Autonomic Nervous System Disorders: Symptoms and Solutions - Psychiatry

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Autonomic nervous system dysfunction


Hello Doctor,
Perhaps it's been a while since I last worked, and my irregular schedule due to late nights playing mahjong and using the computer has led to my current physical discomfort.
I've been visiting the hospital frequently lately, but no one seems to be able to help me.
I've consulted many specialties, including cardiology (ECG), family medicine, internal medicine, and otolaryngology, but there have been no significant findings.
The only diagnosis I received from the cardiologist was autonomic nervous system dysfunction.
However, I am really confused about whether I might have another illness because I feel extremely unwell.
My condition fluctuates between better and worse.
Sometimes I feel dizzy, nauseous, and I can sense my heart rate and pulse accelerating.
I can distinctly feel my body swaying with my heartbeat.
I experience chest tightness and pain, and my entire back and neck are also very sore.
After a spell of discomfort, I often feel the urge to have a bowel movement.
My body temperature tends to rise slightly, but it does not reach a fever.
Sometimes I feel unwell, and despite seeing doctors, I still don't feel better, which is quite disheartening.
Am I suffering from depression? If it is indeed autonomic nervous system dysfunction, how long will it take to recover? I keep wondering if I have developed some illness.
Should I undergo a comprehensive health check-up, or is there a specific specialty I should consult? I appreciate your time in responding to my message! Thank you!

Xiao Yu Er, 20~29 year old female. Ask Date: 2004/05/13

Dr. Chen Jianzhi reply Psychiatry


The symptoms you described are mostly physical.
After seeing several doctors and undergoing various tests, no specific disease has been identified, which can indeed be concerning.
However, it currently seems that the likelihood of a serious illness is low, while the possibility of a functional disorder is higher.
I recommend that you consult a psychiatrist for an initial evaluation and counseling.
A regular lifestyle, moderate exercise, and appropriate medication should lead to improvement.

Reply Date: 2004/05/13

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) dysfunction. The autonomic nervous system is responsible for regulating involuntary bodily functions, including heart rate, blood pressure, respiration, and digestion. When it becomes dysregulated, it can lead to a variety of symptoms, which you appear to be experiencing.

Your symptoms, such as dizziness, nausea, palpitations, chest tightness, and muscle tension in your neck and back, can be indicative of autonomic dysfunction. Additionally, the fluctuation in your symptoms—where you feel better at times and worse at others—can be characteristic of conditions like anxiety or stress-related disorders, which often overlap with ANS issues.

It's important to note that while your heart specialist has diagnosed you with autonomic nervous system dysfunction, it’s understandable to feel uncertain about whether there may be other underlying conditions contributing to your discomfort. Given that you have seen multiple specialists without a definitive diagnosis, it might be beneficial to consider a comprehensive evaluation by a specialist in functional medicine or a neurologist who has experience with autonomic disorders.

In terms of treatment and recovery, the timeline can vary significantly from person to person. Some individuals may notice improvements within weeks, while others may take months to see significant changes. Treatment typically involves a combination of lifestyle modifications, stress management techniques, and possibly medication to help manage symptoms. Here are some strategies that may help:
1. Lifestyle Modifications: Regular exercise, a balanced diet, and adequate hydration can support overall health and help regulate the autonomic nervous system. Aim for moderate physical activity, such as walking or yoga, which can also help reduce stress.

2. Sleep Hygiene: Establishing a regular sleep schedule and creating a restful environment can improve sleep quality, which is crucial for recovery.

3. Stress Management: Techniques such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help manage anxiety and stress, which may alleviate some of your symptoms.

4. Cognitive Behavioral Therapy (CBT): If you are experiencing feelings of depression or anxiety, speaking with a mental health professional can be beneficial. CBT is particularly effective in addressing anxiety and can help you develop coping strategies.

5. Medication: Depending on your symptoms, your doctor may prescribe medications to help manage anxiety, depression, or specific autonomic symptoms. It's essential to discuss any concerns about medication with your healthcare provider.

6. Regular Follow-ups: Keep in touch with your healthcare providers and report any changes in your symptoms. This ongoing communication can help them adjust your treatment plan as needed.

As for your concern about whether you should undergo a full-body health check, it may be worthwhile to discuss this with your primary care physician. They can help determine if additional tests are necessary based on your symptoms and medical history.

In conclusion, while autonomic nervous system dysfunction can be challenging to navigate, with the right support and management strategies, many individuals find relief from their symptoms. It’s essential to remain proactive about your health and continue seeking answers until you feel comfortable with your diagnosis and treatment plan. Take care, and I wish you the best on your journey to recovery!

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