Understanding Nighttime Palpitations: Causes and Management
Waking up suddenly from sleep with palpitations? Three years ago, I frequently experienced palpitations, chest tightness, and a feeling of heat. I would wake up suddenly from sleep, feeling hot, sweating, and with a rapid heartbeat. After undergoing an electrocardiogram and echoc...
Dr. Qiu Junda Reply:
Hello. If thyroid issues are well-controlled but you still experience palpitations, you can inform your doctor during your follow-up visit for evaluation. You may also want to ask if there is a need for a consultation with a psychiatrist (for panic disorder or autonomic nervous s...[Read More] Understanding Nighttime Palpitations: Causes and Management
Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?
Narcolepsy? Autonomic nervous system dysfunction anemia? Since one day at work, I suddenly felt the urge to sleep without any reason, and since then, it has been happening every day. The timing of these episodes is unpredictable, but they are more likely to occur after meals. I f...
Dr. Lin Mianzhang Reply:
Hello Lia: Your condition may be due to autonomic nervous system dysfunction, anemia, or other causes. A detailed consultation with a physician is necessary, and further tests (such as blood tests, sleep studies, etc.) may be required to confirm the diagnosis. It is recommended t...[Read More] Understanding Excessive Sleepiness: Is It Narcolepsy or Anemia?
Understanding Autonomic Nervous System Dysregulation and Panic Disorder
Autonomic nervous system dysfunction Hello, doctor. Due to long-term night shifts, I have experienced multiple episodes in the past two months where I suddenly feel palpitations and my heart is pounding strongly, accompanied by a noticeable heartbeat sound. My blood pressure has ...
Dr. Lin Mianzhang Reply:
Hello Ah-Hua: I apologize for the delayed response as I did not receive a notification for your question. If your blood pressure remains uncontrolled despite taking antihypertensive medication, you may need to discuss with a cardiologist whether a medication adjustment is necessa...[Read More] Understanding Autonomic Nervous System Dysregulation and Panic Disorder
Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Medication Consultation I have been diagnosed with autonomic nervous system disorder, panic disorder, and anxiety disorder. Recently, I started taking medications prescribed by my doctor before bedtime: Flupentixol 0.5 mg and Melitracen 10 mg, along with half a tablet of Paroxeti...
Dr. Qiu Junda Reply:
Hello. Are these two medications (Paracetamol) safe to use together? Unless there are pre-existing stomach issues, there is generally no risk of gastrointestinal bleeding. However, if it is confirmed to be a migraine, it is still advisable to seek medical attention for appropriat...[Read More] Medication Consultation for Anxiety and Panic Disorders: Safety and Usage
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction? Hello, I would like to ask the doctor about my symptoms of palpitations and a sensation of body tremors. I went to see a cardiologist and had an electrocardiogram, chest X-ray, and thyroid function tests, and the doctor said everything was no...
Dr. Xue Gengming Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Last year, before undergoing laparoscopic surgery, I had a chest X-ray and an electrocardiogram, and the doctor did not mention any issues. However, in the past few months, I have occasionally experienced sudden back pain, dizziness, a feeling...
Dr. Qiu Junda Reply:
Hello. The symptoms described may be related to autonomic nervous system dysfunction. However, a medical evaluation is necessary for a proper diagnosis. You may consider scheduling an appointment with a psychiatrist for an assessment to facilitate improvement.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers
Withdrawal from Clonazepam 1 mg and Escitalopram 0.25 mg? I work alternating day and night shifts. After receiving the booster dose of the COVID-19 vaccine in February 2022, I experienced insomnia symptoms. I was prescribed Eszopiclone 5 mg and Lorazepam 1 mg to take before bed a...
Dr. Wu Enliang Reply:
How long should one wait to discontinue Keppra? A: There is no specific duration, but maintaining good sleep hygiene (such as engaging in moderate exercise and avoiding the bed before sleep) can allow for a gradual reduction or discontinuation of the medication. Will withdrawal s...[Read More] Managing Withdrawal from Clonazepam and Eszopiclone: A Guide for Shift Workers
Understanding Anxiety and Physical Symptoms in Adolescents: A Guide
Is there any specific condition? Hello Doctor: I have three questions I would like to ask you, as I am unsure why I am experiencing these issues. 1. I am currently a third-year music student, and I have been experiencing hiccups for over a year. I visited a gastroenterologist w...
Dr. Wu Menghuan Reply:
Hello: Q1. I am currently a student in the third year of junior high school music class. I have been experiencing hiccups for over a year, but after visiting a gastroenterologist, I was told that my stomach is fine. The doctor prescribed medication, but it didn't help. Som...[Read More] Understanding Anxiety and Physical Symptoms in Adolescents: A Guide
Can I Take Heart Rhythm Medication with Eslizapine and Zanaflex?
Zanamivir and Oseltamivir I have only mild autonomic nervous system dysfunction. Can I take a half tablet of heart rhythm medication along with a half tablet of Ezetimibe 5 mg and a half tablet of Xanax 0.25 before bed?
Dr. Qiu Junda Reply:
Hello. This usage is acceptable. However, it is still important to have regular follow-up appointments to ensure that the condition remains stable.[Read More] Can I Take Heart Rhythm Medication with Eslizapine and Zanaflex?
Should I Change My Serotonin Medication for Better Mental Health?
Is a change in medication necessary? Hello, I have been experiencing autonomic nervous system dysfunction for over ten years. I have been taking Lexapro 50mg for two and a half years (I started taking it due to panic attacks during the pandemic, which caused me to faint and be un...
Dr. Wu Enliang Reply:
User: Based on your expertise in psychosomatic medicine, do I need to switch my serotonin medication to pursue better treatment? A: It may not be necessary to switch to a different medication, as the current one has at least prevented me from experiencing sudden collapses, whic...[Read More] Should I Change My Serotonin Medication for Better Mental Health?
Understanding Self-Harm and Mental Health: Is It Dissociation or Something More?
What is happening to me? Is it dissociation? Thought disorder? Am I just overthinking? Since last November, I have been experiencing self-harm behaviors that have become increasingly intense and deeper. Self-harm provides me with a sense of calm and a feeling of clarity, and I fi...
Dr. Liang Sunyuan Reply:
Hello, Huiwu: Self-harm is often associated with depression, high stress, and difficulty in coping with irritability. In your description, you mentioned symptoms such as depression, anxiety, and dissociation, along with a background that has experienced considerable stress. Your ...[Read More] Understanding Self-Harm and Mental Health: Is It Dissociation or Something More?
Traveling with Psychiatric Medications: What You Need to Know
Medication Consultation Hello, Doctor. I would like to inquire about my situation. I have issues with autonomic nervous system dysfunction and panic disorder, and I am currently taking 15 mg of Olanzapine and 10 mg of Propranolol. I plan to travel to Thailand in April and would l...
Dr. Wu Enliang Reply:
The online user An Li Ping mentioned that Anxiolytics are classified as Schedule IV controlled substances, while Propranolol is not a controlled drug. Generally speaking, these medications should be permissible to bring out of the country, but I am not a travel expert, so I recom...[Read More] Traveling with Psychiatric Medications: What You Need to Know
Long-Term Use of Medications for Autonomic Nervous System Disorders
Pharmacological Treatment for Autonomic Nervous System Dysregulation Hello, doctor. I have been suffering from autonomic nervous system dysregulation for three years. During my visits, the doctor prescribed me Xinjie (Mirtazapine), and I feel better when I stop taking it, but my ...
Dr. Qiu Junda Reply:
Hello. Xin Jie can be taken long-term. If you wish to discontinue it, you should discuss it with your physician first.[Read More] Long-Term Use of Medications for Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Autonomic nervous system dysfunction, trust in medication, depression? Background: At the end of October 2023, due to a breakup, I experienced interrupted sleep, waking up every one to two hours and having difficulty falling asleep. The doctor determined that this was due to a si...
Dr. Li Zhengfeng Reply:
Hello: 1. Weight loss, decreased appetite, and lack of interest may be symptoms of depression. 2. The assessment of autonomic nervous system dysregulation is often based on subjective feelings reported by the patient through questionnaires. 3. Similar to depression, it is rec...[Read More] Understanding Autonomic Nervous System Disorders and Depression: Key Insights
Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options
Anxiety causes insomnia? Hello Dr. Wu, I have a personal constitution that makes me prone to anxiety and overthinking. During my consultation, the doctor diagnosed me with autonomic nervous system dysfunction, which causes discomfort whenever I experience anxiety or life stress. ...
Dr. Wu Enliang Reply:
1. The doctor said that Xin Jie can be taken once daily and can be taken for a lifetime. Will this cause a burden on the body? A: No. 2. I have been feeling good mentally and physically and have stopped taking medication for half a month, but I suddenly have insomnia again. Can ...[Read More] Managing Anxiety-Induced Insomnia: Expert Insights and Treatment Options
Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide
Fear of falling has become somewhat distressing, along with issues related to early awakening? Hello doctor, I have been waking up in the middle of the night recently. For instance, I woke up at 2 AM today and couldn't fall back asleep, even though I took sleeping pills befo...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to your sleep issues. 1. Facing an uncertain future, autonomic nervous system dysregulation is a common condition in modern society. This is a chronic illness that requires lo...[Read More] Overcoming Fear of Falling and Sleep Disturbances: A Mental Health Guide
Understanding Recurring Autonomic Nervous System Disorders: Causes and Solutions
The autonomic nervous system disorder has relapsed again? Over a decade ago, I experienced autonomic nervous system dysfunction (with symptoms like hot hands and poor sleep). After seeing a psychiatrist and taking medication, I recovered. Recently, the symptoms have recurred. Alt...
Dr. Wu Enliang Reply:
Is it possible that the symptoms are caused by quitting smoking, or could it be related to seasonal changes and colds? A: It is possible; there are many reasons for autonomic nervous system dysregulation, which is usually related to life stress. If the symptoms do not improve imm...[Read More] Understanding Recurring Autonomic Nervous System Disorders: Causes and Solutions
Managing Anxiety and VPC: Safe SSRI Options for Patients
Medication Consultation Hello, doctor. I apologize for taking up your valuable time. I would like to ask you a question. Three years ago, I experienced some ventricular premature contractions (VPC) that led to anxiety and subsequently a panic disorder. I used sertraline (Zoloft) ...
Dr. Wu Menghuan Reply:
Hello: Traditional tricyclic antidepressants (TCAs) have anticholinergic effects, which can lead to side effects such as blurred vision, dry mouth, constipation, urinary retention, increased heart rate, and cardiac conduction disturbances. In the elderly, central anticholinergic ...[Read More] Managing Anxiety and VPC: Safe SSRI Options for Patients
Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Medication Consultation Dr. Lin, thank you for your selfless dedication in helping everyone with professional questions. I would like to ask about the four medications: Paxil (Paroxetine), Lexapro (Escitalopram), Zoloft (Sertraline), and Prozac (Fluoxetine). I understand that the...
Dr. Lin Mianzhang Reply:
Hello, little lamb: The likelihood of these medications affecting the heart is very low, and occurrences of palpitations are not common. However, some individuals may experience increased anxiety during the initial phase of taking Prozac, which could lead to a faster heartbeat; t...[Read More] Choosing the Right SSRI: A Guide for Anxiety and Heart Sensitivity
Understanding Daily Dizziness: When to Seek Further Medical Help
Feeling dizzy every day? Hello, doctor! About ten years ago, one night as I was preparing to sleep, I suddenly lay down and my head started spinning, with numbness in my hands and feet. My family quickly took me to the emergency room, where the doctor administered an IV and gave ...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: If you have seen a neurologist and the initial evaluation and tests are normal, there is no need for an MRI or CT scan. Your symptoms appear to be related to anxiety and hyperventilation. It is recommended that you practice diaphragmatic breathing, where your abdom...[Read More] Understanding Daily Dizziness: When to Seek Further Medical Help