Autonomic Nervous System Disorders and Their Impact on Anxiety

Q: Autonomic Nervous System Disorders and Their Impact on Anxiety

Hello： **If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms. <br>If most results are normal or only show minor abnormalities that cannot explain the physical discomfo

Autonomic nervous system dysfunction?

Hello Dr.
Wang, I often experience a sensation of missed heartbeats (VPC), which leads to anxiety and panic attacks.
I have consulted both a cardiologist and a psychiatrist, and they suggested that it may be caused by autonomic nervous system dysregulation.
Dr.
Wang, will autonomic nervous system dysregulation improve? Due to my anxiety and panic disorder, the psychiatrist has prescribed 20 mg of escitalopram capsules twice daily, along with half a tablet of Xanax at bedtime.
Can escitalopram help in self-managing autonomic nervous system dysregulation? Also, I apologize for asking, but does masturbation lead to an increased heart rate, indicating heightened sympathetic nervous system activity, and could it contribute to autonomic nervous system dysregulation? What dietary supplements can I take to gradually stabilize autonomic nervous system dysregulation? Thank you, Dr.
Wang, and please take care of your health during the pandemic.
Wishing you peace and thank you for your hard work!

Xiao Yi, 20~29 year old female. Ask Date: 2021/05/29

Dr. Wang Yaoting reply Psychiatry

Hello: If you are experiencing multiple physical discomforts, it is generally recommended to first visit a hospital for a general examination of the uncomfortable symptoms.
If most results are normal or only show minor abnormalities that cannot explain the physical discomfort, it may indicate 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 physical symptoms such as: chest tightness, difficulty breathing, palpitations, gastrointestinal discomfort, gastroesophageal reflux, and more.
There may also be psychological symptoms such as anxiety, mood disturbances, and insomnia.
Autonomic nervous system dysfunction is merely a warning sign, with the most common cause being the accumulation of long-term stress, along with insufficient sleep, lack of exercise, and inadequate rest and relaxation. In the acute phase, treatment may involve serotonin medications and anxiolytics; for example, the active ingredient in Xibin is fluoxetine, which is the same as the ingredient in Prozac, while Zoloft is an anxiolytic that should be suitable for acute phase treatment.
Erection is primarily controlled by the sympathetic nervous system, while ejaculation is governed by the parasympathetic nervous system; generally, masturbation does not cause autonomic nervous system dysfunction. Dietary supplements to consider include B vitamins and deep-sea fish oil.
I hope this answers your question :)

Reply Date: 2021/05/29

More Info

Hello! Thank you for your thoughtful question regarding autonomic nervous system (ANS) disorders and their relationship with anxiety and panic attacks. It’s important to understand that the autonomic nervous system plays a crucial role in regulating 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.

From your description, it seems that you are experiencing symptoms that may indeed be linked to autonomic nervous system dysregulation. The sensation of skipped heartbeats, known as ventricular premature contractions (VPCs), can be distressing and may trigger feelings of anxiety or panic. This is not uncommon, as the body's response to perceived threats can amplify sensations that might otherwise be benign.

Regarding your question about whether autonomic nervous system disorders can improve, the answer is generally yes. Many individuals experience fluctuations in their symptoms, and with appropriate treatment and lifestyle modifications, many find relief. The medications prescribed to you, such as the capsule containing the active ingredient "Xipamide" (assuming this is what you meant), are typically used to manage anxiety and can help stabilize your mood and reduce panic symptoms. However, it’s essential to have realistic expectations; while medication can be beneficial, it often works best in conjunction with therapy and lifestyle changes.

As for the concern about masturbation and its effects on heart rate and the autonomic nervous system, it is true that sexual arousal and orgasm activate the sympathetic nervous system, leading to increased heart rate and other physiological changes. For most people, this is a normal response and does not indicate a problem. However, if you find that this activity consistently leads to heightened anxiety or panic symptoms, it may be worth discussing with your healthcare provider to explore any underlying issues.

In terms of dietary supplements and lifestyle changes that may help stabilize the autonomic nervous system, consider the following:
1. Omega-3 Fatty Acids: Found in fish oil, these have been shown to have anti-inflammatory properties and may help improve mood and anxiety levels.

2. Magnesium: This mineral plays a role in nerve function and can help reduce anxiety. Foods rich in magnesium include leafy greens, nuts, seeds, and whole grains.

3. B Vitamins: These vitamins are essential for brain health and can help manage stress and anxiety. Foods rich in B vitamins include whole grains, eggs, and legumes.

4. Adaptogenic Herbs: Herbs like ashwagandha, rhodiola, and holy basil may help the body adapt to stress and balance the autonomic nervous system.

5. Regular Exercise: Physical activity is one of the most effective ways to reduce anxiety and improve overall mental health. It helps regulate the autonomic nervous system by promoting the release of endorphins.

6. Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, and deep breathing exercises can help activate the parasympathetic nervous system, promoting relaxation and reducing anxiety.

7. Adequate Sleep: Prioritizing good sleep hygiene can significantly impact your overall mental health and the functioning of your autonomic nervous system.

Lastly, it’s crucial to maintain open communication with your healthcare providers about your symptoms and treatment plan. They can help tailor your approach based on your specific needs and monitor your progress. Remember, recovery is often a gradual process, and it’s important to be patient with yourself as you navigate these challenges. Wishing you all the best on your journey to better health!

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