8. Changes in Autonomic Function – The Unseen Struggle in PDD
Changes in autonomic function, while less visible, are a key part of Parkinson’s Disease Dementia. The autonomic nervous system regulates many body functions, including blood pressure, heart rate, digestion, and bladder control. In PDD, these functions can become disrupted, leading to a range of symptoms that can significantly impact the individual’s well-being.
Autonomic dysfunction can manifest in PDD in a variety of ways. Patients may experience constipation due to slowed gut motility or urinary symptoms such as urgency, frequency, or incontinence. Some individuals may have orthostatic hypotension, a drop in blood pressure upon standing that can lead to dizziness and falls.
Autonomic symptoms can pose significant challenges to daily life, contributing to discomfort, embarrassment, and a decreased sense of control over one’s body. They can also pose health risks, with orthostatic hypotension increasing the risk of falls and constipation leading to significant digestive issues. Identification and management of autonomic symptoms are key to improving comfort, dignity, and overall quality of life in PDD. (8)
