Autonomic Nervous System Disorders: Symptoms and Solutions - Psychiatry

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Autonomic Nervous System Dysregulation


Hello Doctor, after staying up late in June (around 3 AM, not due to exams), I experienced nausea, bloating, and loss of appetite, which has persisted until now.
I consulted a doctor and had an X-ray, which revealed excessive air in the gastrointestinal tract.
It was suspected that stress caused irritable bowel syndrome, and while my symptoms have slightly improved, I still feel unwell.
The stress is due to preparing for exams, but even after the exams ended, the symptoms did not alleviate.
Last year, I also experienced hair loss, which was also attributed to stress.

1.
Is it possible that the pressure has not been relieved because the exam results have not yet been announced?
2.
I also experience a rapid heartbeat, a sensation of pressure in one ear, and a feeling of wanting to vomit when pressing on my throat.

3.
Could this be a case of autonomic nervous system dysfunction? Should I see a psychiatrist?
4.
What are some methods to alleviate these symptoms? Thank you, Doctor.

Yiyi, 10~19 year old female. Ask Date: 2022/07/21

Dr. Qiu Junda reply Psychiatry


Hello.
These issues can be explained as psychosomatic symptoms caused by stress.
The symptoms are similar to those of autonomic nervous system dysregulation.
You can search for information on stress management and learn some methods (such as deep breathing, chatting with friends, or going out to eat) to alleviate and improve your condition.
If you feel that there is not much improvement after a while, it is still advisable to take the time to consult a psychiatrist and discuss ways to improve with a physician.

Reply Date: 2022/07/21

More Info


Hello! Based on your description, it seems that you are experiencing a range of symptoms that could indeed be related to autonomic nervous system (ANS) disorders, particularly in the context of stress and anxiety. Let’s break down your concerns and provide some insights into each of them.

1. Stress and Symptoms: You mentioned that your symptoms began after a night of poor sleep and have persisted despite the end of your exams. Stress can have a profound impact on the body, leading to gastrointestinal issues such as bloating, nausea, and loss of appetite, which you are experiencing. The fact that your symptoms have not improved even after the stressor (the exams) has passed suggests that your body may still be in a heightened state of stress or anxiety. This can happen when the mind continues to worry about outcomes, such as exam results, leading to persistent physiological symptoms.

2. Physical Symptoms: The symptoms you describe, such as rapid heartbeat, a sensation of fullness or pressure in the throat, and feelings of nausea, can be indicative of autonomic dysregulation. The ANS controls involuntary bodily functions, including heart rate, digestion, and respiratory rate. When under stress, the sympathetic nervous system (the "fight or flight" response) can become overactive, leading to symptoms like increased heart rate and gastrointestinal discomfort. The sensation of pressure in your throat could be related to anxiety, which can cause muscle tension in the throat area, leading to feelings of nausea.

3. Autonomic Nervous System Dysfunction: Given your symptoms, it is plausible that you are experiencing some form of autonomic nervous system dysfunction. This can manifest as gastrointestinal issues, cardiovascular symptoms (like a racing heart), and even psychological symptoms such as anxiety or panic. It may be beneficial to consult with a healthcare professional, such as a neurologist or a psychiatrist, who can help assess whether your symptoms are indeed related to an ANS disorder or if they stem from anxiety or another underlying condition.

4. Management and Relief Strategies: To alleviate your symptoms, consider the following strategies:
- Stress Management Techniques: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. These practices can help activate the parasympathetic nervous system (the "rest and digest" response), which can counteract the effects of stress.

- Regular Exercise: Physical activity can help reduce stress and improve mood. Aim for at least 30 minutes of moderate exercise most days of the week.

- Healthy Diet: Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Avoid excessive caffeine and sugar, which can exacerbate anxiety and gastrointestinal symptoms.

- Sleep Hygiene: Ensure you are getting adequate sleep by establishing a regular sleep schedule, creating a restful environment, and avoiding screens before bedtime.

- Professional Support: If your symptoms persist or worsen, consider seeking help from a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective for managing anxiety and stress-related symptoms.

In summary, your symptoms may indeed be related to autonomic nervous system dysfunction, exacerbated by stress and anxiety. It is advisable to consult with a healthcare provider for a comprehensive evaluation and to discuss potential treatment options tailored to your needs. Remember, taking proactive steps towards managing your stress and seeking professional help can significantly improve your overall well-being.

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