autonomic neuropathy

Autonomic neuropathy is a disease of the non-voluntary, non-sensory nervous system affecting mostly the internal organs such as the bladder muscles, the cardiovascular system, the digestive tract, and the genital organs. These nerves are not under a person's conscious control and function automatically. They do not run through the spinal cord. Also called visceral neuropathy. Most commonly autonomic neuropathy is seen in persons with long-standing diabetes mellitus type 1 and 2. Common symptoms and signs of autonomic neuropathy (in combination or alone):

urinary bladder

bladder incontinence or urine retention

gastrointestinal tract

dysphagia
abdominal pain
nausea
vomiting
malabsorption
fecal incontinence
diarrhea
constipation

cardiovascular system

disturbances of heart rate (tachycardia and/or bradycardia)
orthostatic hypotension
inadequate increase of heart rate on exertion

other

erectile impotence
hypoglycemia unawareness

See also: neuropathy.

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