Dr. Ayla Wolf, DAOM, unpacks the complex nature of dysautonomia beyond the common POTS diagnosis, explaining how this autonomic nervous system dysfunction affects multiple body systems and presents differently in each individual.

• The autonomic nervous system makes automatic adjustments for body functions like heart rate, breathing, and digestion
• Dysautonomia refers to dysfunction of these automatic processes, affecting multiple body systems
• Common misconception that dysautonomia always means too much sympathetic (fight-or-flight) activity
• Symptoms can include cardiovascular issues like racing heart, increased heart awareness, and lightheadedness
• Digestive symptoms often include nausea, GI discomfort, and food sensitivities
• Respiratory, temperature regulation, cognitive function, and immune function can all be affected
• POTS is just one specific form of dysautonomia with clear diagnostic criteria
• Testing for dysautonomia includes pupil response tests, Valsalva maneuver evaluation, and sustained handgrip testing
• Dysautonomia can be primary, secondary (after concussion, surgery or viral illness), or co-exist with other conditions
• Proper assessment requires comprehensive testing rather than symptom-based treatment
• Vagal nerve stimulation is not a universal solution and may not help all forms of dysautonomia

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