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How Do We Know If Our Dysautonomia Is Progressive?


bamagirl

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For those diagnosed with progressive dysautonomia or nerve damage, how and what tests determined that? And if so, is it slowly progressive or fairly quick? What is the absolute worst case scenario? I ask because I have dysautonomia with small fiber neuropathy. I have nerve damage in my feet. I don't faint, and all of my autonomic reflex tests are normal except for no sweating on my feet. My main problem is adrenaline surges over and over, migraines(regular and newly ocular), and very low bp and feeling "drunk" 24 hours a day. I wonder since I have nerve damage in my feet that my dysautonomia is progressive. Any information helps. Thanks!!!

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Guest Sandy Sims
For those diagnosed with progressive dysautonomia or nerve damage, how and what tests determined that? And if so, is it slowly progressive or fairly quick? What is the absolute worst case scenario? I ask because I have dysautonomia with small fiber neuropathy. I have nerve damage in my feet. I don't faint, and all of my autonomic reflex tests are normal except for no sweating on my feet. My main problem is adrenaline surges over and over, migraines(regular and newly ocular), and very low bp and feeling "drunk" 24 hours a day. I wonder since I have nerve damage in my feet that my dysautonomia is progressive. Any information helps. Thanks!!!

Nerve damage in your feet?

Adrenal surges?

Feeling drunk all day?

Have you ever had a glucose tolerance test?

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the fact that you have nerve damage in your feet does NOT in ANY way mean that your dysautonomia/ autonomic neuropathy is progressive. and as for worst case scenario, for what it's worth i've been told that i'm it. at least in the realm of someone my age (28) as opposed to a middle-aged person with MSA/ shy-drager. that said i'm a bit "better" now, at least functionally, that i was for a good year & a half (about a year & a half ago), at which point i very seriously was not expected to live another year. my prognosis is still poor & without the machines i'm attached to almost 24/7 i wouldn't live more than a few weeks at most. for more of my story here's my profile in the summer 2007 newsletter:http://www.dinet.org/summer07/sum07news3.htm.

i have seen & been discussed & studied by many of the top autonomic specialists in the country & been told that collectively they have seen less than a handful of people with my severity of autonomic neuropathy/ failure/ degeneration/ etc. so that's what i'm basing my answer on (re: my being the "worst case scenario). as i said though i've sort of surprised everyone by my stubbornness in terms of the fact that i'm not only "just" still here but functioning at a better place than anyone ever thought i would be ever again. "better" is all relative & most people would consider my level of functioning absolutely horrible, but compared to being bedridden, living in hospitals & nursing homes most of the time, & needing ambulance transport to get me to a doctor's appointment, being able to get out of the house a few times a week in a good week is HUGE & not something i dare to not appreciate.

but anyway.....based on what you've shared you have no reason to worry about your situation being progressive. many, if not most, people with autonomic neuropathy have some sensory issues similar to yours. that doesn't mean they aren't a huge pain but they certainly aren't indicative of a particularly poor or progressive prognosis. even more reassuring of that in your case is the fact that your other autonomic testing is all fairly okay. in anyone (me included) with a very progressive situation most if not all autonomic testing is dramatically abnormal, so for multiple reasons i'd say you can rest easy!

hope this helps,

B) melissa

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