Autonomic Neuropathy Overview
Learn About Autonomic Neuropathy
Autonomic neuropathy is a group of symptoms that occur when there is damage to the nerves that manage normally automatic body functions. These functions include blood pressure, heart rate, sweating, bowel and bladder emptying, and digestion.
Neuropathy - autonomic; Autonomic nerve disease
Autonomic neuropathy is a group of symptoms. It is not a specific disease. There are many causes.
Autonomic neuropathy involves damage to the nerves that carry information from the brain and spinal cord. The information is then carried to the heart, blood vessels, bladder, intestines, sweat glands, and pupils.
Autonomic neuropathy may be seen with:
- Alcohol abuse
- Diabetes (diabetic neuropathy)
- Disorders involving scarring of tissues around the nerves
- Guillain Barré syndrome or other diseases that inflame nerves
- HIV/AIDS
- Inherited nerve disorders
- Multiple sclerosis
- Parkinson disease
- Spinal cord injury
- Surgery or injury involving the nerves
Symptoms vary, depending on the nerves affected. They usually develop slowly over years.
Stomach and intestine symptoms may include:
- Constipation (hard stools)
- Diarrhea (loose stools)
- Feeling full after only a few bites (early satiety)
- Nausea after eating
- Problems controlling bowel movements
- Swallowing problems
- Swollen abdomen
- Vomiting of undigested food
Heart and lungs symptoms may include:
- Abnormal heart rate or rhythm
- Blood pressure drop with position that causes dizziness when standing
- High blood pressure
- Shortness of breath with activity or exercise
Bladder symptoms may include:
- Difficulty beginning to urinate
- Feeling of incomplete bladder emptying
- Leaking urine
Other symptoms may include:
- Sweating too much or not enough
- Heat intolerance brought on with activity and exercise
- Sexual problems, including erection problems in men and vaginal dryness and orgasm difficulties in women
- Small pupil in one eye
- Weight loss without trying
Treatment to reverse nerve damage is most often not possible. As a result, treatment and self-care are focused on managing your symptoms and preventing further problems.
Your health care provider may recommend:
- Extra salt in the diet or taking salt tablets to increase fluid volume in blood vessels
- Fludrocortisone or similar medicines to help your body retain salt and fluid
- Medicines to treat irregular heart rhythms
- Pacemaker
- Sleeping with the head raised
- Wearing compression stockings
The following may help your intestines and stomach work better:
- Daily bowel care program
- Medicines that help the stomach move food through faster
- Sleeping with the head raised
- Small, frequent meals
Medicines and self-care programs can help you if you have:
- Urinary incontinence
- Neurogenic bladder
- Erection problems
Icahn School Of Medicine At Mount Sinai
Jessica Robinson-Papp is a Neurologist in New York, New York. Dr. Robinson-Papp and is rated as a Distinguished provider by MediFind in the treatment of Autonomic Neuropathy. Her top areas of expertise are Autonomic Neuropathy, Progressive Multifocal Leukoencephalopathy, Neuralgia, and Chronic Pain.
Orrin Davis is an Otolaryngologist in Midland Park, New Jersey. Dr. Davis and is rated as an Advanced provider by MediFind in the treatment of Autonomic Neuropathy. His top areas of expertise are Parathyroid Cancer, Parathyroid Adenoma, Salivary Gland Tumors, Parathyroidectomy, and Thyroidectomy. Dr. Davis is currently accepting new patients.
The Westchester Medical Group, P.C
Katherine Shen is an Otolaryngologist in Rye, New York. Dr. Shen and is rated as an Advanced provider by MediFind in the treatment of Autonomic Neuropathy. Her top areas of expertise are Familial Deafness, Infant Hearing Loss, Jones Syndrome, and DFNB1.
How well you do will depend on the cause of the problem and if it can be treated.
Contact your provider if you have symptoms of autonomic neuropathy. Early symptoms might include:
- Becoming faint or lightheaded when standing
- Changes in bowel, bladder, or sexual function
- Unexplained nausea and vomiting when eating
Early diagnosis and treatment may control symptoms.
Autonomic neuropathy may hide the warning signs of a heart attack. Instead of feeling chest pain, if you have autonomic neuropathy, during a heart attack you may only have:
- Sudden fatigue
- Sweating
- Shortness of breath
- Nausea and vomiting
Prevent or control associated disorders to reduce the risk for neuropathy. For example, people with diabetes should closely control blood sugar levels.
Summary: Type 2 diabetes mellitus is a high incidence disease in Mexico and is associated with the development of chronic degenerative complications such as diabetic neuropathy. The latter manifests itself as a set of disorders that occur as a consequence of a chronic hyperglycemic state that can induce oxidative stress and inflammation, resulting in damage to the autonomic and peripheral nervous system. I...
Summary: Sex might interact with cardioautonomic neuropathy (CAN) in the development of macrovascular disease in patients with type 1 diabetes (T1D). The regulation of the autonomic system shows sexual dimorphism, and may contribute to the cardiovascular risk overload in women with T1D. The aims of this project are: A.1) Determining the prevalence of CAN and subclinical atherosclerosis in a large cohort of...
Published Date: November 02, 2022
Published By: Evelyn O. Berman, MD, Assistant Professor of Neurology and Pediatrics at University of Rochester, Rochester, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Katirji B. Disorders of peripheral nerves. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 106.
Smith G, Shy ME. Peripheral neuropathies. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 392.