Autonomic Nervous System Disorders: Symptoms and Solutions - Psychiatry

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I am unsure whether I have autonomic nervous system dysfunction?


Yesterday, while I was interning and standing in a meeting, I suddenly felt dizzy and had difficulty breathing.
After that, I lost consciousness and when I woke up, I was sitting in a chair.
After resting for a short while, I felt better.
My classmates told me that my face was pale and my eyes were open but lacked expression.
At that time, I experienced severe tinnitus and could hardly hear external sounds.
I had a similar episode six months ago, but it wasn't as severe.
My family has mentioned that I might be under too much stress and not getting enough sleep.
I also feel that I didn't sleep well the night before.
I would like to ask if this could be a case of autonomic nervous system dysfunction.
If so, how should I address it? Thank you.

abc5340, 20~29 year old female. Ask Date: 2016/02/27

Dr. Wang Yixiang reply Psychiatry


Hello, based on your description, both physical and mental issues can present similar symptoms.
Physical problems such as cardiopulmonary dysfunction, hypotension, anemia, and epilepsy need to be ruled out before confirming whether it is autonomic nervous system dysfunction.
Subsequent treatments may include medication and psychotherapy.
It is advisable for you to discuss this with a physician at a hospital.
The Psychiatry Department of Nantou Hospital is concerned about you.
For more information on symptoms related to autonomic nervous system dysfunction, you can refer to online resources at http://www.thenewslens.com/post/250460/

Reply Date: 2016/02/27

More Info


Based on your description, it seems you experienced a significant episode that could be related to autonomic nervous system (ANS) dysfunction. The symptoms you reported, such as dizziness, difficulty breathing, loss of consciousness, and severe tinnitus, suggest a possible episode of syncope (fainting) or a vasovagal response, which can be triggered by stress, dehydration, or prolonged standing.
The autonomic nervous system is responsible for regulating involuntary bodily functions, including heart rate, blood pressure, respiration, and digestion. It consists of two main branches: the sympathetic nervous system, which prepares the body for 'fight or flight' responses, and the parasympathetic nervous system, which promotes 'rest and digest' functions. When there is an imbalance in these systems, it can lead to various symptoms, including those you described.

Your experience of feeling faint and having a pale complexion, along with the ringing in your ears, could indicate that your body was reacting to stress or fatigue. Stress can significantly impact the autonomic nervous system, leading to symptoms such as increased heart rate, shallow breathing, and even fainting spells. Additionally, inadequate sleep can exacerbate these symptoms, as sleep is crucial for the body’s recovery and regulation of the nervous system.

To address your concerns about autonomic nervous system dysfunction, here are several strategies you can consider:
1. Stress Management: Incorporating stress-reducing techniques into your daily routine can be beneficial. Practices such as mindfulness meditation, yoga, or deep-breathing exercises can help calm the nervous system and reduce anxiety.

2. Sleep Hygiene: Prioritize getting enough quality sleep. Establish a regular sleep schedule, create a relaxing bedtime routine, and ensure your sleep environment is conducive to rest (dark, quiet, and cool).

3. Hydration and Nutrition: Dehydration can lead to dizziness and fainting. Make sure you are drinking enough fluids throughout the day. A balanced diet rich in vitamins and minerals can also support overall health and well-being.

4. Physical Activity: Regular exercise can help regulate the autonomic nervous system. Aim for a mix of aerobic activities, strength training, and flexibility exercises. However, if you experience dizziness during exercise, consult a healthcare professional before continuing.

5. Medical Evaluation: Since you have experienced these symptoms multiple times, it is essential to consult a healthcare provider for a thorough evaluation. They may recommend tests to rule out any underlying conditions, such as cardiovascular issues or neurological disorders. A referral to a neurologist or cardiologist may be appropriate based on your symptoms.

6. Cognitive Behavioral Therapy (CBT): If anxiety is a significant factor in your symptoms, talking to a mental health professional about cognitive behavioral therapy can be helpful. CBT can provide you with tools to manage anxiety and stress more effectively.

7. Avoiding Triggers: Identify and avoid situations that may trigger your symptoms. For example, if standing for long periods leads to dizziness, try to take breaks or sit down when possible.

In conclusion, while your symptoms may suggest autonomic nervous system dysfunction, it is crucial to seek professional medical advice for a proper diagnosis and treatment plan. By addressing lifestyle factors and managing stress, you can work towards improving your symptoms and overall well-being. Remember, your health is a priority, and taking proactive steps can lead to significant improvements.

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