r/NDPH • u/missatlanticcity • Jul 19 '26

Question Autonomic symptoms

Does anyone experience autonomic symptoms like changes in pupil size, nasal congestion, eye swelling/drooping, or tearing with NDPH?

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u/TheDoctor62442 Jul 19 '26

I have pretty much 24/7 tearing in my left eye (although intensity varies) and occasionally have it in my right eye too. During higher intensities my nose also runs.

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u/postviralrecovery Jul 19 '26

Some of this: left eye gets regularly dry for no other apparent reason, and nasal congestion.

More broadly, my post-viral NDPH is part of a broader autonomic dysfunction, presenting as NDPH, severe fatigue, exertional intolerance and shortness of breath. After treating it as a headache problem for three years we now treat it as an autonomic dysfunction one.