Dizziness, tightness in the chest, and soreness in the neck, shoulders, and back. It's really frustrating?
Due to previously having an irregular day-night cycle, I have been experiencing discomfort in my body.
Sometimes I feel dizzy, and my head hurts slightly.
I almost fainted once, but it only lasted a few seconds and then disappeared.
I went to the hospital for a blood test, and the report indicated that everything was normal! The doctor also suggested that I see a cardiologist, but the report showed no arrhythmia and was also normal! However, the cardiologist told me that my symptoms might be due to autonomic nervous system dysfunction.
The doctor seemed uncertain about my condition.
Nevertheless, I am feeling increasingly unwell.
I occasionally have headaches, dry mouth, and a tight feeling in my chest, as if something is pressing down on it.
My neck, shoulders, and back muscles are very sore and painful.
Occasionally, my muscles twitch slightly, and my body temperature rises a bit but then quickly returns to normal.
This leads to a very low mood and frustration because I cannot identify the cause of my illness.
It is truly distressing.
I even consulted a family medicine doctor, but they did not provide much advice and just prescribed a lot of medications, leaving me unsure of where to start.
I worry all day about what illness I might have.
I know my body is uncomfortable, but I don't know which specialty to consult.
Since my job involves sitting in front of a computer, I wonder if that is the cause, or if I should see a psychiatrist.
My mood is very low, and I feel overwhelmed...
I have lost interest in everything.
Could you please give me some advice? Which specialty should I see? Or should I undergo a full health check-up?
Taipei Little Fish, 20~29 year old female. Ask Date: 2004/05/11
Dr. Lai Lunxiang reply Neurology
I strongly suspect autonomic nervous system dysfunction, so please consult a psychiatrist.
Additionally, the issue of reversed day and night should be addressed.
Reply Date: 2004/05/11
More Info
It sounds like you are experiencing a complex array of symptoms that are causing you significant distress. Your concerns about your physical health, coupled with feelings of anxiety and depression, are indeed serious and warrant attention. Based on your description, it seems that you may be dealing with a combination of physical and psychological issues, which is not uncommon in today's fast-paced world.
Firstly, it's important to acknowledge that your symptoms—such as dizziness, headaches, muscle tension, and feelings of chest tightness—can be indicative of several underlying conditions. While your blood tests and heart evaluations have returned normal, this does not rule out the possibility of autonomic nervous system dysfunction, which can manifest as physical symptoms without any identifiable medical cause. This condition can often be exacerbated by stress, poor sleep patterns, and lifestyle factors, such as prolonged periods of sitting, especially in front of a computer.
Given that you mentioned experiencing a lack of interest in activities you once enjoyed, as well as feelings of low mood and anxiety, it is crucial to consider the psychological aspect of your health. Mental health issues, such as anxiety and depression, can often present with physical symptoms, creating a cycle where physical discomfort leads to increased anxiety, which in turn exacerbates physical symptoms. This is sometimes referred to as psychosomatic illness, where psychological distress manifests as physical symptoms.
Here are some steps you might consider taking:
1. Consult a Mental Health Professional: Since you are experiencing symptoms that may be related to anxiety and depression, it would be beneficial to speak with a psychologist or psychiatrist. They can provide a comprehensive evaluation and help determine if you are experiencing a mental health disorder. Therapy, such as cognitive-behavioral therapy (CBT), can be particularly effective in addressing anxiety and depressive symptoms.
2. Lifestyle Modifications: Given your work environment, it may be helpful to incorporate regular breaks into your routine. Consider setting a timer to remind yourself to stand, stretch, or take a short walk every hour. This can help alleviate muscle tension and improve circulation. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga can help manage stress and improve your overall well-being.
3. Sleep Hygiene: Since you mentioned having irregular sleep patterns, establishing a consistent sleep schedule is vital. Aim to go to bed and wake up at the same time every day, and create a calming bedtime routine to signal to your body that it’s time to wind down. Avoid screens at least an hour before bed, as the blue light emitted can interfere with your ability to fall asleep.
4. Nutrition and Hydration: Ensure you are eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated is also crucial, as dehydration can contribute to feelings of fatigue and dizziness.
5. Follow-Up with Your Healthcare Provider: If your symptoms persist or worsen, it may be necessary to revisit your primary care physician or a specialist. You might consider asking for a referral to a neurologist or a specialist in autonomic disorders if you continue to experience unexplained physical symptoms.
6. Support System: Don’t hesitate to reach out to friends or family members about what you’re going through. Having a support system can provide emotional relief and help you feel less isolated in your struggles.
In summary, your symptoms are multifaceted and may require a holistic approach to treatment. Seeking help from both medical and mental health professionals will be essential in addressing your concerns effectively. Remember, you are not alone in this, and there are resources available to help you navigate through these challenging times.
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