Autonomic Nervous System Disorders and Their Impact on Health - Neurology

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Autonomic nervous system dysfunction


Hello, doctor.
I have developed a habit of masturbation over the past nine months.
Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely.
After about ten minutes, the shaking improved slightly, but I still experienced minor tremors.
Since that episode, I have been dealing with these hand tremors for five months.
Additionally, I have noticed facial twitching during certain counseling sessions, muscle spasms, and shaking while doing planks (which I used to be able to hold easily).
I also have trouble sleeping, experience high levels of stress, feel down, and suffer from gastroesophageal reflux disease (GERD).
I visited a large hospital, and the doctor said my condition is not serious and suggested that I adjust my routine to relax and take things slowly.
My question is, if I want to fully improve, should I stop masturbating? I found conflicting information online; some say that my frequency of masturbation does not indicate an addiction, while others suggest that it can stimulate the sympathetic nervous system, leading to prolonged excitability if not fully released or if done excessively.
Is this my issue? I also tend to stay up late due to academic pressure.
The doctor prescribed me anti-anxiety medication to take if I really can't sleep.
Should I follow this advice, or is it better not to rely on medication? Would you recommend seeing a traditional Chinese medicine practitioner for acupuncture to help with my condition? (My main concern is to resolve the significant facial twitching that occurs during counseling sessions.) Thank you, doctor! I apologize for the many questions, and I appreciate your help!

Niming, 10~19 year old female. Ask Date: 2022/04/07

Dr. Cai Zongzhang reply Neurology


Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.

Reply Date: 2022/04/07

More Info


Understanding Autonomic Nervous System Disorders and Their Impact on Health
Hello! Thank you for sharing your concerns. It sounds like you are experiencing a complex interplay of symptoms that may indeed be linked to autonomic nervous system (ANS) dysfunction. The ANS is responsible for regulating involuntary bodily functions, including heart rate, digestion, respiratory rate, and the fight-or-flight response. When the ANS is out of balance, it can lead to a variety of physical and psychological symptoms.

From your description, it appears that you have been dealing with several issues, including tremors, muscle spasms, sleep disturbances, and gastrointestinal problems. These symptoms can be indicative of autonomic dysregulation, which may be exacerbated by stress, anxiety, and lifestyle factors such as sleep deprivation and high academic pressure.

1. Autonomic Nervous System and Its Role:
The ANS is divided into the sympathetic and parasympathetic nervous systems. The sympathetic system prepares the body for stressful situations (the "fight or flight" response), while the parasympathetic system promotes relaxation and recovery (the "rest and digest" response). When you experience stress or anxiety, the sympathetic system can become overactive, leading to symptoms such as increased heart rate, muscle tension, and tremors.

2. The Impact of Masturbation:
Masturbation is a normal sexual activity, and while it can have various effects on the body, it is generally not considered harmful unless it interferes with daily life or causes distress. Some individuals may experience temporary physical responses, such as muscle spasms or tremors, especially if they are tense or anxious during the act. However, the frequency of masturbation alone is unlikely to be the sole cause of your symptoms. It is essential to consider the overall context of your lifestyle, including stress levels, sleep quality, and emotional well-being.

3. Stress and Anxiety Management:
Given that you mentioned experiencing significant stress and anxiety, it is crucial to address these underlying issues. Chronic stress can lead to a range of physical symptoms, including those related to the ANS. Techniques such as mindfulness, meditation, deep breathing exercises, and regular physical activity can help manage stress levels. Additionally, establishing a consistent sleep routine and prioritizing relaxation can significantly improve your overall well-being.

4. Medication Considerations:
You mentioned that your doctor prescribed medication to help with anxiety and sleep. While medication can be beneficial for managing symptoms, it is essential to use it judiciously and under the guidance of a healthcare professional. If you are concerned about becoming reliant on medication, discuss these concerns with your doctor. They may suggest alternative therapies, such as cognitive-behavioral therapy (CBT), which can be effective for anxiety and sleep issues without the need for long-term medication.

5. Exploring Alternative Therapies:
You also mentioned the possibility of acupuncture or traditional Chinese medicine. These therapies can be beneficial for some individuals, particularly for managing stress and promoting relaxation. If you are interested, consider consulting a licensed practitioner who can provide personalized treatment based on your specific symptoms and health history.

6. Seeking Further Evaluation:
If your symptoms persist or worsen, it may be worthwhile to seek further evaluation from a neurologist or a specialist in autonomic disorders. They can conduct specific tests to assess your autonomic function and provide targeted recommendations for treatment.

In conclusion, while your symptoms may be related to autonomic nervous system dysfunction, it is essential to take a holistic approach to your health. Addressing stress, improving sleep hygiene, and considering both conventional and alternative therapies can help you achieve better balance and improve your overall quality of life. Remember, you are not alone in this journey, and seeking support from healthcare professionals can make a significant difference.

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