Everyone Healthy Library
Acute Stress Reaction
Condition / disease reference page from the Everyone Healthy database.
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- chest pain, pressure or pain spreading to the arm, jaw or back
- trouble breathing, blue lips, severe wheeze or choking
- stroke-like symptoms such as face drooping, arm weakness or speech trouble
- collapse, fainting, seizure, confusion or extreme drowsiness
- severe bleeding, black stools, vomiting blood or major injury
- severe allergic reaction, swelling of the face/throat or widespread rash with breathing trouble
- severe abdominal pain, severe headache, stiff neck or sudden vision change
- signs of severe dehydration, sepsis, high fever with worsening illness, or symptoms in a baby/young child that concern you
Connected health information
Explore this condition in a clear order
Linked signs and symptoms
4Each sign/symptom opens its own page and links back to related conditions.
Linked drugs / medications
0No linked drugs are listed yet.
Treatments, therapies and supportive options
19Grouped by treatment type. These are educational database links, not personal treatment recommendations. Evidence labels are shown only where stored in the EH database.
Counselling and support
6Alternative and complementary therapies
7- Cannabis (Marijuana)Weakly in Favour(Low Evidence)
- Chamomile (Matricaria Chamomilla)Weakly Against(Low Evidence)
- Flower RemediesNo Recommendation(Very Low Evidence)
- GinsengNo Recommendation(Low Evidence)
- Kava (Piper Methysticum)Weakly in Favour(Low Evidence)
- Pine BarkNo Recommendation(Very Low Evidence)
- Relaxation Techniques
Alternative medicine
5Linked diagnostic tests and investigations
25These are pulled from both EH diagnostic-test link tables, including the older large test-link table.
- Aldosterone Concentration Test
- Alpha-1 Antitrypsin (AAT) Concentration
- Basophil Count
- Cholesterol Concentration
- Coagulation Factor Assay (Blood Clotting Factors)
- Follicle-Stimulating Hormone (FSH) Concentration
- Glucagon Concentration Test
- Glucose, Blood (Fasting Blood Glucose)
- Glucose, Blood (Post Prandiol Blood Glucose Test, 2 Hour Post Meal Blood Glucose)
- High Density Lipoprotein (HDL) Concentration
- Luteinizing Hormone (LH) Concentration
- Lymphocytes Count
- Monocyte Absolute Count
- Neutrophil Absolute Count
- Plasminogen Activity
- Prolactin Concentration
- Protein Electrophoresis (Blood, Serum Protein)
- Somatotropin Concentration Test
- Thrombin Time
- Thyroxine Binding Globulin Concentration (TBG, Thyroid Binding Globulin, Blood)
- Urine Albumin 24hr test
- Urine glucose concentration
- Urine Granular Cast Concentration
- Urine Ketone Concentration
- Urine Specific Gravity (SG)
Biological markers/agents
25This visual map shows biological markers/agents reported as increased or decreased with this condition. These are educational relationships only; test results must be interpreted by a qualified clinician because ranges vary by lab, method, age, sex and clinical context.
Often increased
17- AldosteroneReference range exampleAdult ( > 16y), Female: 0.13–0.86 nmol/L; Adult ( > 16y), Male: 0.16–0.66 nmol/LLinked diagnostic testsAldosterone Concentration Test
- Alpha-1 Antintrypsin (AAT)Reference range exampleAdult ( > 16y): 90–215 mg/dLLinked diagnostic testsAlpha-1 Antitrypsin (AAT) Concentration
- Alpha-2-Globulin (Blood, Serum)Reference range exampleAll: 0.6–1 gm/dLLinked diagnostic testsProtein Electrophoresis (Blood, Serum Protein)
- Cholesterol (Total)Reference range exampleInfant (0 - 1y): 75–180 mg/dL; Adult ( > 16y): 0–190 mg/dLLinked diagnostic testsCholesterol Concentration
- CortisolReference range exampleAll: 20–100 µg/dL; Adult ( > 16y): 0–650 nmol/LLinked diagnostic testsACTH Stimulation Test (Stimulation With Cosyntropin, Measuring Rise in Cortisol)
- Forced Expiratory Volume At Three Seconds (FEV3)Reference range exampleAll: 95–100 %Linked diagnostic testsSpirometry
- GlucagonReference range exampleChild (0 - 16y): 0–147 pg/mL; Adult ( > 16y): 20–110 pg/mLLinked diagnostic testsGlucagon Concentration Test
- Glucose (Blood)Reference range exampleInfant (0 - 1y): 3–6.1 mmol/L; Adult ( > 16y): 0–6.1 mmol/LLinked diagnostic testsfasting Blood Glucose Test, Glucose Tolerance Test (GTT
- PlasminogenReference range exampleAdult ( > 16y), Female: 65–153 %; Adult ( > 16y), Male: 70–120 %Linked diagnostic testsPlasminogen Activity
- ProlactinReference range exampleAdult ( > 16y), Female: 0–24 ng/mL; Adult ( > 16y), Male: 0–19 ng/mLLinked diagnostic testsProlactin Concentration
- Segmented NeutrophilsReference range exampleAdult ( > 16y): 50–62 %; Adult ( > 16y): 2,500–8,000 mm3Linked diagnostic testsDifferential White Blood Cell Count Tests, Neutrophil Absolute Count
- Thrombin TimeReference range exampleAdult ( > 16y): 10–20 secondsLinked diagnostic testsThrombin Time
- Unrine Granular CastsReference range exampleAdult ( > 16y): 0–0 Not PresentLinked diagnostic testsUrine Granular Cast Concentration
- Urine AlbuminReference range exampleAdult ( > 16y), Female: 30–105 mg/dL; Adult ( > 16y), Male: 10–145 mg/dLLinked diagnostic testsUrine Albumin 24hr test
- Urine glucoseReference range example0–2.5; Adult ( > 16y): 0–2.5 mmol/dayLinked diagnostic testsUrine glucose concentration
- Urine KetoneReference range exampleAdult ( > 16y): 0–0.25 mg/dLLinked diagnostic testsUrine Ketone Concentration
- Urine Specific Gravity (SG)Reference range exampleAdult ( > 16y): 1.005–1.03Linked diagnostic testsUrine Specific Gravity (SG)
Often decreased
8- BasophilsReference range example0.02–0.05 million/mL; 0–1 %Linked diagnostic testsBasophil Count, Basophil Differential Percent of Total WBC
- Factor XI (Plasma Thromboplastin Antecedent, Percentage of Normal Value)Reference range exampleAdult ( > 16y): 65–135 %Linked diagnostic testsCoagulation Factor Assay (Blood Clotting Factors)
- Follicle-Stimulating Hormone (FSH)Reference range exampleAdult ( > 16y), Female: 0.6–55 units/L; Adult ( > 16y), Male: 1.49–15 units/LLinked diagnostic testsFollicle-Stimulating Hormone (FSH) Concentration
- High Density Lipoprotein (HDL)Reference range exampleAdult ( > 16y), Female: 53–500 mg/dL; Adult ( > 16y), Male: 45–500 mg/dLLinked diagnostic testsHigh Density Lipoprotein (HDL) Concentration
- Luteinizing Hormone (LH)Reference range exampleAdult ( > 16y), Female: 3–56 units/L; Adult ( > 16y), Male: 1.2–8 units/LLinked diagnostic testsLuteinizing Hormone (LH) Concentration
- LymphocytesReference range exampleAdult ( > 16y): 25–40 %; 700–3,500 cells/mm3Linked diagnostic testsDifferential White Blood Cell Count Tests, Lymphocytes Count
- MonocytesReference range exampleAdult ( > 16y): 3–7 %; 0.1–0.5 million/mLLinked diagnostic testsDifferential White Blood Cell Count Tests, Monocyte Absolute Count
- Thyroxine Binding Globulin (TBG, Thyroid Binding Globulin, Blood)Reference range exampleInfant (0 - 1y), Female: 1.7–3.6 mg/dL; Infant (0 - 1y), Male: 1.6–3.5 mg/dLLinked diagnostic testsThyroxine Binding Globulin Concentration (TBG, Thyroid Binding Globulin
Introduction / full article
Acute Stress Reaction
Efficacy of Alternative and Other Treatments According to GRADE* Ranking:
Pine Bark Extract [1, 23, 24, 25]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that Pine Bark extract helps to treat stress)
Grade of Evidence: very low of evidence
Cannabis (Marijuana, weed, hemp) [1, 14, 15, 16, 17, 18, 19, 20, 21, 22]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: Weakly in favor (Evidence shows that smoking or ingesting cannabis may help in relieving symptoms of stress, although some studies have yielded mixed results)
Grade of Evidence: low quality of evidence
Kava (Piper Methysticum) [1, 10, 11, 12, 13]:
WARNING: In rare cases, kava may lead to liver failure and other life threatening problems. The FDA warns that those who have had liver problems, or are on medicacations which may affect the liver, patients should check with their doctors before taking Kava. Other side effects include headache, upset stomach, drowsiness, weight loss, bloody urine, and muscle weakness.
Recommendation: weakly in favor (Early studies indicate that Kava may be helpful in reducint the symptoms of sleep disorder. However, subsequent studies have yielded contradictory results. More research is needed.)
Grade of Evidence: low quality of evidence
Ginseng [1, 6, 7, 8, 9]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that ginseng helps to treat stress)
Grade of Evidence: low quality of evidence
Flower Remedies [1, 4, 5]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that flower remedies help to treat stress)
Grade of Evidence: very low quality of evidence
Chamomile (Matricaria Chamomilla) [1, 2, 3]:
Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.
Recommendation: weakly against (Available evidence does not support claims that Chamomile helps treat stress reactions. In addition, allergic reactions and side effects like cramps, itching, rashes and difficulty breathing can be relatively common)
Grade of Evidence: low quality of evidence
* www.gradeworkinggroup.org
Summary References
Treatments:
1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009
2. http://www.abchomeopathy.com/r.php/Cham
3. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-chamomile.html
4. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/flower-remedies
5. http://www.ncbi.nlm.nih.gov/pubmed/12635462
6. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-ginseng.html
7. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/ginseng
8. Invalid
9. Invalid
10. http://www.publish.csiro.au/?act=view_file&file_id=SP05005.pdf
11. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/kava
12. http://www.kavazen.com/pages/library.htm#KavaZen and Kava Safety
13. http://nccam.nih.gov/health/kava/index.htm
14. http://www.nlm.nih.gov/medlineplus/marijuana.html
15. http://nccam.nih.gov/research/extramural/awards/2004/
16. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/marijuana
17. http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/treatments/complementary--alternative-medicine/marijuana/index.aspx
18. http://www.ncbi.nlm.nih.gov/pubmed/16957511
19. http://www.ncbi.nlm.nih.gov/pubmed/12965981
20. http://www.ncbi.nlm.nih.gov/pubmed/17589370
21. http://mct.aacrjournals.org/content/6/11/2921.long
22. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2562334/?tool=pmcentrez
23. http://www.clinicaltrials.gov/ct/show/NCT00214032
24. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/pine-bark-extract
25. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-pycnogenol.html