I too have seen a hand full of these symptoms in my patients and healing the autonomic system is difficult to where lifestyle, diet, or medication management alone do not resolve everything. Autonomic dysfunction can lead to a poor quality of life and thus require multiple measures for an optimal management.
Lifestyle Modifications
Raising Head of Bed: This may decrease symptoms from orthostatic hypotension as it defers blood pull down into the lower extremities when going from a laying to standing position.
Gradual Position Changes: Slow changes can prevent some of the dizziness or lightheadedness that may happen as a result of autonomic dysfunction.
Compression Stockings: These garments work in two ways; by mechanical support to increase blood flow and prevent pooling of blood, eventually improve overall blood circulation & reduce symptoms.
Dietary Adjustments
Hydrate: Adequate fluid intake is essential to help keep blood volume up and manage a healthy blood pressure.
Increase Salt Intake: Increased dietary sodium can help retain fluids which is very beneficial for those with hypotension.
Fiber: Adding fiber to the diet may help manage GI symptoms frequently associated with autonomic dysfunction.
Medication Management
Midodrine and Droxidopa : Medications prescribed to increase blood pressure relieve orthostatic hypotension symptoms.
They include fludrocortisone (a mineralocorticoid that increases blood volume and pressure by promoting sodium and water retention).
Beta-Blockers: These can help reduce heart rate and symptoms during exertion.
Alternative Therapies
Physical Therapy: Exercise can improve muscle strength and balance, reducing symptoms such as dizziness.autonomic dysfunction (ad)
Neurostimulation techniques–These work by activating specific nerves with electrical devices to in turn reduce some symptoms.
Needles and Rubbing: Alternative therapies such as acupuncture, massage have been beneficial for some but the scientific evidence is inconclusive.
In conclusion, to heal the autonomic system includes a mix of healthy lifestyle changes and dietary adjustments with medications or alternative therapies needed uniquely for each individual and can take place over months if not years. An effective management plan, which tackles symptoms and root cause is only possible with the collaboration of healthcare providers.
