### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello Doctor, My mom is possibly suffering from the autonomic nerve function disorder, this is just what I guess and Im not 100% sure if it is. But I need the Professionals to help me identify the illness for her. In the past two months, my mom, 63 years old, always get awake around 4am in the morning with excessive amount cold sweat and she also feel her blood vessels are boiling hot. Furthermore she feels sad and wants to cry big time in the early morning, and the excessive amount of sweat continues the whole day pretty much. I doubted if this is depression but her Chinese doctor said its not. But I want a second opinion. I tried to give her B12 and B1 to eat plus the Oryzanol, but it doesnt do anything to her so far. I am really worried and eager to help her out, please advise me what medicine can help her problem?

### output:

Hi, Autonomic nervous system controls involuntary functions of the body like blood pressure maintenance, heart beat, breathing, sweating, bowel function etc. When this is disturbed it is known as Dysautonomia. It presents with symptoms like high blood pressure, excessive sweating, flushing, bowel disturbances etc. The symptoms can be quite distressing for the patient which can lead to a secondary depressive disorder (depending on for how long she has been experiencing these symptoms and also the relationship between them and the depressive symptoms). This maybe the cause of her symptoms like early morning awakening, weeping and low mood etc. Symptoms of excess sweating and flushing is not usually seen as a part of depressive disorder. This disorder is quite rare and can have primary causes. Investigations would help make a diagnosis. If a cause is found then the treatment would target that condition, if not the treatment would be symptomatic, which means that treatment will be given to control each of her symptoms. Medicines she is receiving right now is non-specific. Discuss investigating her further by her treating doctor.  Hope this helps, Chat Doctor. 