Anxiety-Related Physical Symptoms: A Guide to Managing Health Concerns

Q: Anxiety-Related Physical Symptoms: A Guide to Managing Health Concerns

Hello Ms. <br>Lu： If you have seen other specialists and no significant issues were found, it is very likely that you are experiencing autonomic nervous system dysregulation, which may also be accompanied by symptoms of depression, anxiety, or panic. <br>These conditions can be g

Frequent discomfort in the body?

I have a personality that is prone to nervousness and anxiety, and I also have health anxiety issues.
Whenever I experience minor symptoms, I tend to think the worst, often jumping to the conclusion that it might be cancer (this has been a problem for over 10 years).
Aware of this issue, I have researched ways to relax both my body and mind, and I have been practicing yoga, but I still feel it hasn't helped much.
Last year, I experienced chest tightness and shortness of breath, which led me to the emergency room, but all test results came back normal.
The doctor mentioned that I had a potassium deficiency, which fluctuates, and I occasionally experience discomfort that I haven't felt before, but it usually improves after a while.
Recently, I suddenly experienced dizziness, fatigue, and excessive sleepiness, but these symptoms resolved on their own after 1-2 weeks.
I also encountered low blood pressure issues, but resting helped me return to normal.
These sudden physical discomforts tend to resolve gradually, but during the episodes, I tend to think the situation is severe, and the discomfort intensifies.

Additionally, I have been dealing with long-term symptoms such as chest tightness (occasionally accompanied by numbness) and weakness in my left arm and leg, which have persisted for over six months.
These symptoms last for 1-2 weeks before improving, but they keep recurring.
Whenever the symptoms appear, my anxiety and panic increase, worsening my health anxiety.
I have consulted a neurologist regarding the issues with my left arm and leg, and brain scans showed no problems.
For the chest tightness, I visited both a pulmonologist and a cardiologist, who found only mild mitral valve prolapse, with everything else normal.
I also saw an endocrinologist, and blood tests, including thyroid function tests, were normal.
The pulmonologist suggested that my symptoms might be due to autonomic nervous system dysfunction and prescribed heart rhythm medication and Anxiolytics, advising me to take them as needed rather than daily.
Initially, I felt the medication was effective, but recently, when I take it during episodes of discomfort, I don't notice much improvement; instead, I feel more fatigued and weak.
Moreover, if I don't take the medication, my discomfort intensifies, and the symptoms of chest tightness and weakness in my left arm and leg become more pronounced.
This situation increases my anxiety, leading me to believe that it might not be autonomic nervous system dysfunction but rather an underlying physical issue.
I would like to ask for your advice, thank you.

Lu, 20~29 year old female. Ask Date: 2022/06/21

Dr. Lin Mianzhang reply Psychiatry

Hello Ms.
Lu: If you have seen other specialists and no significant issues were found, it is very likely that you are experiencing autonomic nervous system dysregulation, which may also be accompanied by symptoms of depression, anxiety, or panic.
These conditions can be greatly improved with medication and psychotherapy.
Heart rhythm medications and Amberning are symptomatic treatments and do not address the root cause; you may need to take antidepressants to improve your situation.
Taking antidepressants does not mean you have depression; they can help regulate the autonomic nervous system and stabilize mood, and are commonly used to treat autonomic nervous system dysregulation, unlike sedative sleep medications (such as Amberning), which can be addictive.
It is recommended that you consult a psychiatrist for a more comprehensive evaluation and treatment.
Wishing you a speedy recovery.

Reply Date: 2022/06/21

More Info

Understanding anxiety-related physical symptoms can be a complex and challenging journey, especially for individuals who have a predisposition to anxiety and health concerns. Your experience reflects a common pattern seen in those with anxiety disorders, particularly health anxiety or hypochondria, where minor physical symptoms are often interpreted as serious health issues. This can lead to a cycle of worry and increased physical symptoms, which can further exacerbate anxiety.

Firstly, it's important to recognize that anxiety can manifest in various physical symptoms, including chest tightness, shortness of breath, dizziness, and numbness or weakness in limbs. These symptoms can be distressing and may lead you to seek medical attention frequently, as you've described. The fact that you've undergone multiple medical evaluations and tests, which have returned normal results, is a positive indication that there are no underlying serious health conditions. However, the persistence of your symptoms can understandably lead to frustration and concern.

The connection between anxiety and physical symptoms is well-documented in medical literature. Anxiety triggers the body's "fight or flight" response, leading to the release of stress hormones such as adrenaline. This physiological response can cause various symptoms, including increased heart rate, muscle tension, and changes in breathing patterns. For individuals with anxiety disorders, these physical sensations can be misinterpreted as signs of a serious medical condition, leading to a heightened state of anxiety.

Given your history of health anxiety, it may be beneficial to explore cognitive-behavioral therapy (CBT) or other forms of psychotherapy. CBT is particularly effective in addressing anxiety disorders by helping individuals identify and challenge irrational thoughts and beliefs about health. This therapeutic approach can provide you with tools to manage your anxiety more effectively and reduce the focus on physical symptoms.

In addition to therapy, incorporating relaxation techniques into your daily routine can be beneficial. Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce overall anxiety levels and improve your ability to cope with stress. While you mentioned practicing yoga, consider exploring different styles or incorporating mindfulness elements into your practice to enhance its effectiveness.

It's also essential to maintain open communication with your healthcare providers. If you feel that the medications prescribed for your symptoms are not providing relief or are causing fatigue, discuss this with your doctor. They may consider adjusting your treatment plan or exploring alternative options that may be more effective for you.

Lastly, it's crucial to practice self-compassion and patience with yourself during this process. Recovery from anxiety-related issues takes time, and it's normal to experience ups and downs along the way. Acknowledge your efforts to manage your health and well-being, and remember that seeking help is a sign of strength.

In summary, your symptoms are likely a manifestation of anxiety rather than an indication of a serious medical condition. Engaging in therapy, practicing relaxation techniques, and maintaining open communication with your healthcare providers can significantly improve your quality of life and help you manage your anxiety more effectively. Remember, you are not alone in this journey, and support is available to help you navigate these challenges.

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