How should autonomic disorders be diagnosed and how can they be diagnosed?

1. Ask the patient what pain he feels, and conduct auxiliary examinations through the patient's painful place, such as blood tests, B-ultrasound examinations, electrocardiograms, etc., if there is no problem in any examination, but the patient feels pain, then it is likely to be a manifestation of autonomic nerve dysfunction.

2. Observe from the patient's movements and behaviors, whether the patient's eyes are dull, see if the patient's mood is stable, whether he is easily emotional, and suddenly cry and laugh for nothing, and diagnose whether the patient suffers from autonomic dysfunction from the expression.

3. Palpate and observe the patient, use a scraper or wooden skewer, scrape a few times on the patient's **, and observe the patient's **, generally patients with autonomic nerve disorders** will find **obvious red scratches if they gently scrape with something**.

4. See if the patient is easy to sweat, patients with autonomic nervous disorders are generally prone to sweating, and patients will be found sweating profusely when the weather is not too hot.

Respiratory system: shortness of breath, poor breathing, sighing and breathing, etc.

Heart: chest tightness, breathlessness, palpitation, sense of impending death, etc.

Gastrointestinal tract: pharyngeal foreign body sensation, stomach distention, nausea, diarrhea or constipation, etc.

Nervous system: headache, dizziness, blurred vision, insomnia, dreaminess, forgetfulness, difficulty concentrating, etc.

Genitourinary system: frequent urination and urgency (no abnormalities in urinalysis), irregular menstruation, dysmenorrhea, spermatozoa, impotence, decreased sexual function, etc.

There are many causes of autonomic disorders, which are not well understood. Common causes include: irregular life, high pressure in work and life, lack of sleep, and unfortunate things in life, etc., which make people too nervous and nervous, and have autonomic nervous system dysfunction due to excessive psychological load.

In addition, it is also related to genetics, parents have a history of autonomic disorders, and children are also prone to it. It is also related to the quality of the individual, including psychological quality and physical quality, such as the intensity of reaction to things, speed, mood swing index, reaction potential and other personality.

Autonomic disorders are medically difficult to diagnose. The diagnosis is a diagnosis of exclusion, which is made by ruling out other conditions.

1. Cardiac autonomic disorders: if there is palpitation, chest tightness, etc., cardiology diseases need to be excluded, cardiac ultrasound, electrocardiogram, cardiac enzymes, troponin are examined, and no abnormalities are found, and the patient may suffer from cardiac neurosis, which is caused by cardiac autonomic disorders;

2. Chronic somatoform disorder: if there is headache, dizziness, nausea, vomiting, insomnia, restlessness, etc., and no abnormalities in the brain or thyroid gland are found in the examination, the patient may have light anxiety, depression, irritability, and only somatic manifestations, which belong to somatoform disorder;

3. Autonomic nerve disorder: there are some patients with nausea, vomiting, etc., but no lesions were found in the examination shed such as gastroscopy and intestinal chain collapse.

Therefore, autonomic disorders are generally excluded diseases, and patients with symptoms can be considered after the specialist has ruled out related diseases. If it is considered to be caused by autonomic disorders, anti-anxiety and antidepressant drugs are often used, which can achieve good efficacy.

Diagnosis of autonomic dysfunction requires the exclusion of organic lesions in conjunction with clinical manifestations

1.Exclusion of organic lesions: The presence of organic lesions is excluded through routine blood and biochemical examinations, abdominal ultrasound, gastrointestinal endoscopy, and cardiac color ultrasound.

2.Diagnosis based on clinical manifestations: Complex symptoms of autonomic dysfunction, including anxiety, insomnia, palpitations, abdominal pain, abdominal distension, etc., are confirmed according to the clinical manifestations of the patient.

3.The principle of taking psychology as the first priority: patients can seek help from professional psychologists.