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.
This week has been busier at work, and I've been going to bed later.
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 been out for two weeks, only ordering takeout.
I'm usually quite careful about disinfecting and washing my hands, and I don't have any other symptoms...
I just feel like my breathing isn't quite right.
However, I've calculated that my breathing rate is about 12-14 times per minute, which shouldn't indicate hypoxemia...
but it just feels strange and hard to describe.
I would like to ask the doctor if this could possibly be a symptom of autonomic nervous system dysregulation? Should I make an appointment? Thank you.
🙏
Jerry, 30~39 year old female. Ask Date: 2021/06/12
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 symptoms have occurred recently, which may be largely due to stress.
As for whether there is a lack of oxygen, it would require measuring blood oxygen levels to determine that.
If you live in 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: 2021/06/12
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 changes in your routine. 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 influenced by anxiety and stress, which can exacerbate autonomic nervous system dysfunction. Anxiety can lead to hyperventilation or a feeling of breathlessness, even when oxygen levels are adequate. This is often referred to as "air hunger," where individuals feel they cannot get enough air, despite normal respiratory rates and oxygen saturation levels. Your observation of a respiratory rate of 12-14 breaths per minute is within the normal range, which suggests that your body is likely receiving sufficient oxygen.
The fact that you have been under increased stress due to work and have limited your physical activity by staying indoors can contribute to feelings of anxiety and discomfort. The mind-body connection is powerful; stress and anxiety can manifest physically, leading to sensations such as tightness in the chest or difficulty breathing. This is particularly common in individuals who are more attuned to their bodily sensations, as they may become hyper-aware of normal physiological processes.
Regarding your question about whether your symptoms could be attributed to an autonomic nervous system disorder, it is important to note that while ANS dysfunction can lead to breathing difficulties, it is often accompanied by other symptoms such as palpitations, dizziness, or gastrointestinal issues. In your case, since you do not report these additional symptoms, it may be more likely that your breathing difficulties are primarily related to anxiety rather than a distinct autonomic disorder.
If your symptoms persist or worsen, it would be advisable to consult a healthcare professional. A visit to a primary care physician or a mental health professional could provide you with a comprehensive evaluation. They can help determine if your symptoms are indeed related to anxiety or if there are other underlying issues that need to be addressed. Cognitive-behavioral therapy (CBT) and other forms of therapy can be effective in managing anxiety and its physical manifestations.
In the meantime, consider implementing some relaxation techniques to help manage your anxiety and improve your breathing. Practices such as deep breathing exercises, mindfulness meditation, and gentle physical activity (like stretching or walking) can help alleviate feelings of breathlessness and promote a sense of calm. Additionally, maintaining a regular sleep schedule and ensuring you have a balanced diet can also support your overall well-being.
In summary, while your breathing issues may be linked to autonomic nervous system dysfunction, they are more likely a manifestation of anxiety and stress. Monitoring your symptoms and seeking professional guidance if they persist will be beneficial. Remember, taking care of your mental health is just as important as addressing physical symptoms.
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