posted
Does anyone have this? I have this and small fiber painful neuropathy. It is most common in diabetics (I don;t have diabetes) and the docs can;t figure out why I have it. Just wondering if anyone else does too.
Posts: 44 | From GA | Registered: Nov 2005
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Ann-OH
Frequent Contributor (5K+ posts)
Member # 2020
posted
Here is some good info so we can all understand this.
I know that Lyme patients have a lot of peripherial neuropathy. Ann - OH
Autonomic neuropathy is a group of symptoms caused by damage to nerves supplying the internal body structures that regulate functions such as blood pressure, heart rate, bowel and bladder emptying, and digestion.
Causes, incidence, and risk factors
Autonomic neuropathy is a form of peripheral neuropathy affecting the autonomic portion of the peripheral nervous system.
The peripheral nervous system includes the nerves used for communication to and from the brain and spinal cord (central nervous system) and all other parts of the body, including the internal organs, muscles, skin, and blood vessels.
Autonomic neuropathy involves damage to the nerves supplying the autonomic portion of the peripheral nervous system, which is the portion that supplies the internal organs, blood vessels, and other areas not under voluntary (purposeful) control.
Damage to the autonomic nerves causes abnormal or decreased function of the areas supplied by the affected nerve. For example, damage to the nerves of the gastrointestinal tract causes decreased ability to move food during digestion (decreased gastric motility), resulting in symptoms such as nausea, vomiting, diarrhea or constipation, and abdominal bloating.
Damage to the nerves supplying blood vessels causes problems with regulation of blood pressure and body temperature because dilation of skin capillaries is used to dissipate heat from the body. Damage to other structures causes similar dysfunction.
Autonomic neuropathy is a group of symptoms, not a specific disease. There are many causes. Autonomic neuropathy is associated with the following:
Other forms of neuropathy Alcoholic neuropathy Diabetic neuropathy Parkinson's disease and other multiple systems atrophy Disorders involving sclerosis of tissues, Surgical or traumatic injury to nerves (such as surgical vagotomy, used to control stomach ulcers and similar disorders) Use of anticholinergic medications Symptoms
Swollen abdomen Heat intolerance, induced by exercise Nausea after eating Vomiting of undigested food Early satiety (feeling full after only a few bites) Unintentional weight loss of more than 5% of body weight Male impotence Diarrhea Constipation Dizziness that occurs when standing up Blood pressure changes with position Urinary incontinence (overflow incontinence) Difficulty beginning to urinate Feeling of incomplete bladder emptying Fainting Abnormal sweating Signs and tests
Inspection of the abdomen may show distention, and listening to the abdomen with a stethoscope (auscultation) may show abnormal sounds indicating decreased gastric motility.
An eye examination may show sluggish pupil reaction. Examination by touch (palpation) or tapping (percussion) may indicate a distended bladder. Blood pressure examination may show a decrease upon standing (postural hypotension).
Occasionally, other symptoms may indicate disturbed functioning of the autonomic nervous system, including high blood pressure, rapid or slow heart rate, irregular heart rhythms, excessive sweating, difficulty swallowing, or other symptoms.
Special measurements of sweating and heart rate are called "autonomic testing" and can assist in diagnosis and treatment.
An upper GI (gastrointestinal) examination with small bowel series may show decreased motility, delayed emptying of the stomach, or other abnormalities and may be used to rule out physical obstruction as a cause of vomiting or other GI symptoms.
An EGD (esophagogastroduodenoscopy) is used to rule out physical obstruction as a cause of GI symptoms.
An isotope study may indicate gastroparesis (decreased gastric motility). A VCUG (voiding cystourethrogram) or other tests of bladder function may show a flaccid bladder (inability of the bladder to contract and empty).
Other tests for autonomic neuropathy are guided by the suspected cause of the disorder, as suggested by the history, symptoms, and pattern of symptom development.
Treatment Treatment is supportive and may need to be long-term. Several treatments may be attempted before a successful one is found.
The use of elastic stockings and sleeping with the head elevated may reduce postural hypotension. Fludrocortisone or similar medications may be beneficial in reducing postural hypotension for some people. In severe cases, Proamatine may help prevent a drop in blood pressure when standing.
Medications that increase gastric motility (such as Reglan); small, frequent meals; sleeping with the head elevated; or other measures may be used to treat reduced gastric motility.
Manual expression of urine (a technique in which the hands are used to compress the bladder), intermittent catheterization, or medications such as bethanechol may be necessary to treat bladder dysfunction.
Impotence, diarrhea, constipation, or other symptoms are treated as appropriate. These symptoms may respond poorly to treatment.
Expectations (prognosis) The outcome varies. If the cause can be identified and treated, there is a chance that the nerves associated with autonomic neuropathy may repair or regenerate. The symptoms may improve with treatment, or they may persist or worsen despite treatment.
Most symptoms of autonomic neuropathy are uncomfortable but they are seldom life-threatening.
Complications
Fluid or electrolyte imbalance such as hypokalemia (if excessive vomiting or diarrhea) Malnutrition Kidney failure (associated with reflux of urine) Psychologic/social effects of impotence Injuries from falls (associated with postural dizziness)
Calling your health care provider
Call for an appointment with your health care provider if symptoms of autonomic neuropathy occur. Early diagnosis and treatment increases the likelihood of controlling symptoms.
Prevention Prevention or control of disorders that may be associated with autonomic neuropathy may reduce the risk. For example, diabetics should control blood sugar levels closely. Alcoholics should stop drinking.
posted
Wow, Ann, great info on symptoms & ALL types of neuropathy, which I had no idea there were that many different types. Thanks for posting.
Ann, how about posting your thread to TREEPATROL'S NEWBIE LINKS. Ask Tree to add to his links as time permits .. great info there, and we discuss neuropathy on a regular basis. Thanks.
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bpeck
Frequent Contributor (1K+ posts)
Member # 3235
posted
I had neuro Lyme- so had many of those symptoms (and more). It is possible to get better.
I just called it peripheral neuropathy - but Ann's post is much more detailed.
I didn't even know all of my symptoms were Lyme related.were Lyme- nor did I attribute them to Lyme untill AFTER my abx therapy when all the symptoms went away.
Barb
-------------------- Barb Peck (Elder LymeNet user). Lyme since 1975 Transfusion Posts: 1882 | From VT | Registered: Oct 2002
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What treatment did you use to get rid of the PN? What ABX, suppliments, etc?
I have PN all over my body. The burning pain is terrible.
Thanks you . You are welcome to email me.
Peace, BJG
Coinfs blood work is vague
Posts: 468 | From IL | Registered: Oct 2003
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phil444
Unregistered
posted
I'd definitely have had this for many years. My symptoms seem to wax and wane. My digestive system , and my bladder seem to be affected the worst.
troutscout
Frequent Contributor (5K+ posts)
Member # 3121
posted
I will say that my food sensitivities ALL went away while on IV abx.
That...and SEVERAL other things.
Trout
-------------------- Now is the time in your life to find the "tiger" within. Let the claws be bared, and Lyme BEWARE!!! www.iowalymedisease.com [/URL] Posts: 5262 | From North East Iowa | Registered: Sep 2002
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WildCondor
Unregistered
posted
I have this too, and antibiotics have improved it for me, as well as babesia treatment. For pain etc. neurontin and xanax, methylcobalamin injections and magnesium shots.
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