I was diag with NCS in 2000 at age 20. I am now 27 and it seems over the years I've been getting progressively worse like extreme fatigue, daily chest pain/shortness of breath (not heart related), chronic bladder problems and constipation, etc. I was researching and saw that with NCS, it is more episodic with good periods in between, but pure autonomic failure sounded just like me, with all of these accompanying autonomic symptoms... does anyone know if this sounds like paf? Can you be 27 and have PAF or do you have to be middle age? Any help is appreciated.. thanks