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     A very simple home treatment is available for small fiber neuropathy please read our E-Book.
 
Autonomic neuropathy             Small fiber neuropathy
Overview  by M.C.& modification by I.K.  USA   

Autonomic neuropathy  or small fiber neuropathy is  caused by damage to the smallest nerves that  supply sensory feelings, help regulate  your heart rate, blood pressure, perspiration and digestion, among other functions. Neuropathy means  damage to your nerves. Autonomic small fiber neuropathy is  are often due to diabetes, autoimmune diseases, infections or toxic conditions. Your nerves transmit messages between your brain and your  organs. Damage to your autonomic nerves results in faulty communication with your brain and the affected  parts of the body .Your nerves are composed of many types of fibers and the smallest fiber is affected by this neuropathy so it is called small fiber neuropathy. The condition is fully and easily reversible.

Signs and symptoms are variable on which nerves are affected but can range from dizziness to trouble with digestion and urination to sexual difficulties. Treatment involves addressing the underlying cause, if possible, and managing the signs and symptoms.

 

Signs and symptoms

Signs and symptoms of autonomic neuropathy depend on which parts of your autonomic nervous system are most affected. They may include:

  • A drop in blood pressure on standing (orthostatic hypotension), which can cause dizziness and fainting
  • Trouble with urination, including diminished sensation, overflow incontinence and inability to empty your bladder completely, which can lead to urinary tract infections
  • Male impotence or weak erectile function.
  • Numbness in toes very common and may be the earliest and only symptom,  feet or genitals, abdomen. Tendency to trip easily. Burning sensation on skin. Difficulty in judging accelerator position while driving.
  • Trouble focusing eyes.
  • Vaginal dryness and difficulties with arousal and orgasm in women
  • Difficulty digesting food (gastroparesis), which can cause diarrhea, constipation, abdominal bloating, nausea, vomiting, heartburn, feeling full after eating little and loss of appetite
  • Cardiovascular problems, such as heart rate abnormalities
  • Heat intolerance, especially during exercise, and usually decreased sweating or increase sweating.
  • Sluggish pupil reaction to light and dark
  • Exercise intolerance, which causes your heart rate to remain unchanged instead of increasing and decreasing in response to your activity level
  • Lack of the usual warning signs of low blood sugar (hypoglycemia), which include shakiness, sweating and palpitation
  • Severe drop in blood pressure on standing: This is caused when the heart rate fails to accelerate on standing up.
  •  

  • Signs to remember you may not get all of these signs.
    1. Urinary incontinence
    2. Urinary tract infection (UTI)
    3. Erectile dysfunction
    4. Erectile dysfunction in diabetes: Keys to prevention
    5. Vaginal dryness
    6. Diabetic gastroparesis
    7. Constipation
    8. Diarrhea
    9. Cardiovascular disease 101: Know your heart and blood vessels
    10. Numbness feeling in toes, fingers or abdomen.
    11. Hypoglycemia

       

      Causes Make sure you do not have celiac disease

      Your nervous system is made up of two parts. The core is your central nervous system — your brain and spinal cord. The rest of your nervous system, branching off from your spinal cord to the rest of your body, is your peripheral nervous system.

      Part of the peripheral nervous system involves nerves that you consciously control — such as nerves you use to move your voluntary muscles. Part is your autonomous nervous system — the nerves that regulate the part of your nervous system that you can't control, such as your heart rate, blood pressure and digestion.

      Damage to your peripheral nerves is called peripheral neuropathy. Autonomic neuropathy is a type of peripheral neuropathy in which the very small nerves are damaged.

      A number of conditions can lead to damage of the autonomic nerves. The most common cause is diabetes. About half of the people who have diabetes eventually develop some type of neuropathy.

      Other causes may include:

      • Alcoholism, a chronic, progressive disease that can lead to nerve damage
      • Poor diet White rice, white flour, white sugar no fatty acids in diet.
      • Infection from virus, mycoplasma type bacteria.
      • Abnormal protein buildup in organs (amyloidosis), which affects the organs and the nervous system
      • Autoimmune diseases, in which your immune system attacks and damages parts of your body, including your nerves
      • Some tumors, which can press on nerves and cause direct or remote damage (paraneoplastic syndrome)
      • Multiple system atrophy, a degenerative disorder that destroys the nervous system
      • Surgical or traumatic injury to nerves, injury can be from a car accident.
      • Other chronic illnesses such as Parkinson's disease and HIV/AIDS
      • Celiac disease more info
  •  

    Risk factor

    Having diabetes puts you at high risk of developing nerve damage, including autonomic neuropathy. The longer you have diabetes, the higher your risk. Risk is highest for people who've had the disease for more than 25 years, who are older than 40 and who have difficulty controlling their blood sugar.

    Researchers currently think diabetes is a autoimmune disorder. In fact, the higher the blood sugar, the greater chance you have of nerve damage. Controlling blood sugar — keeping it as close to the normal range as possible — decreases the risk of developing nerve damage or helps keep it from progressing.

    When to seek medical advice

    If you have diabetes, a compromised immune system or other chronic medical condition, see your doctor regularly. Seek medical care promptly if you begin experiencing any of the signs and symptoms of autonomic neuropathy. Cidpusa E.book is a complete guide to reverse neuropathy at home with one homeopathic supplement try this before you go for IVIg or testing.

     

    Screening and diagnosis: Small Fiber Neuropathy can be tested by a skin biopsy.

    Please read Dr Katzs opinion on skin biopsy

    EMG.NCV is useless test for small fiber neuropathy.

    SSEP: somatosensory evoked responses can be abnormal.

    Because autonomic neuropathy isn't a single disease, it can be difficult to diagnose. Often, determining the diagnosis is a matter of ruling out other causes of the symptoms. Your doctor is likely to take a medical history, ask for a thorough description of your symptoms and do a physical exam.

    Your doctor also may use a number of tests to aid in diagnosis. These may include:

    • Autonomic tests. These tests measure what happens to your heart rate and blood pressure and how much you sweat in response to certain maneuvers.
    • Electrocardiogram. This test can measure the electrical impulses of your heart while you exhale forcibly into an instrument (Valsalva maneuver). This maneuver increases the pressure in the blood vessels in your head.
    • Tilt-table test. This test monitors your blood pressure and heart rate as you lie flat on a table that is tilted to raise the upper part of your body. The tilting places stress on your autonomic nervous system, which regulates your blood pressure and heart rate. Your doctor can see how you respond to a situation that's similar to what occurs when you stand up from lying down. Normally, your body compensates for the drop in blood pressure that occurs when you stand up by narrowing your blood vessels and increasing your heart rate. However, this process may not occur properly in autonomic neuropathy.
    • Quantitative sudomotor axon reflex test (QSART). A small electrical current passes through four capsules placed on your forearm, foot and leg to activate the nerves that supply your sweat glands. You'll feel a slight burning sensation during this test.
    • Thermoregulatory sweat test. During this test, you're coated with a powder that changes color when you sweat. You then enter a chamber with slowly increasing temperature. It causes your body temperature to increase 1 to 1.5 degrees Celsius, which makes most people sweat. Digital photos document the results. Your sweat pattern may help confirm a diagnosis of autonomic neuropathy or other causes for decreased sweating.
    • Ultrasound. For those with bladder symptoms, high-frequency sound waves create an image of the bladder and other parts of the urinary tract, which your doctor can check for abnormalities.
  • Complications

    The possible complications of autonomic neuropathy are many. They may include:

    • Injuries from falls caused by lowered blood pressure when you stand
    • Mental and physical fatigue due to low blood pressure
    • Malnutrition and weight loss from digestive system difficulties
    • Fluid or electrolyte imbalance from excessive vomiting or diarrhea, a condition in which your body loses minerals you need
    • Relationship problems due to sexual dysfunction
    • Urinary tract infections
    • Cardiovascular complications, such as irregular heartbeat (arrhythmia)
    • Kidney failure from bladder problems that aren't treated properly

     

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