Stress is an unavoidable part of life, and while it often carries a negative connotation, it is actually a fundamental survival mechanism. When faced with a perceived threat, whether physical or emotional, the body instinctively reacts to protect itself. This automatic response is commonly known as the "fight, flight, or freeze" response. While it serves an essential function in dangerous situations, chronic activation of this response due to daily stressors can have significant consequences for mental and physical health.

The body’s response to stress is rooted in human evolution. When our ancestors encountered a predator, their nervous systems immediately prepared them to either confront the threat (fight), escape to safety (flight), or become still and unnoticed (freeze). While modern-day stressors may not include wild animals, our nervous system reacts similarly to job pressures, financial worries, or social conflicts.

According to the Cleveland Clinic, stress is the body's response to change, activating a physiological reaction that helps us adapt and protect ourselves. While short-term stress can be beneficial, prolonged exposure can lead to an overactive stress response, negatively impacting overall well-being.

The Three Stress Responses: Fight, Flight, and Freeze

1. Fight

The fight response prepares the body for direct action. When triggered, the nervous system releases adrenaline, increasing heart rate, blood pressure, and muscle tension. While this reaction once helped early humans fend off predators, today it manifests as irritability, frustration, or aggression.

For instance, the employee who has experienced too much workload may work extremely long hours just to succeed. In short term, the action may produce good results but mostly ends in burnout, anxiety, and physical illness, for example, tension headache or digestion problems.

2. Fight

The flight response triggers an intense need to remove oneself from a stressful situation. Just as our ancestors would flee from danger, modern individuals may avoid conflict, quit jobs impulsively, or detach from relationships when overwhelmed.

Flight mode is linked with restlessness and anxiety. Individuals may have a sense of needing to get up and go-pacing, changing environments constantly, or avoiding tasks that seem too overwhelming. Someone with a flight response might have the desire to change jobs constantly, relocate constantly, or become reclusive in order to avoid perceived dangers.

3. Freeze

The freeze response occurs when the nervous system perceives a threat as too overwhelming to fight or flee. Rather than taking action, individuals shut down, feeling numb, disconnected, or paralyzed by fear.

Unlike fight or flight, which involve heightened activation, freeze mode slows down physiological functions. A person experiencing freeze mode may feel physically unable to move, struggle to make decisions, or find themselves dissociating from their emotions. This can manifest in situations such as public speaking anxiety, where someone might "blank out" or feel stuck in the moment.

What Happens in the Body During A Stressful Event?

When faced with a stressor, the autonomic nervous system (ANS) activates, triggering physiological changes, including:

• Increased heart rate and breathing: The body pumps more oxygen to muscles and the brain in case action is needed.
• Muscle tension: The body prepares for movement, sometimes causing trembling or stiffness.
• Dilated pupils: Vision sharpens to detect potential threats.
• Dry mouth: Saliva production decreases as the body redirects energy to essential functions.
• Changes in skin tone: Blood flow is directed to vital organs, sometimes making the skin appear pale or flushed.

For those experiencing the freeze response, the body undergoes a different reaction, often reducing heart rate and causing physical immobility rather than heightened activation.

Strategies for Coping and Managing the Stress Response

While the stress response is necessary for survival, frequent activation due to daily stressors can take a toll on health. Recognizing your default response—whether fight, flight, or freeze—can help in developing effective coping mechanisms.

1. Moving to a Safe Space

If possible, changing your environment can help signal to your brain that the threat has passed. Stepping outside for fresh air, finding a quiet place, or distancing yourself from overwhelming stimuli can help regulate emotions.

2. Practicing Controlled Breathing

Deep, slow breathing can be used to counteract the stress response by engaging the parasympathetic nervous system, which promotes relaxation. Techniques such as diaphragmatic breathing or the 4-7-8 method (inhale for four seconds, hold for seven, exhale for eight) can be particularly effective in calming the body.

3. Engaging in Physical Activity

This helps release pent-up energy and aids in the endorphin cascade, natural boosters for our mood.

4. Seeking Social Support

Relieving oneself from stress can come in many ways, but sharing it with trusted friends, a family member, or a good therapist will sure give that psychological boost of hope. Social support is an especially effective way of cushioning people against the stressors that they are subjected to in chronic forms.

When to Seek Professional Help

While occasional stress is normal, chronic activation of the fight, flight, or freeze response can indicate underlying mental health concerns, such as anxiety disorders or post-traumatic stress disorder (PTSD). If stress is affecting daily life—leading to sleep disturbances, difficulty concentrating, or persistent feelings of fear—it may be time to consult a mental health professional.

Endometriosis is a chronic disease affecting about 1 in 10 women worldwide. Diagnosis and treatment remain challenging, particularly for women with severe pain and other complications.

Now, US researchers have developed a targeted nanotherapy that showed promising results against endometriosis in early testing.

Scientists at Washington State University found that the treatment reduced endometriosis lesions, symptoms and pain sensitivity after a single dose in mice.

The findings were published in Advanced Healthcare Materials. Researchers hope to eventually test the treatment in humans.

How Does The Drug Work?

Also read: Endometriosis Can Take Years To Diagnose But This AI Tool Can Identify Its Signs In 18 Milliseconds

The drug, niclosamide, was previously used to treat intestinal tapeworm infections in humans and is still used in animals.

Earlier research found that niclosamide could reduce endometriosis lesions and inflammation. However, it is not suitable for long-term use, limiting its potential as a treatment for a chronic condition.

To overcome this, researchers developed a nanotherapy that delivers niclosamide directly to cells associated with endometriosis.

“We found the disease-specific immune cell, and then we had a drug, but we couldn’t target the cell with the drug alone,” said Kanako Hayashi, professor at WSU’s School of Molecular Biosciences.

“So we used this nanocarrier that delivers the drug specifically to the disease site,” Hayashi said.

Single Dose Reduced Lesions In Mice

The team used a nanosized molecule called a dendrimer to bind with niclosamide and deliver it in a more soluble form.

In mice, a single injection reduced the size and number of lesions and lowered pain sensitivity.

“Although we still need to clear multiple phases, this study is telling us the efficacy is strong, and this nanocarrier is stable, so far, for two weeks—and we think we can go longer,” Hayashi said.

If the treatment remains stable for longer periods, researchers believe it could potentially be given less frequently. Hayashi said a monthly injection could be possible in the future, but this would depend on further testing.

READ: Endometriosis Taught Me To Always Listen To My Body, Says Model Padma Lakshmi

Can It Be Used In Humans?

Not yet. The treatment has only been tested in mice and must undergo further safety and efficacy testing before human trials.

Researchers also do not yet know whether it would ultimately be given as an injection or IV infusion.

What Is Endometriosis?

Endometriosis affects an estimated 190 million women worldwide. It occurs when tissue similar to the lining of the uterus grows outside the uterus.

It can cause severe pelvic pain, painful periods, pain during sex and infertility. Symptoms are sometimes dismissed as a “bad period,” contributing to delays in diagnosis.

There is currently no cure, although treatments can help manage symptoms.

How Is Endometriosis Treated?

Treatment depends on symptoms, disease severity and fertility goals.

Hormonal medicines can help control pain and disease activity but may cause side effects and can affect fertility while being used.

Painkillers, including non-steroidal anti-inflammatory drugs, may help manage discomfort.

Laparoscopic surgery can remove lesions and endometriotic cysts and may help restore pelvic anatomy. It can also improve fertility in some women, although the disease can recur.

Lifestyle measures such as regular exercise, stress management and dietary changes may also support symptom management.

Lung development of the fetus depends on the physical and genetic health of the parents.

At birth, breathing begins with air from the environment, containing oxygen and other gases, and is influenced by known and unknown forces of nature. The air then passes through well-developed nostrils, which regulate the air temperature and prevent foreign bodies from entering the body and help protect against diseases.

Breath travels through the nasal passages, sinuses, pharynx (throat), larynx (voice box), trachea (breathing tubes), bronchi, small airways, air sacs, interstitial membrane, into thin-walled blood vessels that transport oxygen and collect gases and other substances to be expelled from the body.

The diaphragm, the muscle that separates the lungs from the abdomen, is the most powerful breathing apparatus.

The lungs in the early stages of life undergo dramatic changes from newborn→ infancy→ childhood→ puberty→ teenage→ adults→ middle age→ seniors. Factors influencing lung health risks keep changing with age, depending on genetics, environment & external factors.

• Genetics or abnormalities – disorders at birth, transmitted from parents. Stress, environment, nutritional deficits, and accidents play an important role in lung and airway development. Also, anatomical abnormalities of the airways since birth, whether corrected or correctable or left alone.

• Allergy—genetic or acquired is lifelong unless well managed

• Chronic health conditions – Asthma can occur during childhood, pregnancy, post-pregnancy, or later in life and is generally manageable. Diabetes can develop during childhood, in young adulthood, or later in life, but it can be managed effectively. Hypertension, including pulmonary hypertension, can occur at any age and may be caused by blood clots, underlying diseases, primary conditions, or genetic factors.

• Environmental factors and unhealthy habits – smoking, pollution, gases, drugs, near-drowning. Recreational drugs, or side effects of medications used for diseases of the body, can have a telling effect on the lungs and airways.

• Nutrition – inadequate nutrition of mother and child can cause damage till old age

• Occupational lung disease – at any stage – workplace, smoking, birds, pets, pollution, construction activity, dusty atmospheres and travel, which may cause difficulty in breathing till later in life, leading to chronic obstructive lung disease that may cause morbidity.

• Infections – Can occur during childhood or throughout life, affecting both healthy individuals and those with reduced immune function, which may be due to co-existing diseases, medications that suppress the immune system to prevent rejection of transplanted organs, congenital immune deficiencies, or acquired immune deficiencies resulting from medications, external factors, or underlying diseases.

• Prophylactic medication, vaccines, and early treatment of airway diseases help in later life.

• Autoimmune diseases–arthritis, thyroid, etc.- where the body's defense mechanism has become rogue and fights itself, can develop from childhood till late in life.

• Accidents – happen at any age, damaging the breathing apparatus and requiring emergency treatment

• Cancer in any part of the body, including radiation, may affect the lungs at any age

• Body’s failure of in-built Immunity (innate) or acquired immunity mechanism; sunlight is nature’s gift to mankind; it improves lung resistance at all ages

• Snoring as an indicator for suspected obstructive sleep apnea

For Better Lung Health

• Exercise – yoga, sports, walking, physical and breathing exercises help to improve the performance of the respiratory tract throughout life

• Education – helps in understanding the causes, prevention, and timely treatment. It helps in averting damage to the airways in the future.

• Availability of health care facilities in urban & rural areas – can make a difference in the development, prevention, and treatment of respiratory disorders.

• Breastfeeding of the baby is important as it helps in the development and growth of the lungs, immunity, and fighting against damaging forces in nature, in the form of bacteria, viruses, fungi, prions, and a horde of known and unknown mechanisms which harm airways. Cough and sneeze reflexes begin to develop, which are powerful forces used to throw out unwanted particles and organisms from the airways.

The lungs and airways perform non-respiratory functions of protecting the body against harmful insults, both from within and external threats, and it also protects against insults received from other organs of the body. The lungs have a powerful defense mechanism protecting the body and also have hormonal, physical, and immunological defense mechanisms.

A small lump in the neck is easy to overlook, especially when there is no pain. In many cases, it has a simple explanation, such as an infection or a swollen lymph node. Thyroid nodules are also common, and most of them are not cancerous.

The thyroid is a small gland at the front of the neck. When cancer develops in the thyroid, a lump or swelling may sometimes be the first noticeable change. It may remain painless, which is one reason people tend to wait before getting it checked.

What changes are worth noticing?

The way a lump changes over time can provide an important clue. A swelling that suddenly becomes larger, feels harder, remains in place for several weeks deserves attention.

Other changes can include persistent hoarseness, difficulty swallowing, a feeling of pressure in the neck or, less commonly, difficulty breathing. Swollen lymph nodes on the side of the neck can also occur. These symptoms are not specific to thyroid cancer and may be related to other causes, but they should not be dismissed if they persist.

Also read: Thyroid Medicine Recall Gets US FDA’s Highest Risk Rating: What To Know

How is the lump checked?

A doctor will first examine the neck and assess the size and location of the swelling. An ultrasound is often used to look more closely at the thyroid and any nodules present.

If a nodule has features that call for further investigation, a fine-needle aspiration may be advised. A small sample of cells is taken with a thin needle and examined to determine whether further treatment or monitoring is required.

When is it time to see a doctor?

A painless lump does not automatically mean cancer, and discovering a thyroid nodule is not a reason to panic. At the same time, a swelling that stays for over three weeks, grows or is accompanied by changes in swallowing or voice should be evaluated.

Early assessment can help identify whether the lump is related to the thyroid, an infection or another condition, and whether any follow-up is needed.

By Dr Akshat Malik, Senior Consultant, Head & Neck Oncology, Indraprastha Apollo Hospital, Delhi