1. Urinary tract problems – They generally have urinary incontinence due to lack of bladder control. It is treated by antispasmodic medication (anticholergenic) drugs, behavioral techniques, devices like pessaries (ring inserted into the vagina to prevent a urinary leak.
2. Digestive problems – It is due to slow stomach emptying leading to indigestion, belching, nausea vomiting. It is treated by eating smaller frequent meals, reducing fiber and fat in the diet and taking soups and mashed food. Nausea, vomiting, diarrhea, and constipation are treated by drugs.
3. Low blood pressure on standing (orthostatic hypotension) – avoid alcohol, drink a lot or water and sit or stand slowly. Abdominal binder and compression stockings may help. Several medicines could be given.
4. Sexual dysfunction – Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) could improve sexual function in men but are not safe drugs. Mechanical vacuum devices may improve the penile blood supply in men. Women could get relief with vaginal creams.