapid heartbeat, shortness of breath, and palpitations—can indeed be indicative of autonomic nervous system (ANS) dysfunction. The ANS is responsible for regulating involuntary bodily functions, including heart rate, blood pressure, respiration, and digestion. It is divided into 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 under significant stress, the sympathetic nervous system can become overactive, leading to a range of physical and emotional symptoms. The feelings of anxiety, rapid heartbeat, and shortness of breath you describe are common manifestations of this heightened sympathetic activity. Additionally, the emotional symptoms such as low mood and crying can be linked to the stress response and may also reflect a broader issue of anxiety or depression, which can coexist with autonomic dysfunction.

Your symptoms may also align with a condition known as dysautonomia, which refers to a disorder of the autonomic nervous system. Dysautonomia can present with a variety of symptoms, including those you mentioned, and can be triggered by stress, illness, or other factors. It is important to note that while these symptoms can be distressing, they are not uncommon in individuals experiencing high levels of stress or anxiety.

To further evaluate your condition, it would be beneficial to consult with a healthcare professional who specializes in autonomic disorders or mental health. They may recommend a comprehensive assessment that could include a physical examination, blood tests, and possibly autonomic function tests to measure how well your autonomic nervous system is functioning.
In the meantime, managing stress through lifestyle changes can be helpful. Techniques such as mindfulness meditation, deep breathing exercises, regular physical activity, and maintaining a healthy diet can support both emotional and physical well-being. Additionally, cognitive-behavioral therapy (CBT) can be effective in addressing anxiety and depressive symptoms, helping you develop coping strategies to manage stress more effectively.

If your symptoms persist or worsen, it is crucial to seek medical attention promptly. A healthcare provider can help rule out other potential causes of your symptoms and develop a tailored treatment plan that addresses both the physical and emotional aspects of your condition. Remember, you are not alone in this, and there are resources and support available to help you navigate these challenges.

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