Understanding Autonomic Nervous System Dysregulation and Its Treatment
Autonomic nervous system dysfunction Hello Doctor, I have issues with obesity and hypertension. Recently, I experienced episodes of rapid heartbeat accompanied by feelings of fear and cold extremities during the night, which lasted intermittently for about half an hour. For the p...
Dr. Qiu Junda Reply:
Hello. 1. There is indeed a possibility of autonomic nervous system dysfunction. It is treatable, so please do not worry. 2. Medications can help improve the condition. The duration of the treatment should be discussed with your primary physician. 3. It may have an impact, but th...[Read More] Understanding Autonomic Nervous System Dysregulation and Its Treatment
Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Autonomic Nervous System Dysfunction Hello Doctor, during the Lunar New Year period, I experienced increased emotional stress, and on the night of February 7th, I suddenly felt my heart racing accompanied by a sense of fear and coldness in my hands and feet. These symptoms persis...
Dr. Qiu Junda Reply:
Hello. The issue described in your letter may indeed be related to autonomic nervous system dysregulation. The medication should show effects within two weeks. Of course, combining it with non-pharmacological methods such as deep, slow breathing (you can search online for related...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Treatment
Managing Panic Attacks: Questions About Medication and Treatment Options
Hello, I would like to inquire about a medication issue? Over the past two years, I have been taking 10mg of an antidepressant and 1.5 capsules of Rifuxin daily for about three months. My panic attacks significantly improved, and I experienced no side effects from the medication....
Dr. Lin Mianzhang Reply:
Hello Kiki: 1. The antidepressant and Liyou contain the same active ingredient. 2. Yes, starting with a low dose can reduce the likelihood of side effects. 3. Both options are fine; some people may feel sleepy after taking it and can take it before bed, while others can take it d...[Read More] Managing Panic Attacks: Questions About Medication and Treatment Options
Understanding Psychological Symptoms: When to Seek Psychiatric Help
Psychological symptoms Hello, doctor. Recently, I have been experiencing restlessness, extreme anxiety, difficulty concentrating, mood swings, insomnia, a heavy feeling in my head, tinnitus, dizziness, frequent urination, and even thoughts of self-harm. I'm not sure which sp...
Dr. Wang Yaoting Reply:
Hello: If this is the first time experiencing such symptoms, it is recommended to first visit the internal medicine or otolaryngology department for a general examination regarding the discomfort (tinnitus, dizziness, frequent urination). If most results are normal or only show m...[Read More] Understanding Psychological Symptoms: When to Seek Psychiatric Help
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastric pain due to autonomic nervous system disorder, but I still have insomnia after stopping the medication. What should I do? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam f...
Dr. Yan Congyou Reply:
Hello: Based on your situation, it is recommended to combine other treatments for autonomic nervous system disorders, such as serotonin reuptake inhibitors. Additionally, insomnia is one of the symptoms of autonomic nervous system dysregulation and needs to be treated concurrentl...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Navigating Medication Hesitation in Mental Health Treatment
Hesitation in taking medication? Hello Doctor, I have been experiencing irregular episodes of rapid heartbeat (90 bpm while lying down, 100-120 bpm while sitting) and chest tightness. I went to the emergency room where blood tests and X-rays indicated that my heart is fine. Subse...
Dr. Wu Enliang Reply:
1. A friend mentioned that the doctor said Epram and Leeyo have the same effect, and Leeyo should be fine. However, the doctor prescribed me a different medication at a dosage of 10mg. I am a bit apprehensive about the initial 5mg of Leeyo since this new medication is similar, an...[Read More] Navigating Medication Hesitation in Mental Health Treatment
Understanding Panic Disorder: When Physical Symptoms Signal Mental Health Issues
I have a lot of health issues and feel like I'm dying! Doctor: I have pain in both sides of my ribs, chest tightness, difficulty breathing, and palpitations. I have undergone a 24-hour Holter monitor and have seen two different cardiologists and two different neurologists. T...
Dr. Lin Mianzhang Reply:
Hello Hsin-Yi: Your various physical symptoms are very consistent with the manifestations of autonomic nervous system dysregulation. If you have seen many specialists and all tests have come back normal, I recommend that you seek treatment from a psychosomatic medicine specialist...[Read More] Understanding Panic Disorder: When Physical Symptoms Signal Mental Health Issues
When Will Sleep Disorders Improve After Stopping Lorazepam?
When will the sleep disturbances caused by discontinuing medication for six months improve? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam for over three months at a dosage of 0.5 mg before bedtime. After disconti...
Dr. Peng Liyun Reply:
Hello, I understand your concerns. It is uncommon to experience insomnia due to withdrawal from a low dose of Lamotrigine after discontinuation for six months. I recommend a reevaluation of your insomnia and autonomic nervous system dysregulation, and it is important to rule out ...[Read More] When Will Sleep Disorders Improve After Stopping Lorazepam?
Overcoming Fear: Strategies for Managing Anxiety and Sleep Issues
Easily startled? I have a very timid personality and feel insecure when I'm alone. For instance, when I'm sleeping in my room at night, any sound from outside scares me. There have been one or two occasions when a loud noise startled me, causing my hands, feet, and body...
Dr. Lin Mianzhang Reply:
Hello, Xiaoya: It seems that you have a more sensitive constitution, making you prone to reactions of fright and fear. Generally speaking, if the symptoms are mild, you can improve your autonomic nervous system sensitivity through exercise (especially aerobic activities such as j...[Read More] Overcoming Fear: Strategies for Managing Anxiety and Sleep Issues
Understanding Anxiety: Coping with Fear of Being Followed in Daily Life
There was a previous concern about being easily startled; this is a supplement? Not only what was mentioned earlier, but I also feel anxious when walking up stairs, often walking faster. When I return home and go up the stairs, I always prefer my family to walk in front of me rat...
Dr. Lin Mianzhang Reply:
Hello, Xiaoya: It seems that you have a more sensitive constitution, which makes you prone to reactions of fright and fear. Generally speaking, if the symptoms are mild, you can improve your autonomic nervous system sensitivity through exercise (especially aerobic activities such...[Read More] Understanding Anxiety: Coping with Fear of Being Followed in Daily Life
Understanding Panic Disorder Medications: Your Questions Answered
Medication Consultation (Panic Disorder Medications) Hello Doctor: At the beginning of the month, while chatting with friends, I suddenly felt weak all over and uncomfortable, and I started to have difficulty breathing as if I were having a heart attack. After about ten minutes o...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysregulation and panic disorder. As for whether this is related to severe childhood abuse, a professional physician needs to make a personal diagnos...[Read More] Understanding Panic Disorder Medications: Your Questions Answered
Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?
Experiencing a rapid heartbeat while sleeping? Hello Doctor, I would like to ask you a question. Last August, I went to the hospital for a cardiac examination and had an echocardiogram. I have been having blood tests every three months, and currently, there are no significant iss...
Dr. Lin Mianzhang Reply:
Hello Mr. Wang: It sounds like your heart is not in serious trouble. The possibility of experiencing a rapid heartbeat while sleeping may be related to your thyroid. I wonder if you have a history of hyperthyroidism? Did you experience similar symptoms when you had hyperthyroidis...[Read More] Understanding Rapid Heartbeat During Sleep: Is It Autonomic Dysfunction?
Understanding Anxiety-Induced Nausea: When to Seek Help
Easily anxious and feeling nauseous? I am currently a senior in college. During high school, I often experienced anxiety and a poor appetite, but I was still able to eat. Recently, however, when I go out with others, I find myself feeling increasingly anxious (with tense nerves a...
Dr. Qiu Junda Reply:
Hello. The situation described in the text likely falls under anxiety (autonomic nervous system dysregulation and anxiety disorders are similar; it's just a different way of saying it). I recommend searching for information on stress management techniques to learn some relax...[Read More] Understanding Anxiety-Induced Nausea: When to Seek Help
Managing Medication Mistakes: What to Do After Taking the Wrong Dose
Missed medication dose Hello, Dr. Chiu! I would like to ask about my situation. I have been taking medication for autonomic nervous system disorder for six months, and there haven't been any major issues. Currently, I take one capsule of Cymbalta (60 mg) and one capsule of E...
Dr. Qiu Junda Reply:
Replied.[Read More] Managing Medication Mistakes: What to Do After Taking the Wrong Dose
Managing Medication Errors: What to Do After Taking the Wrong Psychiatric Drugs
Missed medication dose? Hello, Dr. Chiu! I would like to ask about my situation. I have been taking medication for autonomic nervous system dysfunction for six months, and I haven't had any major issues. Currently, I take one capsule of Cymbalta (60 mg) and one capsule of En...
Dr. Qiu Junda Reply:
Hello. You can stop taking the medication Qianyoujie and Entelai after waking up on January 14th, as you have already taken the medication at 2:20 AM on January 14th. You can resume your usual medication schedule afterward. There is no significant impact from the missed dose, so ...[Read More] Managing Medication Errors: What to Do After Taking the Wrong Psychiatric Drugs
Can Tylenol Interact with Anxiety Medications After Vaccination?
Medication consultation Due to autonomic nervous system dysfunction, I have been taking Jing'an enteric-coated tablets and Yulishupan tablets daily. After receiving the AZ vaccine today, I am experiencing uncomfortable side effects, so I took a Panadol Extra tablet. I would ...
Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress due to autonomic nervous system dysregulation. Whether this will have an impact requires a professional diagnosis by a physician. 1. Facing an uncertain future, psychosomatic disorde...[Read More] Can Tylenol Interact with Anxiety Medications After Vaccination?
Understanding Anxiety-Induced Nausea: When to Seek Psychiatric Help
Easily anxious and feeling nauseous? I have always been a person who gets easily nervous. At unfamiliar gatherings or when eating with strangers, I often feel uncomfortable and have difficulty eating, but it improves significantly after a few familiar encounters. However, since l...
Dr. Wu Enliang Reply:
Hello, internet user: If a gastroenterologist has examined you and found no issues, it is indeed worth considering a visit to a psychiatrist, as it could be a case of autonomic nervous system dysregulation. Dr. Wu Enliang.[Read More] Understanding Anxiety-Induced Nausea: When to Seek Psychiatric Help
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? Due to autonomic nervous system dysfunction, I have been experiencing stomach pain and have been taking Lorazepam (Ativan) for over three months at a dosage of 0.5 mg before bedtime. After discontinuing the medication, I developed...
Dr. Huang Zhijia Reply:
Hello: The true etiology of psychiatric disorders remains unclear to this day, but it may arise from the interaction of genetic predisposition and environmental stressors, leading to the manifestation of symptoms. The causes are highly heterogeneous, and similarly, the prognosis ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
Managing Panic Palpitations: Medication Dilemmas and Solutions
Panic palpitations I take 1.5 tablets of Fuxu, 1 tablet of Xinyu, and 1 tablet of Anbining every day. Recently, I still often feel my heart beating strongly. Tonight, I experienced a bit of a panic attack. What should I do? Can I take 2 tablets of Xinyu? The family medicine docto...
Dr. Lin Mianzhang Reply:
Hello, Xiao Yu: The medications you are taking include an antidepressant (Fuxu), a medication for lowering heart rate and blood pressure (Xinlv Ding), and an anxiolytic (Anbining). The antidepressant works by regulating the autonomic nervous system, which helps reduce the frequen...[Read More] Managing Panic Palpitations: Medication Dilemmas and Solutions
How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?
How much longer will it take to return to normal? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I had been taking for over three months. This insomnia is not caused by autonomic nervous system dysfunction; my symptoms related to autonomic...
Dr. Tang Jiahong Reply:
Hello, after discontinuing lorazepam, the insomnia that occurs may have other possibilities, such as an exacerbation of anxiety symptoms during that period, which can trigger insomnia. Later, if no anxiolytic medication is used, it naturally leads to the emergence of anxiety and ...[Read More] How Long Will It Take to Recover from Lorazepam Withdrawal Insomnia?