What are the somatic symptoms of anxiety disorder?

Nov 17, 2025 Source: Cainiu Health
Dr. Zhang Baohua
Introduction
Somatic symptoms of anxiety refer to various physical reactions through which anxiety manifests as bodily discomfort, primarily including cardiovascular discomfort, respiratory abnormalities, gastrointestinal symptoms, neurological manifestations, and musculoskeletal discomfort. The occurrence of these symptoms is closely related to emotional states. Learning to manage anxiety through exercise, meditation, and other methods, as well as maintaining a regular daily routine, is essential.

Anxiety disorder somatization symptoms refer to various physical manifestations caused by anxiety, primarily involving discomfort in the cardiovascular system, respiratory abnormalities, digestive system symptoms, neurological manifestations, and musculoskeletal discomfort. A detailed analysis is as follows:

1. Cardiovascular discomfort: This type of symptom is common and mainly presents as palpitations or a sensation of irregular or rapid heartbeat. Some individuals may experience chest tightness or a feeling of pressure in the chest. In rare cases, mild stabbing pain in the precordial area may occur. Symptoms often coincide with emotional stress.

2. Respiratory abnormalities: During anxiety episodes, rapid breathing and shortness of breath are common. Individuals may feel insufficient air intake, leading to deeper and faster breathing. Some may experience chest tightness or breathlessness. In severe cases, hyperventilation may occur, triggering secondary symptoms such as dizziness and numbness in the hands and feet. Symptoms usually gradually improve once breathing rhythm is regulated.

3. Digestive system symptoms: Gastrointestinal function is easily affected by emotions. Common symptoms include nausea, acid reflux, bloating, and abdominal pain. Some people may have reduced appetite or sudden hunger sensations. Others may experience diarrhea or constipation. These symptoms lack clear organic pathology and tend to recur during emotional fluctuations.

4. Neurological manifestations: These often present as dizziness and headaches. Headaches are typically described as a tightening sensation on both temples or at the back of the head. Other symptoms may include scalp numbness, hand and foot tremors, difficulty concentrating, and temporary memory decline. Sleep onset difficulties may occur at night due to heightened nervous system arousal.

5. Musculoskeletal discomfort: Prolonged anxiety can lead to sustained muscle tension, causing stiffness and soreness in the neck, shoulders, lower back, and back muscles. Severe cases may involve muscle spasms, with increased pain during limb movement. Symptoms can be partially relieved through relaxation exercises or localized massage.

The occurrence of these symptoms is closely related to emotional states. Learning to manage anxiety through exercise, meditation, and maintaining regular daily routines can effectively reduce the frequency of somatization symptoms.