Am I Experiencing Autonomic Nervous System Dysfunction? - Psychiatry

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Am I experiencing autonomic nervous system dysfunction?


Hello, doctor.
I am a third-year junior high school student.
Sometimes I experience shortness of breath, dizziness, pain, and chest tightness.
I would like to ask if this could be due to autonomic nervous system dysregulation.
My daily routine is not very regular, but I try to maintain a positive mood.
However, during the second year of junior high, I had a period of very pessimistic thoughts, and at times I even experienced auditory hallucinations, but I managed to adjust on my own somehow.
Later, during the summer vacation of the second year, I had a swollen lymph node at the back of my neck.
The doctor said it was due to stress, but I don't believe that is the case.
I still feel that way now, and I wonder if these issues could be affecting my physical discomfort.

Di, 10~19 year old female. Ask Date: 2016/02/03

Dr. Liang Sunyuan reply Psychiatry


Hello: Difficulty breathing, dizziness, headaches, chest tightness, and chest pain can indeed be related to stress, anxiety, or autonomic nervous system dysregulation.
When experiencing discomfort, it is advisable to shift your focus to activities that promote relaxation or are meaningful to you, as this can often lead to a state of relaxation and concentration, potentially alleviating the uncomfortable symptoms.
However, if the symptoms are uncontrollable or worsening, or if auditory hallucinations persist, it is recommended to seek medical attention.

Reply Date: 2016/02/03

More Info


It sounds like 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, digestion, and sexual arousal. It is divided into two main branches: the sympathetic nervous system, which prepares the body for stressful or emergency situations (often referred to as the "fight or flight" response), and the parasympathetic nervous system, which promotes a state of calm and relaxation (often referred to as the "rest and digest" response).

Your symptoms of shortness of breath, dizziness, chest pain, and discomfort could be indicative of an imbalance in the autonomic nervous system. Stress, anxiety, and irregular sleep patterns can significantly affect the functioning of the ANS. For instance, when you are under stress, your sympathetic nervous system may become overactive, leading to symptoms such as increased heart rate, shallow breathing, and feelings of anxiety or panic. Conversely, if the parasympathetic system is not functioning properly, you may experience fatigue, digestive issues, and other symptoms of dysregulation.

The history of feeling very pessimistic and experiencing auditory hallucinations during your second year of junior high school could also be relevant. Mental health issues, including anxiety and depression, can exacerbate autonomic dysfunction. It’s important to recognize that psychological stressors can manifest physically, leading to symptoms like those you are experiencing. The swollen lymph node in your neck, which was attributed to stress, further suggests that your body may be reacting to psychological or emotional pressures.

Given your age and the complexity of your symptoms, it would be advisable to consult with a healthcare professional who specializes in adolescent health or a neurologist. They can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests to rule out other underlying conditions.
In the meantime, there are several strategies you can employ to help manage your symptoms and support your autonomic nervous system:
1. Regular Sleep Schedule: Try to maintain a consistent sleep routine. Aim for 7-9 hours of sleep each night, as sleep is crucial for overall health and can help regulate the autonomic nervous system.

2. Stress Management Techniques: Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. These practices can help activate the parasympathetic nervous system and promote a sense of calm.

3. Physical Activity: Regular exercise can improve cardiovascular health and help regulate the autonomic nervous system. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Healthy Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and help manage stress levels.

5. Stay Hydrated: Dehydration can exacerbate symptoms of autonomic dysfunction, so make sure you are drinking enough water throughout the day.

6. Seek Support: If you are feeling overwhelmed, consider talking to a trusted adult, counselor, or mental health professional. They can provide support and guidance as you navigate these challenges.

In conclusion, while your symptoms may suggest autonomic nervous system dysfunction, a thorough evaluation by a healthcare professional is essential to determine the underlying causes and appropriate treatment. Taking proactive steps to manage stress and maintain a healthy lifestyle can also be beneficial in alleviating your symptoms.

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