Autonomic nervous system dysfunction?
Hello, last week I visited a clinic due to a cold and was prescribed medication.
After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seemed to worsen.
Upon checking, I found that two of the medications I took, Alltec and HOMALIN, contain antihistamines and anticholinergic agents, which have side effects including dry mouth.
I also noticed that my thirst symptoms are somewhat relieved when I eat or when I wake up in the morning (perhaps because the parasympathetic nervous system is more active during relaxation?).
Therefore, I would like to ask the doctor:
1) Could this be a case of autonomic nervous system dysfunction caused by the side effects of the medication, or is it possible that I had a mild dysfunction that was asymptomatic until the medication brought it to light?
2) I have already stopped taking the medication for about a week, but I still experience thirst.
I have noticed that practicing abdominal breathing relaxation before bed helps reduce the severity of my thirst the next day.
Should I expect the symptoms to take more time to resolve?
3) I usually have a habit of exercising, although not very frequently.
I am now planning to incorporate regular daytime exercise (30 minutes of jogging every other day), go to bed earlier to avoid staying up late, and engage in more outdoor activities to relax and adjust my physical and mental state, or practice some abdominal breathing.
Without medication, can these measures help restore my autonomic nervous system to normal, considering that my only significant symptom is thirst?
4) With my current condition of persistent thirst leading to frequent urination, could there be any other issues arising from this, or is it acceptable as long as I stay within the normal daily water intake requirements?
5) Can chewing sugar-free gum help stimulate saliva production to alleviate my thirst? Thank you, doctor, for your answers!
Xiao Ming, 20~29 year old female. Ask Date: 2023/10/15
Dr. Jiang Junyi reply Neurology
Hello Mr.
Xiao Ming,
You mentioned that "you have stopped taking medication for about a week...
and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be ruled out.
I wonder if you are taking any other medications? You also mentioned, "with this constant thirst, drinking water and running to the bathroom, could there be any other issues, or is it fine as long as I stay within the normal daily water intake for the body?" Remember to replenish electrolytes, such as by drinking soup, etc.
Avoid excessive water intake to prevent complications like hyponatremia.
You asked, "Is it possible for the autonomic nervous system to return to normal without medication?" Engaging in various forms of exercise can enhance the regulation of the autonomic nervous system.
I recommend wearing a smart wearable device to monitor heart rate variability to understand the state of your autonomic nervous system.
Thank you for your questions, and feel free to discuss any related issues further! Wishing you good health, peace, and joy.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.
Reply Date: 2023/10/15
More Info
Understanding Autonomic Nervous System Disorders and Their Symptoms
Hello! Thank you for your detailed inquiry regarding your symptoms and concerns related to the autonomic nervous system (ANS) and the medications you have been taking. It’s important to understand how the ANS functions and how medications can impact it, especially when dealing with symptoms like excessive thirst and dry mouth.
1. Medication Side Effects and Autonomic Nervous System Disorders: The medications you mentioned, Alltec and Homalin, contain antihistamines and anticholinergic agents, which can indeed lead to side effects such as dry mouth and increased thirst. Anticholinergic medications block the action of acetylcholine, a neurotransmitter that plays a crucial role in the parasympathetic nervous system, which is responsible for "rest and digest" functions. When this system is inhibited, you may experience symptoms like dry mouth, constipation, and urinary retention. It’s possible that you had a mild form of autonomic dysfunction prior to taking these medications, which became more pronounced due to their side effects.
2. Duration of Symptoms After Stopping Medication: Since you have stopped taking the medication for about a week and are still experiencing symptoms, it may take some time for your body to readjust. The duration for symptoms to resolve can vary from person to person, depending on factors such as metabolism, hydration levels, and overall health. Engaging in relaxation techniques, such as abdominal breathing, can help stimulate the parasympathetic nervous system, potentially alleviating some of your symptoms.
3. Lifestyle Changes and Their Impact: Your plan to incorporate regular exercise, maintain a consistent sleep schedule, and engage in outdoor activities is excellent. Physical activity can enhance overall autonomic function and improve mood, which may help mitigate symptoms of autonomic dysfunction. Additionally, practicing relaxation techniques can help balance the sympathetic and parasympathetic nervous systems. While you may not be on medication currently, these lifestyle changes can significantly contribute to restoring balance in your autonomic nervous system.
4. Hydration and Urination Concerns: It’s important to maintain adequate hydration, especially if you are experiencing increased thirst. However, if you find yourself drinking excessive amounts of water and frequently needing to urinate, it may be worth discussing with a healthcare provider. The general recommendation is to drink when you are thirsty and to aim for about 2-3 liters of water per day, depending on your activity level and climate. If you notice any other symptoms, such as fatigue, dizziness, or changes in urination patterns, it would be prudent to seek medical advice.
5. Chewing Sugar-Free Gum: Chewing sugar-free gum can indeed stimulate saliva production, which may help alleviate the sensation of dry mouth. This is a simple and effective strategy to manage your symptoms without the need for additional medications.
In summary, your symptoms may be related to the medications you were taking, and it’s possible that they have exacerbated an underlying mild autonomic dysfunction. The good news is that with lifestyle modifications, relaxation techniques, and proper hydration, you can work towards restoring balance in your autonomic nervous system. If symptoms persist or worsen, it would be advisable to consult with a healthcare professional for further evaluation and management. Thank you for your questions, and I wish you the best on your journey to better health!
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