How to Balance Your Autonomic Nervous System for Better Digestion? - Neurology

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How to avoid excessive parasympathetic nervous system activity?


Hello Doctor, I often experience the following symptoms: bloating, excessive stomach acid, general weakness, and a slow heart rate.
The main symptoms are bloating and excessive stomach acid.
I had an endoscopy, and everything appeared normal.
However, when I focus on my work, the symptoms significantly improve.
But at night, I experience severe bloating while sleeping, and it's not possible to work hard while I sleep, so I have been unable to resolve the nighttime bloating issue.
I suspect that my parasympathetic nervous system might be too dominant, as previous tests showed that my parasympathetic activity is twice that of my sympathetic activity.
I would like to ask the doctor if there are any methods to stimulate the sympathetic nervous system to reduce the dominance of the parasympathetic system.
Thank you, Doctor.

Niming, 30~39 year old female. Ask Date: 2021/06/27

Dr. Jiang Junyi reply Neurology


Hello: Your symptoms may not be solely due to excessive parasympathetic activity.
Typically, when the parasympathetic nervous system is activated, intestinal motility increases, leading to feelings of hunger, increased appetite, and a sense of sleepiness.
Bloating is less commonly associated with this (which is more characteristic of sympathetic nervous system symptoms).
I wonder if you have issues related to sleep apnea? Have you been tested for metabolic disorders such as hypothyroidism or electrolyte imbalances?
In fact, exercise can improve the autonomic nervous system.
During exercise, sympathetic nervous system activity increases, which triggers a counter-response (activation of the parasympathetic nervous system), helping to maintain internal balance and producing a sense of pleasure post-exercise.
Long-term exercise can enhance sympathetic nervous system activation, and this counteracting process strengthens parasympathetic nervous system activity, leading to increased feelings of calmness.
During this counteracting process, endorphins are released, helping individuals become accustomed to discomfort from exercise and experience pleasure afterward.

I recommend establishing a regular routine and incorporating exercise into your habits.
It would be advisable to consult a neurologist for further evaluation and follow-up.
Please ensure to practice self-protection, cleanliness, and disinfection, and adhere to new preventive measures before and after your medical visits.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.

Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2021/06/27

More Info


Balancing the autonomic nervous system (ANS) is crucial for overall health, particularly for digestive health. The ANS is divided into two main branches: the sympathetic nervous system (SNS), which prepares the body for 'fight or flight' responses, and the parasympathetic nervous system (PNS), which promotes 'rest and digest' activities. An imbalance, such as an overactive PNS, can lead to symptoms like bloating, excessive stomach acid, and fatigue, as you've described.


Understanding Your Symptoms
Your symptoms of bloating and excessive stomach acid, especially at night, suggest that your body may be favoring parasympathetic activity. This could be due to various factors, including stress, diet, and lifestyle. When you work diligently, your body may shift into a more sympathetic state, alleviating some symptoms. However, this is not a sustainable solution, especially since you experience discomfort at night when you are trying to rest.


Strategies to Stimulate the Sympathetic Nervous System
1. Physical Activity: Engaging in regular exercise is one of the most effective ways to stimulate the SNS. Activities like brisk walking, jogging, or high-intensity interval training (HIIT) can help increase sympathetic tone. Aim for at least 30 minutes of moderate exercise most days of the week.

2. Breathing Techniques: While deep, slow breathing is often recommended for relaxation, incorporating short bursts of rapid breathing can stimulate the SNS. Try alternating between deep breaths and quick, shallow breaths for a few minutes.

3. Cold Exposure: Cold showers or splashing cold water on your face can activate the sympathetic nervous system. This can help increase alertness and energy levels, potentially counteracting the overactivity of the PNS.

4. Caffeine: Moderate consumption of caffeine can stimulate the SNS. However, be cautious with timing and quantity, as too much caffeine, especially later in the day, can disrupt sleep.

5. Mindfulness and Stress Management: While it may seem counterintuitive, certain mindfulness practices can help balance the ANS. Techniques such as yoga or tai chi can promote a healthy balance between the SNS and PNS by reducing overall stress levels.

6. Dietary Adjustments: Eating smaller, more frequent meals can help manage digestive symptoms. Avoid heavy meals close to bedtime, as they can exacerbate bloating. Incorporating foods rich in probiotics, such as yogurt or fermented foods, may also support gut health.

7. Sleep Hygiene: Establishing a regular sleep routine can help regulate your body's natural rhythms. Ensure your sleeping environment is conducive to rest—dark, quiet, and cool. Avoid screens before bed, as blue light can interfere with melatonin production and disrupt sleep.

8. Hydration and Electrolyte Balance: Dehydration can exacerbate symptoms of autonomic imbalance. Ensure you are adequately hydrated throughout the day, and consider electrolyte-rich beverages if you are active or sweating.


Monitoring and Professional Guidance
Since you have already undergone tests to assess your autonomic nervous system, it may be beneficial to follow up with a healthcare provider who specializes in autonomic disorders. They can provide tailored advice and may suggest further testing or interventions based on your specific symptoms and lifestyle.


Conclusion
Balancing your autonomic nervous system is a multifaceted approach that involves lifestyle changes, dietary adjustments, and possibly professional guidance. By incorporating physical activity, stress management techniques, and mindful eating habits, you can help stimulate your sympathetic nervous system and alleviate symptoms associated with an overactive parasympathetic response. Remember to consult with a healthcare professional before making significant changes to your routine, especially if you have underlying health conditions.

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