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Autonomic neuropathy are a group of disease and syndromes that affect autonomic neurons , either parasympathetic or sympathetic or both . They can either be hereditary or acquired in nature . The autonomic uneasy system has various functions in the body and therefore can present with varied symptoms or isolated symptom affecting only a part of the autonomic neural system . Autonomic dysfunction can either be subclinical without move the affected role or clinical that may be invalid for the patient role . Some autonomic neuropathies are treatable ; therefore , they should be identified at an appropriate time and treated as necessary . Falls and loss of consciousness can lead to increased morbidness ; whereas , orthostatic hypotension can be a cause of increased death rate in the senior . It has a progressive course that moderate to short outcome and sudden death can be caused due to cardiac dysrhythmia.(1 )
Various autonomic neuropathy include inherited amyloid polyneuropathy , transmissible sensory autonomic neuropathy , Fabry disease , acute intermittent porphyria and variegate porphyria , pandysautonomia , idiopathic distal low fibre neuropathy , Holmes - Adie syndrome and Ross syndrome , chronic idiopathic anhidrosis , amyloid neuropathy , postural orthostatic tachycardia syndrome , diabetic neuropathy , uremic neuropathy , hepatic disease - relate neuropathy , vitamin lack and nutrition - related neuropathy , toxic and drug - induced autonomic neuropathy , and paraneoplastic autonomic neuropathy . Other conditions associated with autonomic neuropathies let in alcohol , Lyme disease , HIV contagion , Chagas disease , botulism , diphtheria , leprosy , coeliac disease , Sjogren ’s syndrome , rheumatoid arthritis , systemic lupus erythematosus , Guillain Barre syndrome , inflammatory bowel disease , andLambert Eaton myasthenic syndrome.(1 )
Home Remedies For Autonomic Neuropathy
The management of autonomic neuropathy in many of the cases starts with conservative therapy . For representative , if diabetes mellitus is the implicit in case , then it is best to avoid shekels in the dieting and to follow a healthy diet , so that lineage glucose is under restraint . patient role can be advised to make dietary change , eat smaller frequent meals , increase fiber in the diet and increase liquid aspiration for GI weather . They should forfend blistering temperatures for anhydrosis , practicing rigid liquid schedule and bladder training for urogenital disfunction . It is important to maintain oral hygiene in hyposalivation.(1 )
For orthostatic intolerance , patients need to take eminent fluid and salt intake . It has been note that only pledge 1 - 2 drinking glass of water can efficaciously increase the blood insistency by about 30 mm Hg in hard neurogenic orthostatic hypotension . So , just by drink water there is an increase in stock volume and sympathetic activity . It is also crucial to avoid alcohol that can go to dehydration and therefore hypovolaemia . patient role should be advised to interchange body postures slowly and carefully . If patient receive orthostatic symptoms then they should lie or sit down . They can even sleep with the header of the bed elevated at 15 - 20 degrees . patient can make up muscle tone and can take classes of pee aerobics , water jogging , gentle aerobics , and accumbent bicycle . Compressive stocking are also helpful along with counter maneuvers such as hybridization legs , squatting , and tensing leg muscularity , buttocks , abdominal muscles or the whole body.(1 )
Signs And Symptoms Of Autonomic Neuropathy
Most of the symptoms of autonomic neuropathy are subclinical and inveterate in nature ; however , some symptom can be acute such as generalized dysautonomia . Orthostatic hypotension is often the most unremarkably recognized symptom of autonomic neuropathy that is really debilitating . However , other symptoms may also be present before orthostatic hypotension , which include lessen sudation , urinary incontinence , impotency , or ejaculatory disfunction . In Sjogren ’s syndrome , dry eyes , lip , and anhidrosis are the presenting symptoms.(1 )
Various signs and symptoms of autonomic neuropathy include pallor , anhidrosis , blurring of vision , tunnel vision , nigrify out , reduce lacrimation , sensitivity to light , red of pupillary sizing over metre , palpitations , sickness , tremulousness , lightheadedness , tinnitus , head ache , shortness of breathing space , breast pain , occasional diarrhea , constipation , dysphagia , former satiety , bowel incontinence , increased gastric motility , gastroparesis , Hyposalivation , altered taste , presyncope with urination and defecation , nocturia , lower urinary tract symptoms , impotency , red of interjection , nonspecific sexual dysfunction , anhidrosis , hypohidrosis , hyperhidrosis , hypothermia , hyperpyrexia , burning of feet , pruritus , allodynia , dysesthesia , hyperalgesia , dry skin , expiration of distal peg hair , brittle nails , and cold feet.(1 )
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