alcoholic neuropathy…

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alcoholic neuropathy, motor nerves, autonomic nerves, central nervous system, neuropathy, alcoholic, alcoholic polyneuropathy, alcoholic neuropathy, disorder involving decreased nerve functioning, damage that results, excessive drinking of alcohol, alcoholic neuropathy is controversial but the toxic effect of alcohol on nerve tissue, likely also associated, nutritional deficiencies, indistinguishable from nutrition-related neuropathies beriberi, most common symptoms, numbness, tingling, burning feet, weakness, in severe cases, autonomic nerves, that regulate internal body functions, involved, prolonged heavy use of alcohol, alcoholism that is present, 10 years, indicates high risk, alcoholic neuropathy, numbness, abnormal sensations, paresthesia, "pins, needles", painful sensations, muscle weakness, muscle cramps, muscle aches, heat intolerance, after exercise, impotence, in men, difficulty urinating, incontinence, leaking urine, feeling of incomplete bladder emptying, difficulty beginning to urinate, constipation, diarrhea, nausea, vomiting, additional symptoms that associated, swallowing difficulty, speech impairment, loss of muscle function, feeling, muscle contractions, spasm, muscle atrophy, movement, dysfunctional, hoarseness, changing voice, eyelid drooping, ptosis, changes in muscle strength, sensation, occur on both sides, more common, in the legs than, in the arms, develop gradually, progressively, become worse over time, results of a neurological exam abnormal, reflexes reduced, localized nerve abnormalities present, neurologic deficits, symmetrical, affecting both sides, signs of autonomic nervous system dysfunction present, eye inspection, decreased pupil response, abnormality, blood pressure, orthostatic changes, a fall in blood pressure, the person rises to a standing position, lab tests performed, indicated by the history, signs, symptoms to rule out other possible causes, neuropathy, nutritional studies, deficiencies of thiamine, vitamin b-1, pyridoxine, vitamin b-6, pantothenic acid, biotin, vitamin b-12, folic acid, niacin, vitamin b-3, vitamin a, deficiencies, alcoholism, risk factor, nutritional deficiency, serum chemistries, abnormalities, chem-20, nerve conduction tests, emg, a test of electrical activity in muscles, the extent of neurologic damage, nerve biopsy, rule out other possible causes, the signs, an upper gi, small bowel series, decreased motility, movement, delayed emptying, the stomach, abnormalities, study, rule out physical obstruction, a cause of vomiting, gi, gastrointestinal, egd, esophagogastroduodenoscopy, rule out physical obstruction, a cause of gastrointestinal, gi, isotope studies, indicate gastroparesis, decreased gastric motility, vcug, voiding cystourethrogram, decreased bladder emptying, nerves controlling the bladder, tests performed, the presence, extent of other neurologic losses, treatment goals, assuming the immediate alcohol problem has been addressed, controlling symptoms, maximizing ability to function independently, preventing injury, important to supplement the diet, vitamins, thiamine, folic acid, physical therapy, use of orthopedic appliances splints necessary to maximize muscle function, to maintain useful positioning, the limbs, medication used, necessary to treat pain, uncomfortable sensations, response to medications, least amount, medication needed to reduce symptoms is advised, to reduce dependence, side effects of chronic use, common medications, over-the-counter analgesics aspirin, ibuprofen, acetaminophen to reduce pain, stabbing pains, respond to tricyclic antidepressants, anticonvulsant medications phenytoin, gabapentin, carbamazepine, positioning, use of a bed frame that keeps the covers off the legs, reduce pain, people, treatment of autonomic dysfunction, blood pressure problems, urination, slow gastrointestinal movement, treatment chronic, long term, response to treatment, many treatments tried, finding one that is successful in reducing symptoms, wearing elastic stockings, eating extra salt, sleeping, the head elevated, using medications fludrocortisone, reduce postural blood pressure changes, orthostatic hypotension, manual expression of urine, intermittent catheterization, medications bethanechol necessary to treat bladder dysfunction, impotence, diarrhea, constipation, necessary, respond poorly to treatment, important to protect arms, legs, reduced sensation from injured, checking the temperature of bath water, prevent burns, change in footwear, frequent inspection of shoes to reduce injury, pressure, objects, in the shoes, extremities, guarded, prevent injury from pressure, use of alcohol, stopped to reduce progression, the damage, treatment of alcoholism, psychiatric interventions, social support aa, alcoholics anonymous, medications, behavior modification, damage to nerves from alcoholic neuropathy, permanent, progressive, alcohol use continues, from mild discomfort to severe disability, disorder, not life-threatening, severely compromise the quality of life, disability, discomfort, pain, chronic, injury to extremities, symptoms indicate alcoholic neuropathy present, minimize alcohol use, total abstinence from alcohol necessary, persons, alcoholism.