Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic nervous system dysfunction?

I began experiencing early awakening, white phlegm in my throat, and loss of appetite (I don't feel hungry at all) at the end of May 2015.
Prior to this, there were no significant changes in my life or work stress.
As a gay man, I decided to get an HIV rapid test, and the results came back negative three days later.
During the waiting period for the test results, I also developed neck and shoulder stiffness, and my insomnia worsened to the point where I hardly slept at all.
After learning that the test results were normal, my sleep issues escalated from early awakening to difficulty falling asleep; even when I did manage to fall asleep, I would often wake up from dreams and find it hard to go back to sleep.
I subsequently underwent a full health check-up, which showed no major issues.
However, I continued to experience a lack of appetite, and I have lost 3 kilograms.
Currently, my psychiatrist has prescribed sleep aids, which sometimes help me sleep well, but at other times I still experience rapid heart rate and sleeplessness throughout the night.
How can I improve my condition? Is this a case of autonomic nervous system dysfunction?

Xiao Cheng, 30~39 year old female. Ask Date: 2015/07/10

Dr. Ding Shuyan reply Psychiatry

Hello, first of all, you are relatively young and have undergone a comprehensive health check-up, which showed no significant issues.
Therefore, the discomfort you are experiencing could indeed be related to psychological factors.
Additionally, you mentioned the HIV screening, which seems to have caused you stress due to the possibility of anonymous testing.
If you are not overly worried, it might be due to incomplete medical information leading to your anxiety about uncertainty.
The risk of HIV infection varies depending on different modes of exposure.
It might be a good idea to consult an infectious disease specialist to discuss your concerns.
You may find that your worries are unfounded, and your so-called autonomic nervous system issues could resolve on their own! If symptoms persist, simply taking sleeping pills may not be sufficient.
You should clearly describe the symptoms and the sources of your psychological stress to a psychiatrist, so they can help adjust your medication.
In my experience, these types of symptoms are usually not too difficult to treat.
Trust your physician, and don't worry! Wishing you all the best, Dr.
Ding Shuo-Yan.

Reply Date: 2015/07/10

More Info

Based on your description, it seems you are experiencing a range of symptoms that could indeed be associated with autonomic nervous system (ANS) disorders. The autonomic nervous system is responsible for regulating involuntary bodily functions, including heart rate, digestion, respiratory rate, and even the sleep-wake cycle. When there is a dysfunction in this system, it can lead to various symptoms, including those you are experiencing: early awakening, throat discomfort, loss of appetite, muscle stiffness, insomnia, and anxiety.

Your symptoms of early waking and difficulty falling back asleep, coupled with a lack of appetite and weight loss, suggest that your body may be in a heightened state of stress or anxiety. The fact that you experienced increased muscle stiffness and insomnia during a period of waiting for your HIV test results indicates that psychological stress can significantly impact physical health. Stress can activate the sympathetic branch of the ANS, which is responsible for the "fight or flight" response, leading to symptoms such as increased heart rate and muscle tension.

The white phlegm in your throat could be related to anxiety or stress, as stress can lead to changes in mucus production and throat discomfort. Additionally, the loss of appetite is a common response to stress and anxiety, as the body prioritizes immediate survival over digestion.

To address your concerns and improve your situation, consider the following steps:
1. Consult a Specialist: Since you have already seen a psychiatrist, it might be beneficial to consult a neurologist or a specialist in autonomic disorders. They can conduct a thorough evaluation to rule out any underlying neurological conditions that might be contributing to your symptoms.

2. Therapeutic Approaches: Cognitive-behavioral therapy (CBT) has been shown to be effective for anxiety and sleep disorders. A therapist can help you develop coping strategies to manage anxiety and improve sleep quality.

3. Lifestyle Modifications: Implementing lifestyle changes can significantly impact your symptoms. Regular physical activity, a balanced diet, and proper hydration can help regulate your body's systems. Mindfulness practices, such as meditation or yoga, can also reduce stress and improve your overall well-being.

4. Sleep Hygiene: Establishing a consistent sleep routine can help improve your sleep quality. This includes going to bed and waking up at the same time every day, creating a relaxing bedtime routine, and ensuring your sleep environment is conducive to rest (dark, quiet, and cool).

5. Medication Review: If you are taking sleep aids, discuss with your doctor the possibility of adjusting your medication. Sometimes, medications can have side effects that exacerbate symptoms, and finding the right balance is crucial.

6. Monitor Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This can help you and your healthcare provider identify patterns and develop a more targeted treatment plan.

7. Support System: Engaging with a support group or talking to friends and family about your experiences can provide emotional support and reduce feelings of isolation.

In summary, while your symptoms may suggest a dysfunction in the autonomic nervous system, they could also be influenced by psychological factors such as anxiety and stress. A comprehensive approach that includes medical evaluation, therapeutic interventions, lifestyle changes, and support can help you manage your symptoms and improve your quality of life. Always consult with healthcare professionals before making any significant changes to your treatment plan.

Similar Q&A

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Hello, doctor. Recently, I have been feeling fatigued, sometimes I want to sleep but can't, and I occasionally experience shortness of breath, palpitations, dizziness, and occasional muscle cramps. Could this be autonomic nervous system dysfunction?

Dr. Lin Mianzhang reply Psychiatry
Hello Ming: Autonomic nervous system dysfunction is actually a broad term. Since the autonomic nervous system regulates functions such as breathing, heart rate, blood pressure, gastrointestinal activity, and sweating, any abnormalities in these functions can be referred to as aut...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Previously, there was indigestion, and after taking gastric medication, there was not much improvement. After exercising, the heart rate does not decrease during rest, maintaining around 105 beats per minute, and it takes about two hours to gradually return to normal. An exercise...

Dr. Liang Sunyuan reply Psychiatry
Hello Mr. Hong, anxiety or autonomic nervous system dysregulation can indeed lead to gastrointestinal discomfort, muscle tension, dry mouth, frequent urination, elevated blood pressure, and palpitations. However, you should still be able to engage in your favorite physical activi...

Understanding Autonomic Nervous System Disorders: Symptoms and Treatment Options

Hello, doctor! I have had insomnia for nearly 5.6 years, and my lifestyle has not been very normal. Over the past two years, I have gradually started to feel palpitations (a sudden feeling of my heart dropping, and my heart beats very hard and fast when I climb two flights of sta...

Dr. Lai Lunxiang reply Neurology
Based on your description, your symptoms align with what is known as "psychosomatic disorder," which is definitely related to insomnia. The treatment approach should begin with establishing a regular daily routine, incorporating exercise and hydration, followed by pharm...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. At times, my hands shake for no reason, and I oc...

Dr. Cai Zongzhang reply Neurology
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.