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Clinical Focus

Stress

Stress refers to any internal or external stimulus that triggers a biological response. The body’s reactions to these stressors are known as stress responses. Depending on the nature, timing, and intensity of the stimulus, stress can have various effects on the body, ranging from changes in homeostasis to potentially life-threatening consequences, including death. Chronic stressors encompass everyday challenges such as traffic jams, work overload, financial struggles, marital disagreements, children or family issues. While there are many other potential sources of stress, these are the most commonly experienced in daily life. Stress can both trigger and exacerbate numerous diseases and pathological conditions. Chronic stress is considered a major risk factor for lower quality of life and premature death, accounting for 75%-90% of all visits to family physicians. Studies indicate that nearly every system in the body can be affected by chronic stress. When stress is not alleviated, it weakens the immune system and eventually leads to illness. One can only imagine the consequences if the body were to stay in a constant fight-or-flight mode.

Signs and Symptoms of Stress

  • Headaches
  • Fatigue
  • Sleep disturbances
  • Muscle tension
  • Digestive issues
  • Changes in appetite
  • Irritability or mood swings
  • Anxiety or nervousness
  • Reduced concentration
  • Increased heart rate or palpitations

Types of Stress

  • Acute stress: A short-term response to immediate stressors or challenging situations. The body's fight-or-flight reaction triggers temporary physiological changes, including an increased heart rate and the release of adrenaline.
  • Chronic stress: This happens when a stressor continues over a long period. Ongoing exposure to chronic stress can result in gradual physiological and psychological effects, raising the risk of health issues such as cardiovascular disease, anxiety, and depression.
  • Episodic acute stress: The stress occurs when individuals experience frequent episodes of acute stress. This pattern may be characteristic of individuals who lead chaotic or disorganized lifestyles, constantly facing deadlines, commitments, or interpersonal conflicts. The cycle of stress exacerbates health issues and impairs daily functioning.
  • Traumatic stress: This type results from exposure to traumatic events, such as natural disasters, accidents, or violent acts. The trauma overwhelms an individual's ability to cope and may lead to symptoms of post-traumatic stress disorder (PTSD), including intrusive memories, avoidance behaviours, and hyper- arousal.
  • Environmental stress: This type of stress stems from negative or challenging conditions in one's environment, such as noise, pollution, overcrowding, or unsafe living situations. These stressors can negatively impact both physical and mental health, leading to feelings of discomfort or distress.
  • Psychological stress: This type of stress arises from cognitive or emotional factors, such as perceived threats, concerns, or negative thinking. Common stressors include work pressures, academic expectations, social comparisons, limiting/rigid beliefs, or self-imposed goals. Symptoms may include anxiety, excessive thinking, or perfectionism.
  • Physiological stress: Physiological stress refers to the body's response to internal or external stressors that disrupt homeostasis. Examples include illness, injury, sleep deprivation, or nutritional deficiencies, which activate physiological stress pathways and compromise health and well-being.

Organ Systems Involved

  • Cardiovascular system: Acute stress causes an increase in heart rate, stronger heart muscle contractions, dilation of the heart, and redirection of blood to large muscles.
  • Respiratory System: Dysregulation can lead to a cascade of physiological effects, inducing bronchial hyper-responsiveness and inflammation. More importantly, acute stress can result in changes in breathing patterns due to airway constriction, leading to shortness of breath and rapid shallow breathing, exacerbating respiratory symptoms.
  • Gastrointestinal System: Stress-induced changes in gut motility can result in symptoms like diarrhea or constipation, while heightened visceral sensitivity may contribute to conditions such as irritable bowel syndrome. Additionally, stress can compromise the integrity of the gastrointestinal mucosal barrier, increasing permeability and making the body more vulnerable to inflammation and infection. Stress-induced disruption of the gut-brain axis worsens gastrointestinal disorders, amplifying symptoms through the bidirectional communication between the central nervous system and gut microbiota.
  • Musculoskeletal System: Activation of the stress-induced sympathetic nervous system can intensify musculoskeletal tension, contributing to conditions such as tension headaches, temporomandibular joint disorders, delayed recovery from musculoskeletal injuries, and an increased risk of developing conditions like fibromyalgia and lower back pain.
  • Immune System: Chronic stress promotes systemic inflammation through the upregulation of inflammatory mediators, contributing to the pathogenesis of autoimmune diseases and chronic inflammatory disorders.
  • Reproductive System: Chronic stress can disrupt the delicate balance of the reproductive axis by suppressing the secretion of gonadotropin-releasing hormone (makes sex hormones) from the hypothalamus. This disruption impairs ovarian function in women and reduces testosterone production in men. This can have downstream effects contributing to menstrual irregularities, anovulation, and infertility in women, and impaired sexual desire, erectile dysfunction, and decreased sperm quality in men.

Causes of Stress

  • Death of a love one
  • Financial pressures
  • Toxins
  • Lack of relaxation
  • Trauma and fear
  • Unwanted employment
  • Caffeine
  • Negative attitudes and beliefs
  • Nutritional deficiencies
  • Marital stress
  • Drugs and medications
  • Too much or too little exercise
  • Sugar and white flour
  • Poor eating habits
  • Lack of sleep
  • Smoking
  • Over exertion
  • Allergies
  • Emotional stress
  • Infection: acute or chronic

Causes of Stress

  • Death of a loved one
  • Financial pressures
  • Toxins
  • Lack of relaxation
  • Trauma and fear
  • Unwanted employment
  • Caffeine
  • Negative attitudes and beliefs
  • Nutritional deficiencies
  • Marital stress
  • Drugs and medications
  • Too much or too little exercise
  • Sugar and white flour
  • Poor eating habits
  • Lack of sleep
  • Smoking
  • Over exertion
  • Allergies
  • Emotional stress
  • Infection: acute or chronic

How can I help?

By taking a comprehensive and individualized approach, a naturopathic doctor aims to address the root causes of stress, rather than just masking the symptoms. This holistic approach can help patients manage stress more effectively and improve their overall well-being.

FAQs

Frequently Ask Questions

Stress can impact nearly every system in the body. It can lead to physical symptoms such as headaches, muscle tension, digestive problems, and sleep disturbances. Over time, chronic stress weakens the immune system, increasing the risk of illness and potentially contributing to conditions such as high blood pressure, heart disease, and anxiety disorders.

Yes, some people are more prone to stress due to factors such as genetics, personality traits, coping mechanisms, and past experiences. People with a higher level of resilience or better coping skills tend to manage stress more effectively, while others may struggle to handle stress, making them more vulnerable to its negative effects.

Chronic stress can strain personal and professional relationships. It may lead to irritability, mood swings, and difficulty communicating effectively, which can create tension or misunderstandings. Over time, stress can cause individuals to withdraw or become less supportive, affecting the quality of relationships.