Autonomic Nervous System Disorders: Symptoms and Solutions - Psychiatry

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Autonomic nervous system dysfunction


Last year, before undergoing laparoscopic surgery, I had a chest X-ray and an electrocardiogram, and the doctor did not mention any issues.
However, in the past few months, I have occasionally experienced sudden back pain, dizziness, a feeling of faintness, shortness of breath, chest tightness, bloating, and diarrhea.
Sometimes lying down helps alleviate these symptoms, but when I'm out and unable to lie down, I find that pulling down my mask to breathe fresh air makes me feel somewhat better.
I consulted a traditional Chinese medicine doctor, who also said my health is generally fine, but I have insufficient sleep.
Could this be a case of autonomic nervous system dysfunction? I tend to feel very nervous and anxious and often overthink things.
🥲

Zhou Xiao Jie, 30~39 year old female. Ask Date: 2024/05/24

Dr. Qiu Junda reply Psychiatry


Hello.
The symptoms described may be related to autonomic nervous system dysfunction.
However, a medical evaluation is necessary for a proper diagnosis.
You may consider scheduling an appointment with a psychiatrist for an assessment to facilitate improvement.

Reply Date: 2024/05/24

More Info


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Based on your description, it seems you are experiencing a range of symptoms that could indeed be related to autonomic nervous system (ANS) dysfunction. The ANS regulates involuntary bodily functions, including heart rate, blood pressure, respiration, digestion, and sexual arousal. It is divided into the sympathetic nervous system (which prepares the body for 'fight or flight' responses) and the parasympathetic nervous system (which promotes 'rest and digest' activities). When there is an imbalance in these systems, it can lead to various physical and psychological symptoms.

Your symptoms, such as sudden back pain, dizziness, feelings of faintness, shortness of breath, chest tightness, bloating, and diarrhea, can be indicative of autonomic dysregulation. Additionally, the fact that you feel better when lying down or taking deep breaths suggests that your body may be responding to stress or anxiety, which can exacerbate autonomic symptoms. Anxiety and stress can trigger the sympathetic nervous system, leading to increased heart rate, shallow breathing, and muscle tension, which may explain your feelings of tightness and discomfort.

It's also worth noting that sleep deprivation can significantly impact the ANS. Lack of sleep can lead to increased anxiety and stress levels, further aggravating the symptoms you are experiencing. The connection between sleep and the autonomic nervous system is well-documented; poor sleep can lead to dysregulation of the sympathetic and parasympathetic systems, resulting in a cycle of anxiety and physical symptoms.

Given your tendency to feel anxious and overthink, it may be beneficial to explore strategies for managing anxiety. Cognitive-behavioral therapy (CBT) is a well-established treatment that can help you identify and change negative thought patterns and behaviors that contribute to anxiety. Mindfulness and relaxation techniques, such as deep breathing exercises, meditation, and yoga, can also be effective in calming the nervous system and reducing anxiety.

In terms of medical evaluation, it would be prudent to consult with a healthcare provider who specializes in autonomic disorders or a neurologist. They can perform a thorough assessment, including tests to evaluate your autonomic function, and rule out any underlying conditions that may be contributing to your symptoms. It may also be helpful to keep a symptom diary, noting when symptoms occur, their duration, and any potential triggers, as this information can assist your healthcare provider in making an accurate diagnosis.

In summary, your symptoms could indeed be related to autonomic nervous system dysfunction, potentially exacerbated by anxiety and sleep deprivation. Addressing these issues through a combination of medical evaluation, psychological support, and lifestyle modifications may help alleviate your symptoms and improve your overall well-being. Remember, it's essential to communicate openly with your healthcare provider about your symptoms and concerns to develop an effective treatment plan tailored to your needs.

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