Gastrointestinal Autonomic Neuropathy

Key points

• Gastrointestinal autonomic neuropathy: gastroparesis
• symptoms include erratic blood glucose control, bloating and vomiting
• management options include metoclopramide, domperidone or erythromycin (prokinetic agents) Chronic diarrhoea
• often occurs at night Gastro-oesophageal reflux disease
• caused by decreased lower esophageal sphincter (LES) pressure