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Many teenagers who struggle with chronic fatigue have symptoms suggestive of autonomic dysfunction that may include lightheadedness, headaches, palpitations, nausea, and abdominal pain. Inadequate sleep habits and psychological conditions can contribute to fatigue, as can concurrent medical conditions. A family-based approach to care with support from a multidisciplinary team can diagnose, treat, educate, and encourage patients.

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To the casual observer, the dysautonomia patient can appear to be healthy. Some symptoms seem to occur in intense phases. Symptoms can occasionally be severe enough that patients may require consideration for placement in full or part time homebound teaching programs for health impaired students; others will be able to attend school, often with modifications in their educational plans.

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As part of the Mayo Clinic Children's Centerexperts in our Adolescent Autonomic Dysfunction Clinic care for teenagers who have chronic dizziness, nausea, fatigue and often pain that's related to problems with the autonomic nervous system — the part of the nervous system that controls involuntary functions, such as heart rate, blood pressure, movement of contents through the digestive tract and body temperature. One type of autonomic dysfunction is called postural orthostatic tachycardia syndrome POTS. Signs and symptoms of POTS can vary but typically include an abnormally increased heart rate — and sometimes dizziness or fainting — when changing position from lying down to standing.

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A patient presenting with headache and cognitive difficulty may have migraine, even if his or her medical and neurologic examinations are unremarkable. About five females have POTS for every male with the disorder, and onset usually occurs between the early teens and the mid 40s. Onset also can occur during or following pregnancy, after a medical procedure, and following concussion.

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Fainting syncope is common during childhood in healthy adolescents and young adults. Around 20 percent of young adults report having fainted at least one time. Despite being common, fainting can cause a great deal of worry for patients and their caregivers.

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Toll-Free U. From high-quality clinical care and groundbreaking research to community programs that improve quality of life, philanthropic support drives our mission. Pain Management Center E.

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What is dysautonomia? Learn More What is dysautonomia? Connect Find a Support Group.

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Diabetic autonomic neuropathy DAN is among the least recognized and understood complications of diabetes despite its significant negative impact on survival and quality of life in people with diabetes 12. ANS vasomotor, visceromotor, and sensory fibers innervate every organ, and DAN may be either clinically evident or subclinical with dysfunctions of one or more organ systems e. The clinical presentation is most often a heterogeneous pattern of symptoms in different organs, which can lead to misdiagnosis 456.

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Patrick Fox, now 14, considers himself lucky. It took only a year to find out why he was always tired, his heart raced and he ached all over, why he became overheated easily and had terrible headaches almost every day. Once a happy, active child and good student who enjoyed school, by age 12 he could hardly get out of bed. Various medical specialists — pediatrician, cardiologist, rheumatologist and geneticist — failed to find a physical cause for his symptoms.

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