Doctor insights on:
Quantitative Sudomotor Autonomic Reflex Testing
The autonomic nervous system is part of the peripheral nervous system. It is ‘autonomic’ because it does not require voluntary thought to function. The autonomic nervous system is divided into the sympathetic and parasympathetic nervous systems. The sympathetic system manages “fight or flight” responses and the parasympathetic system acts as a counterpart that manages ...Read more
How might I feel after 3 horu autonomic testing? Might it trigger my dizzy spells if they're related to autonomic defiency?
Having catecholamine blood testing lying down & standing up. What is this testing for? Autonomic dysfunction?
Yes...: ...And also can be testing for hypoadrenlism or cathecolamine excess. I assume this is for low blood pressure or possibly alternating with high blood pressure. It looks like you are on rheumatologic meds that are typically used for rheumatoid arthritis. This sounds appropriate of you are having symptoms. ...Read more
Despite normal tilt table test & neg cortisol stim test, neuromd now ordered catecholamine testing for autonomic dysfuntion d/t my sx. If +, what is tx?
I think u have: Orthostatic hupotension- a drop in blood pressure with changing position from a lying to an upright position. Follow up with them. Get checked for diabetes. Treatment depends on the underlying condition. Avoidance of sudden rising up will minimize the sx. If there's a regular drop in blood pressure, there are meds to sustain normal bp. Pls read link below. ...Read more
I'm having autonomic testing tomorrow due to my dizzy spells. I've had to stop my decongestant for 1 week & my dizziness is worse. Why do you think?
I'm having autonomic testing scheduled. I have to stop Claritin (loratadine) for 3 days. Can I take fluticasone/flonase spray or do I need to stop that too?
Will Autonomic Function Testing also show any possibly heart abnormalities? Can ANS dys. Cause abnormal EKG in otherwise health heart? Connected?
No, only some: Limited issues as a function of the methods used. As embodied Soul↔Mind↔Brain↔Body creatures sending >1, 000, 000 orders/sec brain→body with similar feedback, the real Hi-Tech=always inside. Medical technology is always, in varying degrees, low-tech, simplistic reflection of limited aspects of human behaviors with limited insights. Can ANS drive EKG changes? Absolutely, study: https://goo. Gl/gIycBT. ...Read more
Do you know of a blood test called pna abs for dysautonomia caused after a viral syndrome. After blood test I will have autonomic functioning testing?
Mayo's does it: Mayo labs does the testing for these thankfully-rare autoimmune dysautonomias. These are rare but dramatic syndromes, and if you do indeed have one, I wish you good luck with this. Http://www. Mayomedicallaboratories. Com/articles/hottopics/transcripts/2011/02-auto-dys-eval/13.html. ...Read more
Autonomic testing done showed mild orthostatic hypotension. NS put me on lowdiuretics for IIH & my orthostatic hypotension gets worse. Is it the meds?
Diuretics for low BP: This does not make good physiological sense. Diuretics may worsen POTS. Please ask nurse why? No sure what you mean by iIH. ...Read more
Can autonomic dysfunction difficulty to diagnose? Can it still be present and not captured during testing?
Yes: Autonomic dysfunction can be difficult to diagnose. Sudomotor reflex testing, tilt table, ekg variability, sympathetic skin response and skin biopsy can all be useful to confirm the diagnosis. ...Read more
A proven skin punch biopsy diagnosis of small fiber neuropathy, and you possess one of the many causes of such an entity. Could be pre-diabetes, but with the ANA issues, might look further into collagen vascular categories. Other considerations, include Celiac disease, Sjogren's, HIV, paraproteinemias, B-12, etc.
Would check anti-GM-1 with IgG, IgM, as you might have an autoimmune sensory neuropathy, and might respond to a course of IVIG. Can you visit a neuromuscular specialist? ...Read more
POTS syndrome: Short answer, yes. Long answer, serotonin is the hormone thought to be responsible for the autonomic nervous system hence heart rate and even blood pressure. Ssri's increase nerve communication and stimulate the standing vasoconstriction reflex and what this does it improves your vessels reactions to standing or sitting. ...Read more
How would I reset or restart my autonomic system? Is it possible? Pots is ruining me -_-...Someone please help.
Patience: Good news: a recent review in the mayo clinic proceedings (2012 87 (8)746-752) found that after 1 year, most people with pots had improved and 37% no longer met criteria for the diagnosis! "stay calm and carry on! ". ...Read more
I've allegedly got an autonomic disorder - however my BP lability makes me think I may have baroreflex failure. What is the difference b/t the 2?
Bizarre: There's an old saying in medicine that "common things happen commonly." the corrollary to that wisdom is that "rare things happen rarely." barorecptor failure is so rare that you can forget about it. Look for a different explanation. ...Read more
The autonomic is visceral, not on command, like control of heart, respiration, digestive, urinary systems, sexual arousal, etc
central is brain and spinal cord--then there is peripheral like nerves control movements of the limbs. ...Read more
HR and BP.: Autonomic neuropathy is characterized by a large fall in blood pressure and a small rise in hr with standing. Pots is characterized by a large rise in hr and minimal change in BP with the same maneuver. Pots is more often seen in younger adults. Paxil (paroxetine) may contribute to symptoms of orthostasis. ...Read more
Other cause fr tachy: Pl see link for a brief overview of autonomic dysfunction which generally does not include tachycardia in this range. If this is usual heart rate it could indicate SVT necessitating a cardiac evaluation and treatment to slow down the heart rate as indicated. ...Read more
See below: Good question. Obstructive sleep apnea (osa) ; autonomic dysfunction have been studied intently over the recent years. There are direct links surfacing between the two but more indirect links exist via osa ; Insulin resistance. So to answer your question, it's possible, especially if the osa is poorly controlled w/ other comorbidities present exacerbating the situation. Best to keep osa in check! ...Read more
Splinting: Obstructive apnea is often a "side-effect" of the body's self-preservation mode during sleep. The same mechanisms that prevent us from acting out our dreams (think sleep walking and its risks). When muscles are "paralyzed" in sleep, the loss of tone of the muscles of the throat result in partial (snoring) or complete (apnea) collapse when inhaling. CPAP or dental devices splint the airway open. ...Read more
1salt and water retention&swelling
2low pottasium level
3high blood pressure
5increase susceptibility to infections
6fatigue and muscle weakness
9raised pressure in eyes
11raise blood sugar
14changes in menstrual cycle
15decrease bone density
but not all patients get all side effects, some are expected. ...Read more
If I am now a 21yr old female with autonomic neuropathy caused by diabetes, will this ever go away?
The autonomic nervous system (ans or visceral nervous system or involuntary nervous system) is the part of the peripheral nervous system that acts as a control system functioning largely below the level of consciousness, and controls visceral functions, such as heart rate, digestion, respiratory rate, salivation, perspiration, pupillary dilation, ...Read more