Autonomic Nervous System Disorders: Symptoms and When to Seek Help - Family Medicine

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Autonomic Nervous System Dysfunction


Hello, I would like to inquire if the following symptoms could be related to autonomic nervous system dysfunction.
I have noticed that when I am faced with a task I lack confidence in completing, I often experience nausea.
Initially, it may just be a loss of appetite, but generally, I can manage two meals a day without issue.
However, after a few days, the symptoms worsen; seeing food, smelling it, or even just thinking about food can trigger gagging.
If I eat something, I might vomit shortly after.
Sometimes, I experience unexplained shortness of breath, a rapid heartbeat, and a sense of panic, although I am not sure what I am afraid of.
Additionally, I have had two consecutive menstrual cycles that have inexplicably prolonged, lasting over two weeks.
I would like to know if this could be related to the aforementioned symptoms.
Would you recommend seeing a doctor? Thank you.

Niming, 10~19 year old female. Ask Date: 2021/06/21

Dr. Ye Qianyu reply Family Medicine


Hello! Based on your description, your symptoms have affected your daily life.
I recommend that you seek treatment from a mental health specialist.

Reply Date: 2021/06/21

More Info


Based on your symptoms and concerns, it is indeed possible that you are experiencing autonomic nervous system (ANS) dysfunction, commonly referred to as dysautonomia. The autonomic nervous system regulates involuntary bodily functions, including heart rate, digestion, respiratory rate, and the fight-or-flight response. When this system is out of balance, it can lead to a variety of symptoms, many of which you have described.

Your symptoms of nausea, loss of appetite, and vomiting, particularly in response to stress or anxiety-inducing situations, suggest a possible connection to the autonomic nervous system. The ANS has 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. When you are faced with stress or anxiety, the sympathetic nervous system may become overactive, leading to symptoms such as rapid heart rate, shortness of breath, and gastrointestinal disturbances like nausea and vomiting.

Additionally, the irregularities in your menstrual cycle, such as prolonged periods, can also be linked to autonomic dysfunction. The ANS plays a role in regulating hormonal balance and menstrual cycles, and stress or anxiety can disrupt this balance, leading to changes in your menstrual patterns.

Given the complexity of your symptoms, it is advisable to seek medical attention. A healthcare provider can conduct a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests. These tests might include blood work to check for hormonal imbalances, imaging studies, or autonomic function tests to assess how well your autonomic nervous system is functioning.

In the meantime, there are several strategies you can employ to help manage your symptoms. Stress management techniques, such as mindfulness meditation, deep breathing exercises, and yoga, can be beneficial in calming the nervous system and reducing anxiety. Regular physical activity, a balanced diet, and adequate hydration can also support overall health and may help alleviate some of your symptoms.

If your symptoms are severe or persistent, it is crucial to consult with a healthcare professional. They may refer you to a specialist, such as a neurologist or a psychiatrist, who can provide further insights into your condition and recommend appropriate treatment options. Treatment may include therapy for anxiety, medications to help regulate the autonomic nervous system, or lifestyle modifications to reduce stress and improve overall well-being.

In summary, your symptoms could very well be related to autonomic nervous system dysfunction, and it is important to seek medical advice to address your concerns. Early intervention can lead to better management of your symptoms and improve your quality of life.

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