Neurological Changes After Influenza: Anxiety and Brain Health - Neurology

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Brain issues


Hello, I would like to ask a question.
Five years ago during the winter break, I contracted influenza A and had a high fever.
After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange.
Sometimes I wake up very excited and chatty in the morning, but by the afternoon, I lose confidence and feel inadequate.
Eventually, I started experiencing anxiety, and by the second half of the year, I developed an anxiety disorder.
I consulted a doctor and took medication, but I still feel like I can't pinpoint the problem.
I want to know if that illness could have caused some sort of brain issue, as I read online that influenza A can potentially lead to neurological complications.
However, at that time, I did not experience excessive sleepiness or altered consciousness; I just felt like my personality changed, but not in an extreme way—like laughing or getting angry at random.

Lastly, I would like to ask if head injuries always result in dizziness or vomiting.
I had an MRI done previously, and the doctor said everything was fine.
I keep wondering if I might have hit my head or something that caused my brain to be affected, leading to my anxiety disorder.

Jason, 20~29 year old female. Ask Date: 2023/12/09

Dr. Jiang Junyi reply Neurology


Hello Mr.
Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting.
You previously had an MRI, and the doctor said everything was fine.
You are concerned whether you might have hit your head or if something else caused your symptoms, leading to anxiety.

Firstly, an MRI primarily rules out structural issues such as brain tumors or cerebrovascular diseases.
Often, emotional instability can occur even when structural imaging appears normal.
I'm not sure about your sleep patterns or if you engage in sufficient outdoor activities.
Current understanding suggests that adequate sunlight exposure can help stabilize mood.

I recommend using a smart wearable device to monitor autonomic nervous system function, combined with mindfulness practices.
If your symptoms persist, it would be advisable to consult a neurologist for further evaluation.
Thank you for your question, and feel free to discuss further.
Wishing you good health, peace, and happiness.

Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2023/12/09

More Info


The concerns you have regarding the neurological changes following your influenza infection, particularly with anxiety and brain health, are valid and warrant a thorough understanding. It’s important to recognize that while influenza, especially severe cases, can lead to various complications, the direct link between the virus and long-term neurological changes is still a subject of ongoing research.

Firstly, influenza can indeed have neurological implications. There are documented cases where viral infections, including influenza, can lead to conditions such as encephalitis or post-viral syndromes, which may manifest as cognitive changes, mood disorders, or anxiety. However, these occurrences are relatively rare. The symptoms you describe—fluctuating moods, increased anxiety, and feelings of inadequacy—could be attributed to several factors, including the stress of the illness itself, changes in your life circumstances, or even a predisposition to anxiety disorders.

The experience of feeling "off" after an illness is not uncommon. Many individuals report changes in their mental health following significant physical illnesses. This could be due to a combination of biological, psychological, and social factors. The stress of being ill, coupled with the body's inflammatory response to the virus, can impact neurotransmitter levels and brain function, potentially leading to mood disorders such as anxiety or depression.

Regarding your specific question about whether your anxiety and feelings of self-doubt could be linked to the influenza infection, it is plausible. While the direct causation may not be clear-cut, the aftermath of a significant illness can trigger or exacerbate underlying mental health issues. The brain is a complex organ, and its response to stressors—whether they are physical or psychological—can lead to changes in mood and behavior.

As for your concerns about head trauma, it is important to note that not all head injuries result in symptoms like dizziness or vomiting. Many individuals can sustain concussions or mild traumatic brain injuries without experiencing these classic symptoms. However, persistent feelings of anxiety or cognitive changes following a head injury should be evaluated by a healthcare professional. If you have undergone imaging studies like an MRI and received a clean bill of health, it is reassuring, but ongoing symptoms should still be discussed with your doctor.

In managing your anxiety, consider integrating lifestyle changes that promote mental well-being. Regular physical activity, a balanced diet, adequate sleep, and mindfulness practices such as meditation or yoga can significantly improve mental health. Cognitive-behavioral therapy (CBT) is also an effective treatment for anxiety, helping individuals reframe negative thought patterns and develop coping strategies.

Lastly, it is crucial to maintain open communication with your healthcare provider about your symptoms and concerns. If you feel that your current treatment is not addressing your needs, discussing alternative therapies or adjustments to your medication may be beneficial. Mental health is a dynamic field, and finding the right approach can take time and patience.

In summary, while there may be a connection between your past influenza infection and your current mental health challenges, it is essential to consider a holistic view of your health. Addressing both physical and psychological aspects will provide a more comprehensive approach to your well-being.

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