The main causes of autonomic neuropathy are as follows:
*metabolic factor such as high blood glucose, long duration of diabetes, abnormal blood fat levels and possibly low levels of insulin
*neurovascular factors leading to damage to the blood vessels that carry oxygen and nutrients to nerves
*autoimmune factors that cause inflammation in nerves
*mechanical injury to nerves such as carpal tunnel syndrome or inherited traits that increase susceptibility to nerve disease
*lifestyle factors such as smoking or alcohol use
*vitamin deficiencies particularly B vitamins
*Biemer’s anemia
*infections such as lymes disease, shingles Epstein-Barr, hepatitisC and HIV/aids
*kidney liver or thyroid disorders
exposure to toxins
*repetitive physical stress possibly from occupational activities
There are many symptoms of Autonomic Neuropathy. These are:
*Cardiovascular symptoms including resting tachycardia, exercise intolerance orthostatic hypotension and silent myocardial ischemia
*Gastrointestinal symptoms include esophageal dysmotility, gastroparesis diabeticorum, constipation, diarrhea and fecal incontinence
*pupillary symptoms include Pupillomotor function impairment
*Genitourinary symptoms include neurogenic bladder, erectile dysfunction retrograde ejaculation and female sexual dysfunction
*metabolic symptoms include hypoglycemia unawareness and hypoglycemia associated autonomic failure
*Sudomotor symptoms include anhidrosis, heat intolerance, gustatory sweating and dry skin