Circulation problems

Anxiety and fear can slowTrusted Source blood flow because stress hormones like adrenalin cause blood vessels to constrict. Known as vasoconstriction, this can in turn lead to changes in body temperature and hot flashes.

ResearchTrusted Source suggests long-term stress and anxiety can even increase the risk of heart disease over time.

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Gastrointestinal issues

Most people are familiar with the nervous sensation of “butterflies in your stomach,” but GI symptoms like diarrhea, constipation, and nausea can also be caused by anxiety.

A growing body of research shows a powerful link between the brain and the gut, and GI conditions like IBS may be triggered or exacerbated by anxiety and stress.

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Dissociation

Dissociation is a defensive reaction to trauma or stress where your sense of identity, memory, or consciousness is altered. The most common forms of dissociation are:

  • Depersonalization: a sense of detachment or disconnection from yourself
  • Derealization: a sense of disconnection from your surroundings or reality

Although these symptoms may indicate a dissociative disorder, they can also be influencedTrusted Source by anxiety or stress as part of your fight, flight, or freeze response.

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Persistent hiccups

Hiccups, or involuntary spasms of the diaphragm, are usually understood as a digestive symptom. But they can also be caused or intensifiedTrusted Source by mental or emotional stress.

According to a small case studyTrusted Source, children and adolescents could also develop hiccups as a symptom of psychological distress.

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Hives and skin rashes

PsychodermatologyTrusted Source focuses on the interaction between your mind and skin. ResearchTrusted Source in this field shows a link between anxiety disorders and skin symptoms like chronic itching and hives. This might create another cycleTrusted Source in which stress and anxiety worsen itching, and vice versa.

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Tinnitus, or ringing ears

Tinnitus is the medical term for a ringing or buzzing noise in the ears, although it can also cause a roaring or whistling sound.

ResearchTrusted Source suggests that people with chronic tinnitus are also more likely to report anxiety.

The sounds of tinnitus may also be perceivedTrusted Source as being louder by people with anxiety. This can lead to a vicious cycle where tinnitus causes anxiety, and that anxiety increases your awareness of the tinnitus.

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Unusual anxiety symptoms

Not all anxiety symptoms are well known. If you live with anxiety, you might experience one of these physical symptoms and not realize it’s rooted in anxiety.

Chest pain

A racing heart is a familiar symptom of anxiety, but chronic anxiety can also cause chest pain or the sensation of a heart “flutter.”

An increased heart rate and muscle tension are both part of your body’s fight, flight, or freeze response, but they can cause pain if anxiety is chronic.

This symptom can be especially distressing because it can mimic the onset of a heart attack, often causing even more anxiety. Researchers estimate that almost 50% of people who come to the ER with low-risk chest pain (that is, pain not related to a heart attack) experienced higher than usual levels of anxiety.

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9 Unusual Anxiety Symptoms You Might Not Know About Unusual symptoms Typical symptoms When to see a doctor Recap Ringing ears and chest pain might not be the first things that come to mind when you picture anxiety, but there is a connection.

Anxiety can show up in lots of different ways and rarely looks the same from person to person. Trying to figure out if anxiety is causing your symptoms isn’t always a straightforward process.

While anxiety disorders are some of the most commonly diagnosedTrusted Source mental health conditions in the United States, they’re not always easy to spot.

If you have an anxiety disorder and you’re experiencing a strange symptom — especially one your doctor can’t explain — you might feel relieved to know that your anxiety could be causing it.

Whether it’s a somatic symptom or an emotion that doesn’t seem connected to anxiety at first, tying these mysterious symptoms to a known cause could help you manage them.

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Unresolved problems and future targets

The relationship between anxiety and sexual function is complex because it has been considered in 2 symmetrical directions: the primary symptom and the secondary consequence. Understanding the cause-effect link in clinical practice necessitates experience and an expanded point of view.

The relationship between anxiety and sexuality can be theoretically described as one of the following:

  • Anxiety may cause sexual failure.
  • SDs may cause anxiety.
  • SDs and anxiety are not causally related.
  • Anxiety and SDs may be different expressions of the same processes.

The analogies in neurobiology and the good response to similar treatments (psychotherapy and/or SSRIs)53-56 seem to confirm the last hypothesis, suggesting a common root of these 2 manifestations. Obtaining a complete psychopathological and sexual history represents an important step in diagnosis that can influence prognosis with either pathology.

When investigating anxiety disorders, it is important to consider the patient’s sexual life, and vice versa. When we evaluate SD, anxiety disorder should always be considered. In our practice, failure to investigate the patient’s psychological background negatively influences the treatment goal of a patient with an SD.

The clinical evaluation should not be restricted to the patient but should extend to the partner. In particular, partners of men with SDs frequently have not only an unsatisfactory sexual life but an anxiety disorder as well.57

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$exual dysfunction in patients with anxiety disorders

Looking at the other side of the picture, sexual difficulties are common in patients affected by anxiety disorders. Often, in fact, a sexual symptom is the first reason for consulting a physician.

Kaplan1 suggested a prevalence of SD of 75% in patients with panic disorder.1 These data were confirmed by Figueira and colleagues,40 who retrospectively evaluated the sexual function and the sexual history of 30 patients with panic disorder and social phobia. They found that sexual aversion disorder is the most common SD in patients with panic disorder, and that its prevalence in this population is greater than in the general population. Furthermore, they found that in their series, sexual aversion was secondary to panic disorder: patients said that they avoided sex because they feared having a panic attack during intercourse. These results were found in both men and women and suggest that sexual aversion may be part of the agoraphobic spectrum.40

Sexual avoidance may also be caused by ED in males affected with panic disorder. An analysis of 60,949 patients with ED showed that men with panic disorder have an increased risk (odds ratio) of ED in the range of 1.33 to 2.29.41

Studies on sexuality in patients with social phobia show a comorbidity of about 30%. Arousal disorders (loss of desire during sexual intercourse)42 and orgasm-ejaculation disorders are most common in males with social phobia. Some studies that have analyzed social phobia in male populations found a high prevalence of PE (47%),40 while others found a link with retarded ejaculation (33%).42 The correlation between PE and social phobia is accepted, but there is also a relationship between retarded ejaculation and social phobia, which underlines that the specific role of anxiety is still unclear.

Pleasure and sexual satisfaction are impaired in persons with social phobia.40,42-44 Women with social phobia are more likely to have concomitant desire disorders (46%), pain during sex (42%), and less frequency of sexual thoughts and sexual intercourse.42

SDs have a prevalence of 39% in females with OCD.45Patients may report sexual disgust, the absence of sexual desire, very low sexual arousal, anorgasmia, and high avoidance of sexual intercourse.46,47 Patients with OCD show severe impairment in both interpersonal and sexual relationships48 and they tend to perceive themselves as less sensual in comparison to patients with other anxiety disorders.46 The results are a poor level of sexual pleasure47 and a strong dissatisfaction with their sexuality (73%).45

PTSD affects emotional, social, professional, and sexual life.49,50 It is still unclear whether populations with PTSD have normal levels of sexual desire.51,52 Certainly, these patients have ED (prevalence of about 69% in combat veterans with PTSD) and problems with orgasm, and thus report a poor level of $exual satisfaction.41,51,52

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