Could My Breathing Issues Be Symptoms of Autonomic Nervous System Disorder? - Internal Medicine

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Could you please tell me if this is a symptom of autonomic nervous system dysfunction?


Hello doctor, recently I don't know if it's because I've been watching too much news, but after seeing the news about happy hypoxia yesterday, I suddenly feel like my breathing isn't as smooth.
Plus, I've been busier at work this week and staying up late.
When I woke up this morning, I still had this feeling...
I quickly wanted to buy a pulse oximeter, but they're out of stock everywhere...
which is making me a bit anxious.
I keep feeling like I need to take deep breaths...
but I haven't gone out for two weeks, only ordering takeout.
I'm usually quite careful to disinfect and wash my hands, and I don't have any other symptoms...
it's just that my breathing feels off.
However, I've calculated that I'm breathing about 12-14 times per minute, which shouldn't indicate low oxygen levels...
but it just feels strange and hard to describe.
I would like to ask the doctor if this could be a symptom of autonomic nervous system dysregulation? Do I need to make an appointment? Thank you.
🙏

Jerry, 30~39 year old female. Ask Date: 2021/06/11

Dr. Hong Yuanbin reply Internal Medicine


Hello, what you refer to as autonomic nervous system dysregulation is usually a chronic condition.
Based on your description, most of the symptoms have occurred recently, which suggests that stress may be a significant factor.
As for whether there is a lack of oxygen, that would require measuring blood oxygen levels to determine.
If you live near a high-infection area, such as the Taipei metropolitan area, it is advisable to visit a community testing station for examination.
If you are in other regions, it is recommended to first relieve stress.
If discomfort persists, then seek medical attention.
Thank you for your inquiry.

Reply Date: 2021/06/11

More Info


Your concerns about breathing difficulties and the potential link to autonomic nervous system (ANS) disorders are quite valid, especially given the context of recent stressors and anxiety. The autonomic nervous system regulates involuntary bodily functions, including heart rate, digestion, and respiratory rate. When this system is disrupted, it can lead to a variety of symptoms, including those related to breathing.

From your description, it seems that your breathing issues may indeed be related to anxiety and stress, which can trigger or exacerbate symptoms associated with ANS dysregulation. The feeling of not being able to breathe deeply or the sensation of needing to take a deep breath can often be linked to anxiety. This is sometimes referred to as "air hunger," where individuals feel they are not getting enough air, even when their oxygen levels are normal.

1. Breathing Patterns and Anxiety: Anxiety can lead to changes in breathing patterns, often resulting in shallow or rapid breathing. This can create a feedback loop where the sensation of not getting enough air increases anxiety, which in turn can make breathing feel even more difficult. You mentioned that you have been under stress and have not left your home for two weeks, which can contribute to feelings of anxiety and isolation, further impacting your breathing.

2. Physical Symptoms of ANS Dysregulation: While you may not have other overt symptoms of ANS dysfunction, such as palpitations or gastrointestinal issues, it is important to recognize that the body can manifest stress in various ways. The fact that you are experiencing these breathing sensations after a period of heightened stress and anxiety suggests that your body may be responding to psychological stressors.

3. Need for Medical Evaluation: Given that you have been experiencing these symptoms for a couple of weeks, it would be prudent to consult a healthcare professional. While your breathing rate appears to be within a normal range, the subjective feeling of breathlessness can still warrant further investigation. A healthcare provider can conduct a thorough assessment, including a physical examination and possibly some tests to rule out any underlying respiratory or cardiovascular issues.

4. Self-Care Strategies: In the meantime, consider implementing some self-care strategies to help manage your anxiety and improve your breathing. Techniques such as deep breathing exercises, mindfulness meditation, and gentle physical activity (if possible) can help calm the nervous system. Focusing on your breath, practicing diaphragmatic breathing, and engaging in relaxation techniques can be beneficial.

5. Monitoring Symptoms: Keep track of your symptoms, noting any changes or patterns. If you notice that your breathing difficulties worsen or if you develop new symptoms (such as chest pain, significant fatigue, or dizziness), seek medical attention promptly.

In summary, while your breathing issues could be related to autonomic nervous system dysregulation, particularly in the context of anxiety and stress, a thorough evaluation by a healthcare professional is essential to rule out any other potential causes. Engaging in self-care practices and monitoring your symptoms can also be helpful as you navigate this situation.

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