Autonomic Dysfunction

Autonomic dysfunction may result from a variety of causes including diabetes, Parkinson’s disease, autoimmune conditions, or can appear without an obvious underlying disease. Common presentations include:

• • Vasovagal syncope
• • Hyperhidrosis (excessive sweating)
• • Postural tachycardia syndrome (POTS)
• • Pure autonomic failure

During evaluation, our neurology specialists will take a detailed history and perform a focused physical exam. Autonomic testing at Nano Hospitals measures how well the ANS controls functions such as heart rate, blood pressure, breathing, gastrointestinal motility, and bladder function.

Testing may include deep-breathing tests, active standing tests, tilt-table testing, and skin response measurements. These tests are non-invasive and painless, and they help classify the type and severity of the nervous system disorder so we can plan tailored treatment.

Autonomic dysfunction treatment focuses on identifying and managing underlying causes as well as relieving specific symptoms to improve quality of life. For example, when diabetes is the cause, optimizing blood sugar control is a key part of therapy. Other approaches our teams use include:

• • Symptom-directed medications (to support blood pressure, reduce tachycardia, manage bowel or bladder issues)
• • Non-pharmacologic measures such as compression garments, increased salt/fluid intake, and physical counter-manoeuvres for orthostatic symptoms
• • Referral to allied services (physiotherapy, occupational therapy, continence specialists) for functional support
• • Management of coexisting conditions (e.g., Parkinson’s disease, autoimmune disorders)
• • Participation in clinical programs and rehabilitation where appropriate

Our multidisciplinary teams at Nano Hospitals Hulimavu and Nano Hospitals Uttarahalli provide ongoing follow-up, adjustment of therapies, and access to research programs when eligible. If you are experiencing symptoms suggestive of a nervous system disorder or autonomic dysfunction, consult our neurology specialists for a comprehensive assessment and personalised treatment plan.