Other symptoms of SDS do not involve the autonomic nervous system.
These include parkinsonism (muscle tremor, rigidity, and slow movements), double vision, problems controlling emotions, and wasting of muscles in the hands and feet.
Another test for the condition is the Valsalva maneuver.
In this test, the patient holds his or her breath and strains down as if having a bowel movement while the doctor monitors blood pressure and heart rate for 10 seconds.
Because postural hypotension is the most troublesome of the symptoms in the early years, treatments center on relieving this problem.The autonomic nervous system also controls skin and body temperature, and how the body responds to stress. Many nonprescription drugs, such as cold medicines and diet capsules, can trigger extremely high blood pressure spikes in patients with SDS, even in very low doses. Single mannen herkennen Shy-Drager syndrome leads to dizziness or fainting when standing up, urinary incontinence, impotence, and muscle tremors. D., from the National Institutes of Health, and Glenn Drager, M. Therefore, these patients are at risk for strokes and excessive bleeding (hemorrhage) if they take even the recommended dosage of these drugs.The hallmark of the syndrome is dizziness and fainting when arising or after standing still for a long time (postural hypotension).This is caused by low blood pressure and inadequate blood flow to the brain.
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Shy-Drager syndrome (SDS) is a rare condition that causes progressive damage to the autonomic nervous system.The autonomic nervous system controls vital involuntary body functions such as heart rate, breathing, and intestinal, urinary, and sexual functions. Sometimes, people with mild cases are misdiagnosed as having anxiety or hypertension.Tests of the autonomic nervous system may help diagnose the condition.In normal patients, blood levels of norepinephrine rise when they stand up. Norepinephrine is a hormone that helps maintain blood pressure by triggering certain blood vessels to constrict when blood pressure falls below normal.In later stages, problems in the autonomic nervous system lead to breathing difficulties such as sleep apnea, loud breathing, and snoring.
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In advanced stages of the disease, patients can die from irregular heartbeat.Gastrostomy — An artificial opening into the stomach through the abdomen to enable a patient to be fed via a feeding tube.The procedure is given to patients with SDS who are unable to chew or swallow..Other drug treatment includes fludrocortisone, indomethacin, nonsteroidal anti-inflammatory drugs, beta blockers, central stimulants, and other medications.Occasionally, a pacemaker, gastrostomy, or tracheostomy may be needed.