Autonomic Nervous System Disorders: Symptoms and Solutions - Cardiology

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Autonomic Nervous System Disorder Consultation


Hello, doctor! I have had a tendency towards panic since childhood, experiencing hyperventilation at times.
There have been instances when I suddenly felt panicked while riding the subway and needed to get off.
I've accepted that this is just who I am.
After entering the workforce, my job has been busy, and sometimes I have to socialize and work overtime.
One day, I experienced palpitations, panic, and a rapid heartbeat, which scared me.
However, after going to the hospital for a check-up, everything came back normal.
I underwent numerous tests for heart diseases and scared myself in the process, only to later learn that I have autonomic nervous system dysregulation.

I would like to ask about some symptoms: sometimes I feel my heartbeat is stronger and faster, causing a bit of anxiety.
After meals, I also notice my heartbeat feels heavier during physical activity.
If I eat a late-night snack before bed, I can feel my heartbeat more prominently when lying down.
Additionally, I experience tinnitus, occasional bloating, and a variety of other strange symptoms.
I have been consistently taking medication, which has stabilized my condition significantly.

I would like to ask the doctor if these symptoms will normalize as my autonomic nervous system improves.
I really want to be the sunny boy I used to be.
Thank you, doctor!

Xiao Y, 20~29 year old female. Ask Date: 2019/10/24

Dr. He Dongjin reply Cardiology


Hello, these are all issues related to the autonomic nervous system.
A normal autonomic nervous system function would be better.
Try to relax as you seem to be quite tense.
Changhua Hospital cares about you.

Reply Date: 2019/10/24

More Info


Hello! Thank you for sharing your experiences and concerns regarding autonomic nervous system disorders and the symptoms you are facing. It sounds like you have been through a lot, and it's great that you are seeking to understand your condition better.

The autonomic nervous system (ANS) is a crucial part of our nervous system that regulates involuntary bodily functions, including heart rate, digestion, respiratory rate, and more. 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' functions). When there is a dysfunction in this system, it can lead to a variety of symptoms, often referred to as autonomic nervous system disorders.

From your description, it seems that you are experiencing symptoms such as palpitations, anxiety, gastrointestinal issues, and tinnitus, which can indeed be associated with autonomic dysfunction. These symptoms can be exacerbated by stress, lifestyle factors, and even dietary choices, such as eating late at night. It's not uncommon for individuals with anxiety or panic disorders to experience heightened awareness of their heart rate and other bodily sensations, leading to a cycle of anxiety and physical symptoms.

You mentioned that you have a history of panic attacks and hyperventilation, which can contribute to feelings of heart palpitations and anxiety. When you hyperventilate, it can lead to a decrease in carbon dioxide levels in the blood, causing symptoms like dizziness, tingling, and increased heart rate. This can create a feedback loop where the physical sensations trigger more anxiety, leading to further hyperventilation.

Regarding your question about whether your symptoms will normalize as your autonomic nervous system improves, the answer is generally yes. Many individuals find that as they manage their anxiety and stress levels, their physical symptoms also improve. This can be achieved through a combination of medication, therapy (such as cognitive-behavioral therapy), lifestyle changes, and relaxation techniques.

Here are some strategies that may help you manage your symptoms and improve your overall well-being:
1. Regular Exercise: Engaging in physical activity can help regulate your autonomic nervous system and reduce anxiety. Aim for at least 30 minutes of moderate exercise most days of the week.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, and deep breathing exercises can help calm your mind and body, reducing the impact of stress on your autonomic nervous system.

3. Healthy Diet: Eating a balanced diet and avoiding stimulants like caffeine and sugar, especially in the evening, can help stabilize your energy levels and reduce gastrointestinal discomfort.

4. Sleep Hygiene: Prioritize good sleep habits by establishing a regular sleep schedule, creating a restful environment, and avoiding screens before bedtime.

5. Therapy: Consider working with a mental health professional who specializes in anxiety disorders. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing the thought patterns that contribute to anxiety and panic attacks.

6. Medication: If you are already on medication and finding it helpful, continue to work with your healthcare provider to ensure that your treatment plan is optimized for your needs.

7. Stay Connected: Engage with supportive friends and family members. Sharing your experiences can help alleviate feelings of isolation and provide emotional support.

It's important to keep in mind that recovery is a process, and it may take time to see significant improvements. Regular follow-ups with your healthcare provider can help monitor your progress and make necessary adjustments to your treatment plan.

In conclusion, while autonomic nervous system disorders can be challenging, many individuals find relief through a combination of lifestyle changes, therapy, and medication. By taking proactive steps to manage your symptoms and reduce stress, you can work towards feeling more like your former self. Don't hesitate to reach out for support when needed, and remember that you are not alone in this journey. Wishing you all the best on your path to recovery!

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