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Autonomic neuropathy is a group of symptoms that occur when there is damage to your nerves . The nerves touch make out quotidian bodily functions which let in blood pressure , marrow rate , diaphoresis , bowel and vesica movements , body temperature , and digestion . Due to the damage done to the spunk , the signals from the brain to various organs are also interfere with thus leading to the symptom connect with the condition . These symptom will , however , vary depending on the heart affected . They may include , and not modified to;constipation , diarrhea , feeling full fast , swollen abdomen , high-pitched blood insistence , abnormal heart rhythm , leak urine , sweating too much as well as unexpected exercising weight loss.[1 ]
Is There A Surgery For Autonomic Neuropathy?
Patients with autonomic neuropathy penury to consider surgery in some cases , for example , when a affected role has a transthyretin defect . Transthyretin is a blood serum transport protein that is mainly synthesized in the liver . Therefore , patients can consider a liver transplant so as to keep its output in the abnormal signifier and thus preventing its dethronement . A liver organ transplant may also be necessary in cases where a patient has neuropathy - related hepatic upset . Other surgical care considerations for patient role with autonomic neuropathy admit a renal transplant , where dialysis seems ineffective . This is executable for patients with uraemic neuropathy with autonomic dysfunction.[2]Some patients may experience a very rarified trait of autonomic neuropathy , specially patients with diabetes advert to as gastroparesis . In such pillowcase , operative intervention – gastroenterostomy or gastrojejunostomy may – may be necessitate so as to improve the condition.[3 ]
Precautions During Surgery For Patients With Autonomic Neuropathy
One of the lawsuit of autonomic neuropathy is surgery , see that in the summons , there may be damage to a nerve thus resulting in the condition . Therefore , to prevent any likeliness of face damage during operation , autonomic function testing can be done prior to surgical procedure . It will help with determining the severity and extent of the autonomic impairment , and thus the surgeon(s ) is aware of any complications that may arise . They may include ; loss of cardiovascular physiological reaction apnea due to upper airline blockage or impaired primal regulation of respiration , and orthostatic hypotension to name a few.[4 ]
The Ideal Treatment Plan For Autonomic Neuropathy
In treating autonomic neuropathy , the aim is often to manage the fundamental cause and to boot , help ease the symptoms . In cases where the implicit in disease or risk of exposure factor is have intercourse , say diabetes , it is important that your descent gelt levels are keenly controlled to avoid worsening of autonomic neuropathy . If the underlying cause is not clear , then the doctor may do a issue of test including respiration test , gastrointestinal psychometric test , thermoregulatory perspiration tests , and trial associated with your blood pressure and middle charge per unit to determine the exact underlying cause . Once that has been break , the physician will advise on a discussion plan that includes controlling the underlying campaign as well as autonomic neuropathy symptoms .
Symptom - based treatment are defined ground on the symptom one is experiencing . For gastrointestinal symptom , your MD may advise on dietary changes , and medication to ease constipation or diarrhea , and help with bloat problems . Patients with urinary symptoms can be prescribe with medication that helps with emptying the bladder as well as those that minify an hyperactive bladder . Otherwise , one may be put a catheter to help with urination . In case of roue pressure level and heart rhythm method of birth control symptoms , one may be prescribed with medication to raise line pressure and regularise your heartbeat . For patients with blood pressure problem , it can also facilitate to include a high - salt , mellow - fluid dieting . In patient with sweating symptom , the doctor will dictate medication that decreases sudor , or else recommend operating room to either switch off the nerves linked to sweat secretor or murder the sweat secretor where possible . alternate intervention plans for individuals with autonomic neuropathy includeacupunctureand electric nerve stimulation.[5 ]
Conclusion
affected role with autonomic neuropathy may want surgical procedure in utmost case where symptom ministration is require and other intervention plans do n’t seem to influence efficaciously . For those with diabetes , a liver transplanting may be performed if they have a transthyretin defect or a hepatic disease related to autonomic neuropathy . surgical procedure to cut nerves link up with the sweat glands , or remove the sweat glands themselves may also be considered for patients with sweating symptoms .
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