OpenHealth Q&A

It’s understandable that experiencing random hairs standing on end can be concerning and puzzling. This phenomenon is commonly related to the reflex action of your sympathetic nervous system and can have various explanations, especially considering the health conditions and medications you're managing.

Explanation:

The sensation of hairs standing up, known as "piloerection," is often a response to certain stimuli, like cold air, emotional reactions (like fear or anxiety), or even hormonal changes. When it happens without a clear trigger, it can feel particularly perplexing. Given your anxiety disorder and the medications you’re taking—Cymbalta (an SNRI), Lyrica, and Vyvanse—it is plausible that these could influence your nervous system's activity.

1. Sympathetic Nervous System Activation: Medications like Cymbalta and Vyvanse can affect norepinephrine levels in the brain, which might lead to increased sympathetic nervous system activation. This is what causes responses such as goosebumps or hairs standing up.

2. Anxiety and Stress: Anxiety can also stimulate the nervous system, potentially leading to heightened sensations in your skin and causing hair to stand on end unexpectedly.

3. Other Factors: Conditions such as skin sensitivity or underlying neurological responses can add to this sensation.

Next Steps:

1. Monitor Triggers: Keep a diary to note when this happens. Record any accompanying sensations, your emotional state, recent activities, and any changes in medication. This could help pinpoint if there's a pattern.

2. Relaxation Techniques: Since stress and anxiety can exacerbate sensations, practice relaxation techniques such as deep breathing, mindfulness, or progressive muscle relaxation to help manage anxiety.

3. Review Medications: If this sensation continues to bother you, consider discussing it with your healthcare provider. They may suggest a review of your current medications to understand their effects on your nervous system.

4. Consultation Review: If you're uncertain about the diagnosis of Complex Regional Pain Syndrome or have ongoing concerns, it may also be beneficial to talk to your healthcare provider about this. They can provide clarity and assess if any further investigations are needed.

Remember, it’s important to listen to your body and take note of any new symptoms or changes. If the sensation becomes more frequent or is accompanied by other troubling symptoms, further discussion with a healthcare provider may be warranted.