Autonomic neuropathy
Autonomic neuropathy is a disease that affects the nerves that are responsible for the body's involuntary functions, such as heart rate, blood pressure, sweating, and digestion.
Autonomic neuropathy is not a specific disease At this time, the autonomic nerves are damaged This damage disrupts the normal exchange of signals between the brain and parts of the autonomic system, such as the heart, blood vessels, and sweat glands. As a result, the functions of that part of the body, which a person cannot control by will, may decrease
Autonomic neuropathy may be a complication of various diseases and conditions This disease is also caused by side effects of some medicines Autonomic neuropathy symptoms and treatment depend on the cause of the disease and the affected nerves
Autonomic neuropathy is caused by many diseases and side effects of drugs that may not be related to the nervous system at all. Common causes of autonomic neuropathy:
- Abnormal protein accumulation in organs (amyloidosis) that damages organs and the nervous system
- Autoimmune diseases in which a person's immune system attacks different parts of the body, including the nerves Examples of autoimmune diseases include Sjogren's syndrome and lupus Autonomic neuropathy can also result from an inappropriate immune system attack on the body caused by some tumors (paraneoplastic syndrome).
- Diabetes, the most common cause of autonomic neuropathy, can gradually damage nerves throughout the body.
- Traumatic nerve injuries caused by surgery or radiation to the neck
- Treatment with certain medications, such as cancer chemotherapy drugs, antidepressants, and certain heart medications
- Other chronic diseases, for example Parkinson's disease
- Some infectious diseases Some viruses and bacteria, such as botulism, leprosy, and diphtheria
- Congenital diseases Some congenital diseases can cause autonomic neuropathy
The symptoms of autonomic neuropathy are different and depend on which part of the autonomic nervous system is involved in the disease Symptoms:
- Dizziness or racing heart when standing up, caused by a rapid drop in blood pressure
- Urinary problems, for example: difficulty starting to urinate, urinary incontinence and limited bladder emptying, which may lead to urinary tract infections
- Sexual problems, for example: difficulty achieving and maintaining an erection or ejaculation problems in men And in women, vaginal dryness, complicated arousal and orgasm can be observed
- Difficult digestion of food, which is caused by digestive system dysfunction and slow emptying of stomach contents (gastroparesis) This condition may cause feeling full after eating small amounts of food, loss of appetite, diarrhea, constipation, bloating, nausea, vomiting, difficulty swallowing, and heartburn.
- Problems related to sweating, such as excessive or reduced sweating, which leads to disturbances in body temperature regulation
- Pupillary reaction, which makes it difficult to adapt to the transition from light to dark environment This condition causes problems with driving at night
- Intolerance of physical exertion This condition occurs when the heart rate does not change with increasing or decreasing physical activity.
Autonomic neuropathy is not a specific disease At this time, the autonomic nerves are damaged This damage disrupts the normal exchange of signals between the brain and parts of the autonomic system, such as the heart, blood vessels, and sweat glands. As a result, the functions of that part of the body, which a person cannot control by will, may decrease
Autonomic neuropathy may be a complication of various diseases and conditions This disease is also caused by side effects of some medicines Autonomic neuropathy symptoms and treatment depend on the cause of the disease and the affected nerves
When to see a doctor - Seek medical attention right away if you notice any symptoms of autonomic neuropathy If you have diabetes, a compromised immune system, or any other chronic illness, see your doctor often to check for nerve damage.
- The American Diabetes Association advises patients with type 2 diabetes to self-examine themselves annually after diagnosis for autonomic neuropathy. For patients with type 1 diabetes, the American Diabetes Association recommends annual screening for autonomic neuropathy five years after diagnosis.