Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
192 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for orthostatic hypotension, constipation and erectile dysfunction

Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 7005 Questions

Posted on Sat, 3 Sep 2016 in Hypertension and Heart Disease
Question: my symptomds are :sudomotor dysfunction, orthostatic hypotension, constipation, ED, bladder emptying/fullness. gastropsresis (?) thanks.XXXX
Answered by Dr. Ilir Sharka 10 hours later
Brief Answer:
I would explain as follows:

Detailed Answer:

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms are related to autonomic nervous system dysfunction. Diabetes can cause this disorder ad it is known to cause damage of the nerves.

Unfortunately the treatment is only symptomatic.

A better management of diabetes would help reduce the progression of this disorder.

I would recommend taking plenty of fluids to remain wellhydrated. Increasing salt intake can help against orthostatic hypotension.

If orthostatic hypotension is severe you can try fludrocortisone as it can be helpful in this disorder.

For gastroparesis you can try domperidone which is a pro kinetic drug.

Unfortunately there is little you can do for urinary retention. But I would recommend performing an ultrasound to exclude possible prostate hypertrophy which can aggravate the situation.

Hope to have been helpful!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  

Recent questions on  Urinary retention

doctor1 MD

68 yrs old male underwent coronary by pass surgery in August 2013. Past history of diabetes, hypertension and rec ent onset of schizophrenia....

doctor1 MD

I have a catheter in place and I have been having complications from the catheter tube being blown up in the urethra tube and having severe bladder...

doctor1 MD

impaird bowel/urinary/sexual function after injury. Help please.
as stated above in the subject heading I have all of these problems. I'm trying to...

doctor1 MD

Hi I urinate a lot but do not have a urinary tract infection this has been going on for years. I go to the restroom during the day like once every...

doctor1 MD

im on 20 mg of viibryd . 100mg seroquel . 80mg nexium 10mg baclofen hard to start peeing. no blood no pain. ?

doctor1 MD

Can Hemorroids cause me to urunate much more often? I am drinking lots of water to loosen stool? Thanks

doctor1 MD

Hi. I am 27 years old. Female. Semi-alcoholic, taking 3mg xanax/day and around 30mg dalmane/day. Those have not been addiction related. I'd say...