Fatigue, Acid Reflux, and Neck Pain: A Mental Health Perspective - Psychiatry

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Fatigue, acid reflux, neck and shoulder pain?


Hello, doctor.
Recently, I have been experiencing intermittent acid reflux, and I feel pain in my shoulders and neck after looking at the computer or phone for a long time.
Sometimes, I also have unexplained fatigue, and watching stimulating videos (like gaming videos) can lead to feelings of anxiety.
I have no issues with sleep, but when I wake up in the morning, I feel like I can't go back to sleep.
What could be the problem, doctor?

Yu, 10~19 year old female. Ask Date: 2021/02/27

Dr. Wang Yaoting reply Psychiatry


Hello: Based on your description, you may be experiencing symptoms of "autonomic nervous system dysfunction." The autonomic nervous system includes the sympathetic and parasympathetic nervous systems, which can become overactive or lose their rhythm due to stress or physical factors, leading to various uncomfortable symptoms such as: chest tightness, difficulty breathing, gastrointestinal discomfort, gastroesophageal reflux, generalized fatigue, and muscle soreness.
Additionally, you may experience anxiety, mood disturbances, and insomnia as psychological symptoms.
It is generally recommended to first undergo a routine examination for the physical discomfort symptoms.
If most results are normal or show only minor abnormalities that cannot explain the physical discomfort, it may indicate autonomic nervous system dysfunction.
You can seek care at a nearby psychosomatic or psychiatric clinic, where both medication and psychotherapy can lead to improvement.
I hope this answers your question :)

Reply Date: 2021/02/27

More Info


Hello! It sounds like you are experiencing a combination of symptoms that can be quite distressing, including acid reflux, neck pain, fatigue, and anxiety, especially when engaging with stimulating content like video games. Let's break down these issues and explore their potential connections from a mental health perspective.

Firstly, acid reflux, or gastroesophageal reflux disease (GERD), can be exacerbated by stress and anxiety. When you are under stress, your body produces more stomach acid, and the muscles that keep the stomach contents from flowing back into the esophagus may not function as effectively. This can lead to the symptoms you are experiencing, such as heartburn or regurgitation. Additionally, certain behaviors associated with stress, such as eating quickly or consuming trigger foods (like spicy or fatty foods), can worsen reflux symptoms.

Neck pain is another common issue that can arise from prolonged periods of looking at screens, especially if your posture is poor. When you spend long hours hunched over a computer or mobile device, it can lead to muscle tension in the neck and shoulders, resulting in pain and discomfort. This physical discomfort can further contribute to feelings of fatigue and anxiety, creating a cycle that can be hard to break.

Fatigue, particularly when it feels unexplained, can often be linked to mental health. Stress and anxiety can lead to mental exhaustion, which can manifest as physical fatigue. Even if you are getting enough sleep, the quality of that sleep can be affected by your mental state. You mentioned that you wake up feeling like you can't go back to sleep; this could be a sign of anxiety or racing thoughts that prevent you from feeling rested.

The connection between mental health and physical symptoms is well-documented. Stress and anxiety can lead to a variety of physical manifestations, including gastrointestinal issues, muscle tension, and fatigue. This is sometimes referred to as psychosomatic symptoms, where psychological distress translates into physical discomfort.
To address these issues, consider the following strategies:
1. Mindfulness and Relaxation Techniques: Incorporating mindfulness practices, such as meditation or deep breathing exercises, can help reduce anxiety and improve your overall sense of well-being. These techniques can also help manage the physical symptoms of stress, including muscle tension and gastrointestinal discomfort.

2. Posture Awareness: Pay attention to your posture when using electronic devices. Ensure that your workstation is ergonomically set up to reduce strain on your neck and shoulders. Taking regular breaks to stretch and move around can also help alleviate tension.

3. Dietary Adjustments: Keep a food diary to identify any potential triggers for your acid reflux. Eating smaller, more frequent meals and avoiding known irritants can help manage symptoms.

4. Physical Activity: Regular exercise can be a powerful tool for managing both physical and mental health. It can help reduce muscle tension, improve mood, and promote better sleep.

5. Professional Support: If your symptoms persist or worsen, consider seeking help from a mental health professional. They can provide you with coping strategies and therapeutic techniques to manage anxiety and stress effectively.

In conclusion, your symptoms of acid reflux, neck pain, and fatigue may be interconnected and influenced by your mental health. By addressing both the physical and psychological aspects of your experience, you can work towards finding relief and improving your overall quality of life. Remember, it's essential to listen to your body and seek professional guidance when needed. Take care!

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