Doctor insights on:
Best Dysautonomia Treatment
Symptom, not disease: "Dysautonomia"=abnormal function of autonomic nervous system affecting automatic functions, eg.heart rate,blood pressure.Can happen when an illness (some mild,some severe)affects the nervous system.Treatment of underlying illness can help.Sometimes we give meds to control the blood pressure or heart rate.Apathy can occur as part of underlying illness, eg.Parkinson's, or can be unrelated depression ...Read more
Just like any other: Dysautonomia involves defective responses to neural mechanisms maintaining body's internal balance (homeostasis) but does not preclude drug or other treatments for fever. Things such as antiinflammatories, Acetaminophen will work. External cooling or administration of chilled IV fluids, if needed, will work also. "normal" sweating & shivering may not occur tho. ...Read more
Is cortef a reasonable treatment for profound fatigue & other symp's? Been ill w/various diseases 11 yrs, nothing else is working. Have dysautonomia.
Adrenal function: Profound fatigue can be due to multiple resins including adrenal hypo function which can have symptoms of dysautonomia if adrenal function is low then only cortisone should be usedcortisone may help symptoms of fatigue but should not be used unless you truly have low adrenal function due to potential side effects. ...Read more
Does the autonomic nervous systems (ANS) repair or heal itself particularly in cases of autonomic dysfunction (dysautonomia)? If not, what are some treatments for erectile disfunction caused by dysautonomia?
Multiple submissions: Your question has already been answered on this site. I suggest a formal physical examination and if autonomic dysfunction see a neurologist. ED requires further investigation and evaluation. ...Read more
My doctor thinks that I have dysautonomia, due to my signs and symptoms I told him. Which test would be best to do, and why, to determine the diagnosis? I was thinking ANSAR or tilt table test?
Dysautonimia: This is a difficult question, every doctor has different approach . Tilt table may help to see if you have dysautonomia. But false positives are really high. I like treat and see approach, if you get better on certain meds plus risk factors for it, then I may look for it. There are lots of other diagnoses that can mimick this diagnosis. Maybe you can consult me? ...Read moreSee 2 more doctor answers
Need florinef for dysautonomia, my potassium is 3.2 on 100meq potassium drinks per day, what is best action as I need the florinef?
Why low K: Florinef will help with low Potassium. I would suggest work up as why you have low potassium and need 100 meq replacement. That is a large dose. Unless losses in stool I suspect the kidney is loosing K. A urine spot potassium should answer this when done along with blood potassium level. Long term indefinite use of Florinef is not recommended. ...Read more
I have small fiber axonopathy and dysautonomia. Would ivig cure it and make me sweat again and my dysautonomia go away?
May or may not: Although some small fibre neuropathies respond to ivig, others may not, and not clear that the full dysautonomia would reverse, but maybe worth a trial of perhaps 3 months initially. Discuss with a neurologist with experience in area of peripheral neuropathies. Might add usage of metanx twice daily as this does increase fibre density in diabetes, but not studied in other conditions. ...Read more
Depends: Dysautonomia can be primary (no underlying cause) or secondary due to many causes. There is treatment for the primary type as well as treatment for the underlying cause of the secondary type. But the treatment for this disorder of the autonomic nervous system of either type depends on the expertise of the doctor and the patience of the patient. ...Read more
Multifaceted: Treatment should involve input from electrophysiology, neurology, exercise physiology and even pyschology. Education is often the most effective. A rigorous exercise program in 1 study was effective. B-blockers, blood volume expanders (florinef), vasoconstrictors (midodrine), anti-depressants, Mestinon are some of the medications that are used with degrees of success. ...Read more
I have dysautonomia and my BP is 71/56 tonight. I feel so sleepy. What can I do to raise my BP with out going to ER for fluids?
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