Left Side

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Diabetes Complications: Autonomic neuropathy

Other Features of autonomic neuropathy

Incomplete emptying of urinary bladder resulting in stagnation of urine and urinary infection may occur when the nerves to the bladder are affected. Some drugs can help emptying of the bladder.

In a normal person, blood pressure is maintained in standing position. The blood pressure may drop markedly on standing, making the patient dizzy when the autonomic nervous system is affected. While getting up from a lying position, the patient should first sit on the edge of the bed for a minute and move his legs. He should then stand up, wait for a little while before walking. The postural drop in BP can be reduced by some drugs.

The stomach may not contract and empty itself properly when its nerve supply is affected. This results in distention of abdomen after meals and vomiting. Absorption of food becomes erratic and control of diabetes becomes difficult. There are drugs which can help the emptying of stomach.

Bouts of watery motions lasting for a few days may occur. At times, rectal incontinence may occur. This condition responds to a short course of broad spectrum antibiotica and drugs which reduce motility of intestines.

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Left Side

Left Side

Diabetes Complications: Autonomic neuropathy