Damage to other structures causes similar dysfunction. Autonomic neuropathy is a group of symptoms, not a specific disease entity. The causes are multiple. An eye examination may show sluggish pupil reaction. Other tests for autonomic neuropathy are guided by the suspected cause of the disorder, as suggested by the history, symptoms presented, and pattern of symptom development.
Treatment is supportive.
Treatment may need to be chronic and prolonged, and the response to treatment varies. Several treatments may be attempted before a treatment that is successful in reducing symptoms is identified. The use of elastic stockings and sleeping with the head elevated may reduce postural hypotension . Fludrocortisone or similar medications may be beneficial in reducing postural hypotension for some people. Impotence , diarrhea , constipation , or other symptoms are treated as appropriate.