How Stress Can Mask the Symptoms of Chronic Disease

Knvul Sheikh in The New York Times:

Scientists now know that stress is intimately linked with many chronic diseases: It can drive immune changes and inflammation in the body that can worsen symptoms of conditions like asthma, heart disease, arthritis, lupus and inflammatory bowel disease. Meanwhile, many issues caused by stress — headaches, heartburn, blood pressure problems, mood changes — can also be symptoms of chronic illnesses.

Stress naturally kick-starts what’s called the fight-or-flight response. When we encounter a threat, our blood pressure and heart rate climb, muscles tense and our body concentrates blood sugar to make it easier to quickly react, said Dr. Charles Hattemer, a specialist in cardiovascular health at the University of Cincinnati. If people are stressed for weeks or months, their bodies may be unable to keep up as well with other functions, leading to problems like forgetfulness, fatigue and trouble sleeping. Stress hormones like adrenaline and cortisol can chronically elevate blood pressure or increase plaque deposits, which can damage the heart over time, Dr. Hattemer said.

More here.